1.Easy
A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?
- AEchopraxia
- BNeologism
- CEcholalia
- DConfabulation
2.Easy
Which finding is typical of a manic episode?
- AA decreased need for sleep with high energy
- BSlowed speech and movement
- CFeelings of worthlessness
- DSleeping 14 hours a day
3.Easy
What does the principle of the "least restrictive alternative" mean in mental health care?
- APatients may never be restricted in any way, even when there is a serious risk to themselves or others
- BRestraint should be the first measure used
- CCare should restrict the patient's freedom as little as possible while keeping them and others safe
- DAll patients must be admitted to a locked ward
4.Medium
Which postpartum presentation is a psychiatric emergency?
- ATearfulness and mood swings on the third day after birth
- BConfusion, hallucinations and rapidly changing mood a few days after birth
- CFeeling tearful at times but enjoying the baby and sleeping well when she can
- DTiredness and worry about feeding the baby in the first week
5.Medium
A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?
- AErotomanic
- BNihilistic
- CGrandiose
- DSomatic
6.Medium
An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?
- AIt raises blood pressure to dangerous levels in older adults
- BIt has no effects at all in people over 80, so it will not help her sleep
- CIt is a strong opioid that causes severe dependence
- DIts anticholinergic effects can cause confusion, urine retention and falls
7.Hard
A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?
- ASchizophrenia
- BBipolar I disorder
- CDelusional disorder
- DSchizophreniform disorder
8.Hard
Which patient should the nurse see first?
- AA patient on lithium with a fine hand tremor
- BAn anxious patient who wants to discuss discharge plans before the morning ward round
- CA newly admitted patient who says voices are telling him to jump out of the window
- DA depressed patient who asks for help getting to sleep
Answer key
- 1. C · Echolalia
- 2. A · A decreased need for sleep with high energy
- 3. C · Care should restrict the patient's freedom as little as possible while keeping them and others safe
- 4. B · Confusion, hallucinations and rapidly changing mood a few days after birth
- 5. C · Grandiose
- 6. D · Its anticholinergic effects can cause confusion, urine retention and falls
- 7. C · Delusional disorder
- 8. C · A newly admitted patient who says voices are telling him to jump out of the window
Full step-by-step solutions: practise this topic on examproblems.com.