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In Freud's theory of personality, what is the role of the ego?

1. ATo store all forgotten memories from childhood
2. BTo act as the moral conscience that creates guilt
3. CTo balance the demands of the id, the superego and reality
4. DTo seek immediate pleasure regardless of the consequences

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. ADantrolene
2. BLithium
3. CFluoxetine
4. DHaloperidol

In behaviour therapy, what is positive reinforcement?

1. ARemoving a reward so that a behaviour becomes less likely
2. BAdding an unpleasant consequence so that a behaviour stops
3. CAdding a reward after a behaviour so that the behaviour becomes more likely
4. DIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff

What is the PHQ-9 used for?

1. AScreening for alcohol problems
2. BMonitoring involuntary movements caused by antipsychotics
3. CAssessing the severity of alcohol withdrawal
4. DScreening for depression and measuring its severity

The wife of a man with alcohol dependence organises her life around his drinking, hides it from others and neglects her own needs. What does this pattern suggest?

1. AEnabling by the healthcare team
2. BDelirium tremens
3. CLearned helplessness in the patient
4. DCodependency

How should the nurse position herself when talking to an agitated patient?

1. ADirectly face to face, as close as possible, to show confidence
2. BAt a safe distance, slightly to the side, with a clear exit available
3. CBetween the patient and the wall, so the patient can leave easily
4. DBehind the patient and close to him, so that the patient does not feel threatened by eye contact

A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?

1. AHe has antisocial personality disorder that was not noticed before
2. BHis anger may be part of grief, displaced onto staff, so she should not take it personally
3. CHe should be told that his behaviour is unacceptable and that visits will be stopped
4. DHe does not care about his wife's death and is using it as an excuse to be rude

A 10-year-old eats only a few foods and refuses others because he fears choking after a frightening episode. He is losing weight but has no concerns about body shape. Which diagnosis fits best?

1. ABinge-eating disorder with secret eating
2. BBulimia nervosa
3. CAvoidant/restrictive food intake disorder (ARFID)
4. DAnorexia nervosa