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What is systematic desensitisation?

1. AGradual exposure to a feared situation, step by step, while using relaxation
2. BA medicine that reduces anxiety within minutes of being taken
3. CSudden and prolonged exposure to the most feared situation at once
4. DTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again

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. APerseveration
2. BTangentiality
3. CThought blocking
4. DCircumstantiality

Overdosis opioid telah dibalikkan dengan nalokson, dan pasien kini sadar. Mengapa ia tetap harus diobservasi dengan ketat?

1. ANalokson membuat opioid bekerja dua kali lebih lama
2. BTidak perlu mengobservasinya setelah ia sadar
3. CNalokson mungkin habis efeknya sebelum opioid, sehingga napasnya dapat melambat lagi
4. DNalokson sendiri menyebabkan napas lambat beberapa jam kemudian saat dipecah

Which tool is widely used to screen for delirium at the bedside?

1. AThe CIWA-Ar
2. BThe Abnormal Involuntary Movement Scale (AIMS)
3. CThe Confusion Assessment Method (CAM)
4. DThe CAGE questionnaire

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?

1. ANeuroleptic malignant syndrome
2. BSerotonin syndrome
3. CAntidepressant discontinuation syndrome
4. DA relapse of her depression into a severe psychotic depression

Which physical finding is common in bulimia nervosa?

1. ARaised blood pressure, a fast pulse and a high temperature
2. BSwelling of the salivary glands at the angle of the jaw
3. CVery low body weight with lanugo hair
4. DA high serum potassium level

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. AStop the fluoxetine at once and tell the prescriber at his next appointment
2. BDrink a small glass of wine or beer before bed to help him fall asleep
3. CDiscuss with the prescriber whether he can take it in the morning instead
4. DTake a double dose at night to make him sleepy

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. AAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
2. BLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
3. CAssume it is normal ageing and take no action
4. DDiagnose late-onset schizophrenia and start an antipsychotic immediately