1.Easy
Which drug class is the main treatment for alcohol withdrawal?
- AAntipsychotics as first-line treatment
- BSSRIs
- COpioids
- DBenzodiazepines
2.Easy
According to Selye's general adaptation syndrome, what are the three stages of the stress response?
- AAlarm, resistance and exhaustion
- BOrientation, working and termination
- CForming, storming and norming
- DDenial, anger and acceptance
3.Easy
Which drug is a selective serotonin reuptake inhibitor (SSRI)?
- ASertraline
- BDiazepam
- CLithium
- DHaloperidol
4.Medium
Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?
- ALet each nurse decide on the day whether to apply the rules
- BChange the rules for this patient to avoid conflict
- CGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
- DState the rule and the consequence clearly, and make sure all staff apply it consistently
5.Medium
Which tool is widely used to screen for delirium at the bedside?
- AThe CAGE questionnaire
- BThe Confusion Assessment Method (CAM)
- CThe Abnormal Involuntary Movement Scale (AIMS)
- DThe CIWA-Ar
6.Medium
Which side effects are most common with quetiapine?
- AHigh prolactin with breast enlargement in almost every patient
- BA cough and swollen ankles
- CSedation, dizziness when standing and weight gain
- DInsomnia and severe weight loss
7.Hard
A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?
- AAgree with the colleague and take no action at all
- BCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
- CWait until the next morning to see if she still feels the same once the argument has settled down
- DTell the patient she is only seeking attention
8.Hard
A patient with PTSD is having a nightmare and thrashing in bed. What is the safest way for the nurse to wake him?
- ATurn on all the lights and shout loudly so that he wakes up quickly
- BShake him firmly by the shoulders until he is fully awake
- CStand at a safe distance, say his name clearly and tell him where he is
- DHold his arms down firmly so that he cannot hit anyone or hurt himself while he is still asleep
Answer key
- 1. D · Benzodiazepines
- 2. A · Alarm, resistance and exhaustion
- 3. A · Sertraline
- 4. D · State the rule and the consequence clearly, and make sure all staff apply it consistently
- 5. B · The Confusion Assessment Method (CAM)
- 6. C · Sedation, dizziness when standing and weight gain
- 7. B · Carry out a full suicide risk assessment, as with any patient who expresses suicidal intent
- 8. C · Stand at a safe distance, say his name clearly and tell him where he is
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