1.Easy
A patient is having a panic attack. What should the nurse do?
- AEncourage the patient to join a busy group activity
- BExplain in detail how panic disorder develops so that the patient understands the attack
- CLeave the patient alone to calm down
- DStay with the patient, speak calmly in short, simple sentences and provide a quiet space
2.Easy
According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?
- APre-interaction phase
- BWorking phase
- CTermination phase
- DOrientation phase
3.Easy
What is the main purpose of a debriefing after a physical restraint incident?
- ATo decide which staff member should be blamed for the incident
- BTo review what happened, support those involved and learn how to prevent future restraint
- CTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
- DTo punish the patient for the behaviour that led to the restraint
4.Medium
A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?
- A"That's not true. I've helped you all day."
- B"If you speak to me like that, I'm leaving."
- C"You shouldn't talk to people like that."
- D"You sound very angry. Tell me what has happened."
5.Medium
In a therapy group, one member talks constantly and interrupts others. What should the group leader do?
- ALet the member continue, because she has a lot to say
- BCriticise the member in front of the whole group so that she learns to stay quiet
- CAcknowledge the member's contribution and invite others to share their views
- DAsk the member to leave the group permanently so that others can speak
6.Medium
Which psychological treatment is most effective for obsessive-compulsive disorder?
- AExposure and response prevention, a form of CBT
- BHypnosis to remove the obsessive thoughts permanently in a single session
- CPsychoanalysis focused on early childhood memories
- DEncouraging the patient to perform the rituals more often
7.Hard
The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?
- ADischarge him to live alone in a flat, without any support from his family or the team
- BFamily psychoeducation and help to communicate with less criticism
- CAdvise the parents to stop all contact with their son
- DTell the parents that they caused his illness
8.Hard
A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?
- ATell him firmly that he will lose his ward privileges unless he gets up and showers at once
- BWait until he asks to join activities before involving him
- CAgree a simple daily routine with small, achievable activities and give positive feedback
- DLet him stay in bed, because negative symptoms cannot change
Answer key
- 1. D · Stay with the patient, speak calmly in short, simple sentences and provide a quiet space
- 2. D · Orientation phase
- 3. B · To review what happened, support those involved and learn how to prevent future restraint
- 4. D · "You sound very angry. Tell me what has happened."
- 5. C · Acknowledge the member's contribution and invite others to share their views
- 6. A · Exposure and response prevention, a form of CBT
- 7. B · Family psychoeducation and help to communicate with less criticism
- 8. C · Agree a simple daily routine with small, achievable activities and give positive feedback
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