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In a mental status examination, what does assessing orientation check?

1. AWhether the patient's mood matches the facial expression and tone of voice
2. BWhether the patient understands that they are ill and needs treatment for it
3. CWhether the patient knows the time, the place and who they are
4. DWhether the patient can interpret proverbs and explain their meaning

According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?

1. AWorking phase
2. BOrientation phase
3. CTermination phase
4. DPre-interaction phase

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. APersonalisation
2. BCatastrophising
3. CAll-or-nothing thinking
4. DEmotional reasoning

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. AHypothyroidism
2. BHyperthyroidism
3. CSerotonin syndrome
4. DAgranulocytosis

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

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

What is assertive community treatment (ACT)?

1. AA short course of assertiveness training for people with mild social anxiety
2. BIntensive team-based support at home for people with severe mental illness and frequent admissions
3. CA self-help group run entirely by former patients, without any professional staff or support at all
4. DCompulsory hospital treatment for people who refuse medicine

A patient in DBT feels a strong urge to self-harm after a distressing phone call. Which DBT skill module is designed to help her get through this moment without making things worse?

1. AInterpersonal effectiveness
2. BSystematic desensitisation
3. CCognitive restructuring of core beliefs
4. DDistress tolerance

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. AStop answering her calls, because the symptoms are imaginary
2. BTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
3. CArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
4. DAsk the doctor to order new tests every time she reports a symptom