1.Easy
Which of these medicines is a second-generation (atypical) antipsychotic?
- AHaloperidol
- BLorazepam
- CChlorpromazine
- DQuetiapine
2.Easy
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
- APreparation
- BMaintenance of change
- CContemplation
- DPrecontemplation
3.Easy
A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?
- AVoicing doubt
- BSummarising
- CGiving advice
- DRestating
4.Medium
Which activity is most suitable for a patient in an acute manic episode?
- AA competitive team game of volleyball
- BA walk with a staff member
- CA complicated board game such as chess with other patients
- DA long group discussion in the day room
5.Medium
How may depression present differently in adolescents than in adults?
- AWith increased energy and less need for sleep
- BWith irritability rather than obvious sadness
- CWith a high fever and a rash
- DAlways with psychotic symptoms
6.Medium
An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?
- AA first episode of schizophrenia caused by moving into the home
- BThe normal ageing process
- CA sudden onset of Alzheimer's disease
- DAn infection such as a urinary tract infection, or a medicine side effect
7.Hard
A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?
- AGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
- BLet him rest, because the pain will pass when the drug wears off
- CTreat it as a possible heart attack, with an urgent ECG and medical review
- DReassure him that young people do not have heart problems
8.Hard
A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?
- ATell him to go home now and come back tomorrow morning when he feels calmer and safer
- BLet him leave, because voluntary patients can always go when they want
- CAsk him to promise that he will not jump, and then let him go home on his own
- DStay with him and inform the team at once, so he can be urgently assessed under mental health law
Answer key
- 1. D · Quetiapine
- 2. D · Precontemplation
- 3. D · Restating
- 4. B · A walk with a staff member
- 5. B · With irritability rather than obvious sadness
- 6. D · An infection such as a urinary tract infection, or a medicine side effect
- 7. C · Treat it as a possible heart attack, with an urgent ECG and medical review
- 8. D · Stay with him and inform the team at once, so he can be urgently assessed under mental health law
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