1.Easy
A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?
- AFlight of ideas
- BWord salad
- CThought blocking
- DClang association
2.Easy
What is transference?
- ATransferring a patient to another ward
- BThe nurse's feelings towards the patient
- CA defence mechanism in which unconscious anxiety is turned into physical symptoms such as paralysis
- DThe patient unconsciously directs feelings about someone from their past onto the nurse
3.Easy
Which feature is typical of Korsakoff syndrome?
- AA flapping tremor of the hands caused by liver failure
- BSevere memory loss with confabulation
- CFever, rigidity and a high creatine kinase
- DPinpoint pupils and slow breathing
4.Medium
Which finding in a patient with anorexia nervosa is most concerning?
- AA resting heart rate of 38/min
- BFeeling cold in a warm room
- CConstipation for the past few days
- DDry skin and brittle hair
5.Medium
What is the Abnormal Involuntary Movement Scale (AIMS) used for?
- ATo measure the severity of alcohol withdrawal
- BTo screen for and monitor tardive dyskinesia
- CTo assess the risk of a patient becoming violent
- DTo rate the severity of depression
6.Medium
The wife of a man with alcohol dependence organises her life around his drinking, hides it from others and neglects her own needs. What does this pattern suggest?
- ADelirium tremens
- BCodependency
- CLearned helplessness in the patient
- DEnabling by the healthcare team
7.Hard
A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?
- AStop answering her calls, because the symptoms are imaginary
- BAsk the doctor to order new tests every time she reports a symptom
- CArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
- DTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
8.Hard
A malnourished patient with alcohol dependence needs an IV glucose infusion. Which order should the nurse expect first?
- AA diuretic
- BGlucose with no vitamin replacement
- CGlucose first, thiamine a week later
- DThiamine before or with the glucose
Answer key
- 1. C · Thought blocking
- 2. D · The patient unconsciously directs feelings about someone from their past onto the nurse
- 3. B · Severe memory loss with confabulation
- 4. A · A resting heart rate of 38/min
- 5. B · To screen for and monitor tardive dyskinesia
- 6. B · Codependency
- 7. C · Arrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
- 8. D · Thiamine before or with the glucose
Full step-by-step solutions: practise this topic on examproblems.com.