1.Easy
Which nurse response is an example of giving advice, a non-therapeutic technique?
- A"Tell me more about your relationship."
- B"If I were you, I would leave him."
- C"How do you feel about leaving him?"
- D"What options have you thought about?"
2.Easy
A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?
- AMind reading
- BPersonalisation
- CCatastrophising
- DEmotional reasoning
3.Easy
To which drug class does methylphenidate belong?
- AMood stabilisers
- BCentral nervous system stimulants
- CAntipsychotics
- DBenzodiazepines
4.Medium
Which action reflects trauma-informed care?
- AUsing physical restraint early to prevent any loss of control
- BMaking all decisions for the patient so that she does not feel burdened
- CExplaining each procedure in advance and offering choices wherever possible
- DAsking the patient to repeat the full trauma story to each new staff member
5.Medium
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
- ASit on the edge of the bed for a moment and then stand up slowly
- BDrink a cup of strong coffee before getting out of bed each morning
- CGet up quickly to get the blood flowing to the brain
- DStop the medicine if the dizziness happens more than once
6.Medium
Which effects of methadone should the nurse monitor for?
- AHair loss, weight loss and a painful red rash on the face
- BHypertensive crisis after eating aged cheese
- CAgranulocytosis and a sore throat
- DRespiratory depression, sedation and a prolonged QT interval
7.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?
- ARefer him straight to a residential detox programme
- BDiscuss detailed strategies to prevent a relapse after he has stopped drinking
- CHelp him set a quit date for next week
- DOffer non-judgemental information and explore how drinking affects his life
8.Hard
An 80-year-old patient taking a benzodiazepine for sleep fell at night on the way to the toilet. After checking her for injury, what is the most appropriate next step?
- ADo nothing more, because falls are normal in older people
- BUse bed rails and a restraint every night to keep her safely in bed until the morning
- CGive an extra dose so that she sleeps through the night without getting up
- DReport the fall, put falls precautions in place and ask for a review of her sleep medicine
Answer key
- 1. B · "If I were you, I would leave him."
- 2. C · Catastrophising
- 3. B · Central nervous system stimulants
- 4. C · Explaining each procedure in advance and offering choices wherever possible
- 5. A · Sit on the edge of the bed for a moment and then stand up slowly
- 6. D · Respiratory depression, sedation and a prolonged QT interval
- 7. D · Offer non-judgemental information and explore how drinking affects his life
- 8. D · Report the fall, put falls precautions in place and ask for a review of her sleep medicine
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