1.Easy
Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?
- ASchizophrenia
- BAlzheimer's disease
- CAttention-deficit hyperactivity disorder
- DBorderline personality disorder
2.Easy
Which of these is a negative symptom of schizophrenia?
- AHearing voices
- BPersecutory delusions
- CAvolition (lack of motivation)
- DDisorganised behaviour
3.Easy
Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?
- ASevere constipation
- BExcessive hunger
- CSexual dysfunction
- DHair loss
4.Medium
Which item is part of a safety plan for a person experiencing domestic violence?
- ATelling the abuser about plans to leave so that he can prepare
- BKeeping an emergency bag with documents, money and keys somewhere safe
- CAvoiding contact with friends and support services so as not to provoke him
- DKeeping all important documents in the shared house
5.Medium
When should blood be taken to measure a patient's lithium level?
- A1 hour after the last dose
- BAt any time of day, since it makes no difference
- CImmediately after the morning dose
- DAbout 12 hours after the last dose
6.Medium
Which information is essential when documenting the use of physical restraint?
- AThe nurse's personal opinion of the patient's character and attitude
- BThe full names of the other patients who saw the incident
- COnly the time the restraint started and the name of the nurse in charge of the shift
- DThe reason for it, alternatives tried, start and end times, and the observations made
7.Hard
A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?
- AAssess the patient, including his vital signs and level of sedation
- BFill in an incident report before checking the patient
- CGive the patient his own prescribed medicine as well, to stay on schedule
- DSay nothing, because one dose will not cause harm
8.Hard
A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?
- ATell her that religion has no place in hospital care
- BTry to persuade her to adopt the nurse's own beliefs
- CRespect the request, join in if comfortable, and offer to call the chaplain
- DIgnore the request politely and change the subject to the procedure itself
Answer key
- 1. D · Borderline personality disorder
- 2. C · Avolition (lack of motivation)
- 3. C · Sexual dysfunction
- 4. B · Keeping an emergency bag with documents, money and keys somewhere safe
- 5. D · About 12 hours after the last dose
- 6. D · The reason for it, alternatives tried, start and end times, and the observations made
- 7. A · Assess the patient, including his vital signs and level of sedation
- 8. C · Respect the request, join in if comfortable, and offer to call the chaplain
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