1.Easy
Which side effects are anticholinergic?
- ADry mouth, constipation, urinary retention and blurred vision
- BDiarrhoea, sweating, watery eyes and increased saliva production
- CLow blood glucose and weight loss
- DHigh fever and rash
2.Easy
A patient says, "If I don't get top marks, I'm a complete failure." Which cognitive distortion is this?
- AMind reading
- BAll-or-nothing thinking
- CPersonalisation
- DCatastrophising
3.Easy
Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?
- AHair loss
- BSexual dysfunction
- CSevere constipation
- DExcessive hunger
4.Medium
Which factor is one of the strongest predictors of future suicide?
- ABeing married
- BHaving a strong religious faith
- CA previous suicide attempt
- DHaving a stable job
5.Medium
How should the nurse position herself when talking to an agitated patient?
- AAt a safe distance, slightly to the side, with a clear exit available
- BBetween the patient and the wall, so the patient can leave easily
- CDirectly face to face, as close as possible, to show confidence
- DBehind the patient and close to him, so that the patient does not feel threatened by eye contact
6.Medium
In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?
- ACalm, supportive and warm communication
- BRegular contact with the care team and other families
- CFrequent criticism, hostility and emotional over-involvement
- DEncouraging the patient to take part in activities
7.Hard
An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?
- AThe normal effects of ageing
- BA sign that she needs a higher dose of amitriptyline
- CThe combined anticholinergic effects of her medicines
- DSudden-onset Alzheimer's disease
8.Hard
For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?
- APanic disorder
- BGeneralised anxiety disorder
- CAcute stress disorder after a recent trauma
- DSpecific phobia
Answer key
- 1. A · Dry mouth, constipation, urinary retention and blurred vision
- 2. B · All-or-nothing thinking
- 3. B · Sexual dysfunction
- 4. C · A previous suicide attempt
- 5. A · At a safe distance, slightly to the side, with a clear exit available
- 6. C · Frequent criticism, hostility and emotional over-involvement
- 7. C · The combined anticholinergic effects of her medicines
- 8. B · Generalised anxiety disorder
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