1.Easy
An opioid overdose has been reversed with naloxone, and the patient is now awake. Why must he still be observed closely?
- ANaloxone makes the opioid act for twice as long
- BNaloxone itself causes slow breathing several hours later as it is broken down
- CThere is no need to observe him once he is awake
- DNaloxone may wear off before the opioid, so his breathing can slow down again
2.Easy
To which drug class does donepezil belong?
- ASelective serotonin reuptake inhibitors
- BCholinesterase inhibitors
- CDopamine antagonists
- DBenzodiazepines
3.Easy
Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?
- AExploring
- BFocusing
- CRestating
- DSummarising
4.Medium
A patient with schizophrenia says, "The voices are telling me I'm evil." Which response is best?
- A"Let's not talk about the voices for now. Tell me about your family and your plans instead."
- B"If you hear voices, you must be very ill."
- C"I don't hear the voices, but I can see they are upsetting you. What are they saying to you?"
- D"The voices aren't real, so just ignore them."
5.Medium
Which risk applies when antipsychotics are used in older people with dementia?
- AAn increased risk of stroke and death
- BImproved memory within a few days
- CA lower risk of falls than with no medicine at all
- DA guaranteed cure of the dementia
6.Medium
Which goal for a patient with depression is written in a SMART way?
- A"The patient will be happier."
- B"The patient will walk with staff for 15 minutes once a day by Friday."
- C"The patient will improve her mood and sleep and start exercising more at some point."
- D"The patient will feel better soon."
7.Hard
A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?
- AReport the concern immediately to the nurse in charge, following policy, to protect patients
- BGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine
- CWait until the end of the shift, then talk privately with the colleague
- DSay nothing, because it is not her responsibility
8.Hard
According to DSM-5, which childhood condition is a requirement for a later diagnosis of antisocial personality disorder?
- AEvidence of conduct disorder starting before age 15
- BSeparation anxiety disorder in early childhood
- CA diagnosis of ADHD before age 7
- DAutism spectrum disorder diagnosed before school age
Answer key
- 1. D · Naloxone may wear off before the opioid, so his breathing can slow down again
- 2. B · Cholinesterase inhibitors
- 3. D · Summarising
- 4. C · "I don't hear the voices, but I can see they are upsetting you. What are they saying to you?"
- 5. A · An increased risk of stroke and death
- 6. B · "The patient will walk with staff for 15 minutes once a day by Friday."
- 7. A · Report the concern immediately to the nurse in charge, following policy, to protect patients
- 8. A · Evidence of conduct disorder starting before age 15
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