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Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AAntisocial, borderline, histrionic and narcissistic
2. BHistrionic, dependent and schizoid
3. CAvoidant, dependent and obsessive-compulsive
4. DParanoid, schizoid and schizotypal

Which early feature is most typical of frontotemporal dementia?

1. ASevere memory loss as the very first symptom, with no change in behaviour
2. BChanges in personality and behaviour, such as loss of inhibition
3. CStepwise decline after a series of small strokes
4. DVisual hallucinations of people and animals

In DSM-5, gambling disorder is grouped with which category of disorders?

1. ASubstance-related and addictive disorders
2. BNeurocognitive disorders such as dementia
3. CPersonality disorders in Cluster B
4. DAnxiety disorders and phobias

A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?

1. A"Let's talk about something more cheerful."
2. B"Everyone feels that way sometimes."
3. C"You shouldn't say things like that."
4. D"Tell me more about what that feeling is like for you."

A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?

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

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
2. B"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
3. C"That would be against the rules, so please stop asking about it."
4. D"Of course, as long as you don't tell the other patients."

An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?

1. AThe normal effects of ageing
2. BA sign that she needs a higher dose of amitriptyline
3. CThe combined anticholinergic effects of her medicines
4. DSudden-onset Alzheimer's disease

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. ALet him leave, because voluntary patients can always go when they want
2. BAsk him to promise that he will not jump, and then let him go home on his own
3. CTell him to go home now and come back tomorrow morning when he feels calmer and safer
4. DStay with him and inform the team at once, so he can be urgently assessed under mental health law