1.Easy
Which of these medicines is a second-generation (atypical) antipsychotic?
- ALorazepam
- BChlorpromazine
- CHaloperidol
- DQuetiapine
2.Easy
What is the main purpose of a debriefing after a physical restraint incident?
- ATo review what happened, support those involved and learn how to prevent future restraint
- BTo decide which staff member should be blamed for the incident
- CTo punish the patient for the behaviour that led to the restraint
- DTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
3.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?
- AOrientation phase
- BPre-interaction phase
- CWorking phase
- DTermination phase
4.Medium
A patient with limited English needs a mental health assessment. Who should interpret?
- AThe patient's 12-year-old son
- BAnother patient on the ward who speaks the language
- CA trained professional interpreter
- DThe nurse, using an online translation app on her phone for the whole assessment
5.Medium
The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?
- AThat the patient needs to be transferred to another unit
- BTransference by the patient towards the nurse, which is never the nurse's concern
- CAn ideal therapeutic relationship
- DPossible boundary problems that she should discuss in supervision
6.Medium
What should a patient taking chlorpromazine be taught about sun exposure?
- ASunbathe for longer each day to improve mood
- BSun exposure has no effect while taking this medicine
- CAvoid going outside at all, even in winter, for the rest of his life
- DUse sunscreen and protective clothing, because the skin may burn easily
7.Hard
A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?
- ANon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
- BShe should be told that cutting is only attention-seeking behaviour
- CSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
- DSelf-injury without suicidal intent never needs any assessment
8.Hard
A patient who took a high-dose benzodiazepine daily for a year tells you she stopped it suddenly 2 days ago. What is the main risk?
- AWeight gain
- BHypoglycaemia
- CHair loss
- DWithdrawal seizures
Answer key
- 1. D · Quetiapine
- 2. A · To review what happened, support those involved and learn how to prevent future restraint
- 3. A · Orientation phase
- 4. C · A trained professional interpreter
- 5. D · Possible boundary problems that she should discuss in supervision
- 6. D · Use sunscreen and protective clothing, because the skin may burn easily
- 7. A · Non-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
- 8. D · Withdrawal seizures
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