1.Easy
What is the main goal of crisis intervention?
- ATo admit every person in crisis to hospital for several months
- BTo change the person's personality so that crises never happen again
- CTo help the person return at least to their level of functioning before the crisis
- DTo explore the person's childhood experiences in depth over many years
2.Easy
After being criticised by her manager, a woman goes home and shouts at her children. Which defence mechanism is this?
- ADenial
- BDisplacement
- CUndoing
- DReaction formation
3.Easy
Which statement about self-disclosure by the nurse is correct?
- AIt should be used often to build friendship with the patient
- BIt is never allowed in any situation
- CIt should be brief, rare and used only to help the patient
- DIt is helpful when the nurse shares personal problems in detail
4.Medium
Which statement about benzodiazepines in anxiety disorders is correct?
- AThey give rapid relief but are generally used only short-term because of tolerance and dependence
- BThey take 4–6 weeks to have any effect on anxiety, like antidepressants
- CThey are safe to stop suddenly after many months of daily use
- DThey are the preferred long-term treatment for generalised anxiety disorder
5.Medium
A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?
- AA high haemoglobin
- BA low serum sodium
- CA low serum cholesterol
- DA high serum potassium
6.Medium
A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?
- AIntrusion symptoms
- BDissociative amnesia for the trauma
- CChanges in arousal and reactivity
- DAvoidance
7.Hard
A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?
- A"I'll need regular blood tests for as long as I take clozapine."
- B"The tests are done because clozapine can lower my white cells."
- C"After a few months I can stop having blood tests."
- D"If I get a sore throat or fever, I'll tell someone straight away."
8.Hard
A patient who used methamphetamine heavily for weeks stopped 2 days ago. He sleeps most of the day, is very low and says life is pointless. What is the priority?
- AWake him often so that his sleep pattern returns to normal
- BAssess his suicide risk
- CGive a stimulant to relieve the low mood
- DEncourage him to exercise hard to raise his energy
Answer key
- 1. C · To help the person return at least to their level of functioning before the crisis
- 2. B · Displacement
- 3. C · It should be brief, rare and used only to help the patient
- 4. A · They give rapid relief but are generally used only short-term because of tolerance and dependence
- 5. B · A low serum sodium
- 6. C · Changes in arousal and reactivity
- 7. C · "After a few months I can stop having blood tests."
- 8. B · Assess his suicide risk
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