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Name: ____________________ Date: ____________
1.Easy
Why is thiamine (vitamin B1) given to patients with alcohol dependence?
ATo treat liver cirrhosis
BTo make alcohol taste unpleasant
CTo prevent or treat Wernicke's encephalopathy
DTo reduce cravings for alcohol
2.Easy
What is countertransference?
AThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
BThe patient repeating the nurse's words and gestures without understanding their meaning
CThe transfer of a patient's care to another nurse at the end of a shift
DThe patient's feelings towards the nurse, based on earlier relationships
3.Easy
A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?
ASummarising
BRestating
CChanging the subject
DFocusing
4.Medium
In a therapy group, one member talks constantly and interrupts others. What should the group leader do?
AAcknowledge the member's contribution and invite others to share their views
BLet the member continue, because she has a lot to say
CCriticise the member in front of the whole group so that she learns to stay quiet
DAsk the member to leave the group permanently so that others can speak
5.Medium
How may depression present differently in adolescents than in adults?
AAlways with psychotic symptoms
BWith a high fever and a rash
CWith irritability rather than obvious sadness
DWith increased energy and less need for sleep
6.Medium
A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?
ALow thyroid hormone
BLow blood sodium
CRaised prolactin
DRaised blood calcium
7.Hard
A patient with anorexia nervosa is admitted with a BMI of 14, dizziness and low potassium. Which goal is the priority in the first days?
AGaining insight into family relationships through therapy
BImproving body image through group discussions
CMedical stabilisation, with careful refeeding and correction of electrolytes
DPlanning her return to university and her studies after discharge
8.Hard
A patient taking valproate has severe abdominal pain spreading to her back, with nausea and vomiting. What should the nurse suspect?
ASerotonin syndrome
BLithium toxicity
CSimple indigestion
DPancreatitis
Answer key
1. C · To prevent or treat Wernicke's encephalopathy
2. A · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
3. C · Changing the subject
4. A · Acknowledge the member's contribution and invite others to share their views
5. C · With irritability rather than obvious sadness
6. C · Raised prolactin
7. C · Medical stabilisation, with careful refeeding and correction of electrolytes
8. D · Pancreatitis
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