1.Easy
In behaviour therapy, what is negative reinforcement?
- APunishing a behaviour with an unpleasant consequence so that it becomes less likely
- BTaking away something unpleasant after a behaviour, which makes it more likely
- CAdding a reward after a behaviour so that it happens more often
- DIgnoring a behaviour so that it slowly disappears over time
2.Easy
A boy who is not good at sport works very hard to become the best student in his class. Which defence mechanism is this?
- ARegression
- BUndoing
- CCompensation
- DDisplacement
3.Easy
Which drug class is the main treatment for alcohol withdrawal?
- ASSRIs
- BOpioids
- CAntipsychotics as first-line treatment
- DBenzodiazepines
4.Medium
A few hours after the first dose of haloperidol, a young man's neck twists to one side and his eyes roll upward. What is this?
- ASerotonin syndrome
- BTardive dyskinesia
- CAcute dystonia
- DNeuroleptic malignant syndrome
5.Medium
Which question is the best way to ask a patient about suicidal thoughts?
- A"Are you having thoughts of killing yourself?"
- B"You're not thinking of doing anything silly, are you?"
- C"You wouldn't hurt yourself, would you?"
- D"Things aren't that bad, are they?"
6.Medium
A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?
- 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."
- B"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
- C"That would be against the rules, so please stop asking about it."
- D"Of course, as long as you don't tell the other patients."
7.Hard
A woman who is being abused by her partner says she will not leave him. What is the most appropriate response?
- ACall her partner to discuss his behaviour with him
- BRespect her decision, give information about support services and help her make a safety plan
- CTell her that she must leave him today or the nurse cannot help her
- DTell her that if she stays and is hurt again, it will be her own fault because she was warned about the risks
8.Hard
A patient is found unresponsive with a respiratory rate of 6/min and pinpoint pupils. What should the nurse do first?
- AGive flumazenil
- BPlace the patient in the recovery position and wait for the patient to wake up naturally before calling anyone
- CCall for help, open the airway and support breathing, and give naloxone as prescribed or per protocol
- DGive a large glass of water
Answer key
- 1. B · Taking away something unpleasant after a behaviour, which makes it more likely
- 2. C · Compensation
- 3. D · Benzodiazepines
- 4. C · Acute dystonia
- 5. A · "Are you having thoughts of killing yourself?"
- 6. 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."
- 7. B · Respect her decision, give information about support services and help her make a safety plan
- 8. C · Call for help, open the airway and support breathing, and give naloxone as prescribed or per protocol
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