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What is systematic desensitisation?

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

In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?

1. AContemplation
2. BMaintenance of change
3. CPrecontemplation
4. DPreparation

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. AInvoluntary swearing in almost every sentence as the main and only symptom
2. BSeizures with loss of consciousness during sleep
3. CA single motor tic that lasts for 2 weeks in an adult
4. DSeveral motor tics and at least one vocal tic for over a year, starting before 18

A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

1. AThe diazepam will block the pain-relieving effect of oxycodone
2. BThe combination will cause high blood pressure
3. CIncreased sedation and respiratory depression
4. DThere is no interaction between these two drugs

A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?

1. AAbout 2–3 weeks after the last drink
2. BAbout 6–24 hours after the last drink
3. CWithin 5 minutes of the last drink
4. DOnly after 7 days without alcohol

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
2. BArgue with him that what he sees is not real until he accepts it
3. CStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
4. DLeave him alone in a dark room so that he can sleep it off

A nurse teaches a family member how to use a naloxone kit. Which statement shows a need for further teaching?

1. A"If he doesn't respond, I may need to give a second dose."
2. B"I'll stay with him, because the overdose can come back."
3. C"Once I've given the naloxone, I don't need to call an ambulance."
4. D"I'll check his breathing and put him in the recovery position if he is breathing but still not awake."

A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?

1. ATake the statement seriously, assess her risk and explain that nursing assignments are decided by the team
2. BIgnore the threat, because she is only trying to manipulate staff
3. CTell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
4. DAgree to assign Anna to her every day so that she stays safe