1.Easy
A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?
- ATardive dyskinesia
- BEchopraxia
- CAkathisia
- DWaxy flexibility
2.Easy
A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?
- AAll-or-nothing thinking
- BPersonalisation
- CCatastrophising
- DEmotional reasoning
3.Easy
Which medicine may be used to treat moderate serotonin syndrome?
- ATramadol
- BSertraline
- CCyproheptadine
- DPhenelzine
4.Medium
According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?
- AA patient who has not eaten or drunk anything for two days
- BA patient who wants to find a new hobby
- CA patient who wants to improve her self-esteem
- DA patient who feels lonely and wants more visitors
5.Medium
Which statement about buspirone for anxiety is correct?
- AIt is highly addictive
- BIt works within minutes during a panic attack, like a benzodiazepine
- CIt takes weeks to work and is not useful as an as-needed drug
- DIt must be taken with alcohol
6.Medium
Which preparation is usual before electroconvulsive therapy (ECT)?
- AStopping all regular medicines for 2 weeks before the first treatment
- BFasting for several hours, because a brief general anaesthetic is given
- CEating a large meal to prevent low blood sugar during the seizure
- DNo preparation, because the patient stays fully awake during ECT
7.Hard
An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?
- AAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
- BReport the finding, review his eating pattern and suggest giving the medicine after breakfast
- CStop the medicine immediately without telling the prescriber
- DIgnore it, because weight changes in children are always normal
8.Hard
A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?
- AHelp him set a quit date for next week
- BOffer non-judgemental information and explore how drinking affects his life
- CRefer him straight to a residential detox programme
- DDiscuss detailed strategies to prevent a relapse after he has stopped drinking
Answer key
- 1. D · Waxy flexibility
- 2. B · Personalisation
- 3. C · Cyproheptadine
- 4. A · A patient who has not eaten or drunk anything for two days
- 5. C · It takes weeks to work and is not useful as an as-needed drug
- 6. B · Fasting for several hours, because a brief general anaesthetic is given
- 7. B · Report the finding, review his eating pattern and suggest giving the medicine after breakfast
- 8. B · Offer non-judgemental information and explore how drinking affects his life
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