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Ad: ____________________ Tarih: ____________
1.Kolay
What is separation anxiety disorder in a child?
AA lack of interest in parents and other close carers, with no distress when they leave
BExcessive, developmentally inappropriate fear of being apart from attachment figures
CNormal crying when a baby meets a stranger for the first time
DFear of social situations in which other children may laugh at them
2.Kolay
The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?
AJudgement
BRecent memory
CPerception
DOrientation
3.Kolay
Which statement about nicotine replacement therapy is correct?
AIt contains tar and carbon monoxide in smaller amounts than cigarettes
BIt must never be combined, for example a patch with gum
CIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
DIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings
4.Orta
Which physical finding is common in bulimia nervosa?
AVery low body weight with lanugo hair
BA high serum potassium level
CRaised blood pressure, a fast pulse and a high temperature
DSwelling of the salivary glands at the angle of the jaw
5.Orta
How should the nurse position herself when talking to an agitated patient?
ABehind the patient and close to him, so that the patient does not feel threatened by eye contact
BDirectly face to face, as close as possible, to show confidence
CBetween the patient and the wall, so the patient can leave easily
DAt a safe distance, slightly to the side, with a clear exit available
6.Orta
A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?
ANeuroleptic malignant syndrome
BAntidepressant discontinuation syndrome
CSerotonin syndrome
DA relapse of her depression into a severe psychotic depression
7.Zor
A patient in DBT feels a strong urge to self-harm after a distressing phone call. Which DBT skill module is designed to help her get through this moment without making things worse?
ADistress tolerance
BSystematic desensitisation
CInterpersonal effectiveness
DCognitive restructuring of core beliefs
8.Zor
A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?
ATell the patient that he reminds her of her father
BRecognise this as countertransference and discuss it in clinical supervision
CAvoid the patient and let other staff do all of his care
DIgnore the feeling, because feelings do not affect nursing care
Cevap anahtarı
1. B · Excessive, developmentally inappropriate fear of being apart from attachment figures
2. A · Judgement
3. D · It provides nicotine without the harmful smoke, to reduce withdrawal and cravings
4. D · Swelling of the salivary glands at the angle of the jaw
5. D · At a safe distance, slightly to the side, with a clear exit available
6. B · Antidepressant discontinuation syndrome
7. A · Distress tolerance
8. B · Recognise this as countertransference and discuss it in clinical supervision
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