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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 of these medicines is a second-generation (atypical) antipsychotic?

1. AQuetiapine
2. BChlorpromazine
3. CLorazepam
4. DHaloperidol

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

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

A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?

1. ASevere weight gain in the first week
2. BA dangerous rise in blood pressure after eating foods that contain tyramine
3. CSigns of physical dependence, because it is a controlled stimulant
4. DNew or worsening suicidal thoughts or unusual changes in mood or behaviour

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

1. AGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
2. BIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
3. CGive it just before bedtime so that it works overnight
4. DIt causes weight gain, so offer fewer snacks during the day

How should a patient take sublingual buprenorphine-naloxone tablets?

1. ALet the tablet dissolve completely under the tongue without chewing or swallowing it
2. BChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
3. CSwallow the tablet whole with a large glass of water
4. DCrush the tablet and mix it with a spoonful of soft food such as yoghurt

In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?

1. AShe no longer needs any help, so the sessions should end at once
2. BThe nurse has made a serious mistake and should hand her care to a colleague immediately
3. CShe may be showing resistance as painful topics come closer, which the nurse can gently explore
4. DShe is being rude to the nurse on purpose and should be warned

On the day after hip surgery, a 58-year-old patient has a new tremor, sweating, anxiety and a fast pulse. He did not report any alcohol use on admission. What should the nurse do?

1. AWait until the next day to see if the symptoms go away on their own once his pain is better controlled
2. BAssume he has post-operative pain and give extra analgesia only
3. CAsk him and his family about his alcohol use and the time of his last drink, and report the findings
4. DTell him that his symptoms are normal after hip surgery