1.Easy
The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?
- AImmediate memory
- BOrientation
- CAbstract thinking
- DLevel of consciousness
2.Easy
What is Russell's sign, seen in some patients with eating disorders?
- ASwelling of the ankles and feet during the first days of refeeding in hospital
- BYellowing of the skin from eating a lot of carrots
- CCalluses or scars on the back of the hand from inducing vomiting
- DFine, downy hair growing on the face and back
3.Easy
Which side effects are typical of mirtazapine?
- AHigh blood pressure and tremor
- BSedation and increased appetite with weight gain
- CPriapism and a dry cough
- DInsomnia, agitation and weight loss
4.Medium
Which US legal case is associated with the duty of mental health professionals to protect people who are threatened by a patient?
- ARoe v Wade
- BMiranda v Arizona
- CBrown v Board of Education
- DTarasoff v Regents of the University of California
5.Medium
A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?
- AEncourage him to walk around the ward and join in activities to help burn off the drug
- BProvide a quiet, low-stimulation environment and keep staff and patient safe
- CTry to talk the patient down by discussing his feelings in detail
- DPut him in a busy area so that staff can watch him more easily
6.Medium
Which signs are typical of opioid withdrawal?
- AHigh fever, lead-pipe rigidity and confusion within a day of the last dose
- BYawning, a runny nose, dilated pupils, goosebumps and diarrhoea
- CDeep sleep and constipation
- DPinpoint pupils and slow breathing
7.Hard
The nurse receives handover for four patients. Which patient should she see first?
- AA newly admitted man with depression who says he has given away his dog and written letters to his children
- BA woman with anorexia nervosa who is due to be weighed and have her blood taken in two hours
- CA man with schizophrenia who is asking for his PRN laxative
- DA woman with bipolar disorder who wants to talk about her discharge plans for next week
8.Hard
A patient taking sertraline is given tramadol for pain. A few hours later he is agitated, sweating, tremulous and has clonus in his ankles. What is the most likely problem?
- ASerotonin syndrome
- BAlcohol withdrawal
- COpioid withdrawal
- DNeuroleptic malignant syndrome
Answer key
- 1. C · Abstract thinking
- 2. C · Calluses or scars on the back of the hand from inducing vomiting
- 3. B · Sedation and increased appetite with weight gain
- 4. D · Tarasoff v Regents of the University of California
- 5. B · Provide a quiet, low-stimulation environment and keep staff and patient safe
- 6. B · Yawning, a runny nose, dilated pupils, goosebumps and diarrhoea
- 7. A · A newly admitted man with depression who says he has given away his dog and written letters to his children
- 8. A · Serotonin syndrome
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