1.Easy
In obsessive-compulsive disorder, what is an obsession?
- AA repeated action done to reduce anxiety, such as checking a lock
- BA strong interest in a hobby that the person enjoys very much
- CA false belief that is held firmly despite clear evidence that it is untrue
- DA recurrent, unwanted thought, urge or image that causes anxiety
2.Easy
Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?
- ANaloxone
- BDisulfiram
- CFlumazenil
- DClonidine
3.Easy
Which drug is a selective serotonin reuptake inhibitor (SSRI)?
- ADiazepam
- BSertraline
- CHaloperidol
- DLithium
4.Medium
A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?
- AIncreased sedation and respiratory depression
- BThe diazepam will block the pain-relieving effect of oxycodone
- CThe combination will cause high blood pressure
- DThere is no interaction between these two drugs
5.Medium
Which statement about benzodiazepines in anxiety disorders is correct?
- AThey are the preferred long-term treatment for generalised anxiety disorder
- BThey are safe to stop suddenly after many months of daily use
- CThey take 4–6 weeks to have any effect on anxiety, like antidepressants
- DThey give rapid relief but are generally used only short-term because of tolerance and dependence
6.Medium
A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?
- AConversion disorder
- BSomatic symptom disorder
- CFactitious disorder
- DIllness anxiety disorder
7.Hard
A resident with dementia accuses staff of stealing her purse, which she has misplaced. What is the most appropriate response?
- AInsist that nobody would steal from her
- BTell her that her memory is the problem and that the purse is not stolen
- CStay calm, acknowledge her worry and offer to help her look for it
- DIgnore the accusation and walk away until she forgets about it
8.Hard
A patient with PTSD suddenly appears terrified, staring and breathing quickly, and says she is "back there". What should the nurse do first?
- AAsk her to describe every detail of the trauma straight away so that she can process the memory
- BSpeak calmly, use her name and use grounding techniques to bring her attention to the present
- CTouch her suddenly from behind to get her attention
- DLeave the room so she can calm down alone
Answer key
- 1. D · A recurrent, unwanted thought, urge or image that causes anxiety
- 2. D · Clonidine
- 3. B · Sertraline
- 4. A · Increased sedation and respiratory depression
- 5. D · They give rapid relief but are generally used only short-term because of tolerance and dependence
- 6. D · Illness anxiety disorder
- 7. C · Stay calm, acknowledge her worry and offer to help her look for it
- 8. B · Speak calmly, use her name and use grounding techniques to bring her attention to the present
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