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Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?

1. AFeeling detached from family and friends
2. BFlashbacks of the traumatic event
3. CAvoiding places that remind the person of the event
4. DBeing easily startled by loud noises

According to Erikson, what is the main psychosocial task of adolescence?

1. AIndustry versus inferiority
2. BTrust versus mistrust
3. CIdentity versus role confusion
4. DIntegrity versus despair

Asked how she slept, a patient describes her evening meal, a television programme and a phone call from her sister in great detail, and finally says that she slept badly. What is this called?

1. ACircumstantiality
2. BThought blocking
3. CTangentiality
4. DPerseveration

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
2. BState the rule and the consequence clearly, and make sure all staff apply it consistently
3. CChange the rules for this patient to avoid conflict
4. DLet each nurse decide on the day whether to apply the rules

Which criteria are needed for a diagnosis of intellectual disability?

1. AAn IQ score alone, measured at any time in adult life
2. BMemory loss and confusion that start for the first time after the age of 65
3. CProblems with reading only, with normal everyday functioning
4. DLimits in both intellectual and adaptive functioning, starting in childhood

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey take 4–6 weeks to have any effect on anxiety, like antidepressants
2. BThey are the preferred long-term treatment for generalised anxiety disorder
3. CThey give rapid relief but are generally used only short-term because of tolerance and dependence
4. DThey are safe to stop suddenly after many months of daily use

A resident with dementia accuses staff of stealing her purse, which she has misplaced. What is the most appropriate response?

1. AInsist that nobody would steal from her
2. BStay calm, acknowledge her worry and offer to help her look for it
3. CIgnore the accusation and walk away until she forgets about it
4. DTell her that her memory is the problem and that the purse is not stolen

A child has been admitted several times with unexplained fevers that only happen when her mother is present. Staff see the mother tampering with the child's IV line. What is the priority action?

1. AEnsure the child's safety and follow child protection procedures
2. BDischarge the child home with the mother as soon as possible
3. CDiscuss the matter with the mother alone and ask her to stop
4. DDocument the event carefully in the notes and wait to see whether it happens again before telling anyone else