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A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?

1. AOffering self
2. BDefending
3. CSeeking clarification
4. DReflecting

According to DSM-5, how long must symptoms last for a major depressive episode to be diagnosed?

1. AAt least 6 months
2. BAt least 2 days
3. CAt least 2 weeks
4. DAt least 2 years

What is a psychiatric advance directive (advance statement)?

1. AA note from the doctor that lists the patient's diagnoses
2. BA contract in which the patient promises the team to take every prescribed medicine for life
3. CA court order that allows a patient to be detained in hospital
4. DA document in which a person states their treatment wishes for a time when they may lack capacity

An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?

1. AIntimacy versus isolation
2. BIntegrity versus despair
3. CGenerativity versus stagnation
4. DIdentity versus role confusion

A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?

1. A"Everyone here knows you well, so don't worry."
2. B"You feel that people here don't really know you?"
3. C"The doctor is very experienced, so you should trust her."
4. D"Why do you think the doctor is wrong about you?"

A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?

1. ASomatic
2. BErotomanic
3. CGrandiose
4. DNihilistic

An 80-year-old patient taking a benzodiazepine for sleep fell at night on the way to the toilet. After checking her for injury, what is the most appropriate next step?

1. AReport the fall, put falls precautions in place and ask for a review of her sleep medicine
2. BGive an extra dose so that she sleeps through the night without getting up
3. CUse bed rails and a restraint every night to keep her safely in bed until the morning
4. DDo nothing more, because falls are normal in older people

A patient who used methamphetamine heavily for weeks stopped 2 days ago. He sleeps most of the day, is very low and says life is pointless. What is the priority?

1. AAssess his suicide risk
2. BGive a stimulant to relieve the low mood
3. CWake him often so that his sleep pattern returns to normal
4. DEncourage him to exercise hard to raise his energy