1.Easy
Which drug is a selective serotonin reuptake inhibitor (SSRI)?
- ADiazepam
- BSertraline
- CHaloperidol
- DLithium
2.Easy
A patient believes that the newsreader on television is sending him personal messages. What is this called?
- AA somatic delusion
- BAn idea of reference
- CAn illusion
- DThought insertion
3.Easy
For which patients is clozapine mainly used?
- APatients having their very first episode of mild psychosis
- BOlder patients with dementia who become agitated and restless in the evening
- CPatients with mild anxiety who need a short-term sedative
- DPatients with schizophrenia that has not responded to two other antipsychotics
4.Medium
Which tool is widely used to screen for delirium at the bedside?
- AThe Abnormal Involuntary Movement Scale (AIMS)
- BThe CAGE questionnaire
- CThe CIWA-Ar
- DThe Confusion Assessment Method (CAM)
5.Medium
Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?
- ASupervise the meal and observe the patient for an agreed period afterwards
- BAllow the patient to choose to skip meals if she says she feels full or unwell
- CTalk with the patient at length about calories during the meal
- DLet the patient eat alone in her room for privacy
6.Medium
The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?
- APossible boundary problems that she should discuss in supervision
- BThat the patient needs to be transferred to another unit
- CTransference by the patient towards the nurse, which is never the nurse's concern
- DAn ideal therapeutic relationship
7.Hard
The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?
- ALeaving the young person to decide on her own when to start eating more
- BLong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere
- CFamily-based treatment, in which the parents take an active role in restoring the child's eating
- DMedicine alone, because therapy is not effective in adolescents
8.Hard
A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?
- AAssess him physically, with vital signs and an ECG if indicated
- BTell him to lie down in his room, rest and stop worrying so much about his health
- CAgree with the colleague and give him a PRN anxiolytic
- DIgnore the complaint until he mentions it again
Answer key
- 1. B · Sertraline
- 2. B · An idea of reference
- 3. D · Patients with schizophrenia that has not responded to two other antipsychotics
- 4. D · The Confusion Assessment Method (CAM)
- 5. A · Supervise the meal and observe the patient for an agreed period afterwards
- 6. A · Possible boundary problems that she should discuss in supervision
- 7. C · Family-based treatment, in which the parents take an active role in restoring the child's eating
- 8. A · Assess him physically, with vital signs and an ECG if indicated
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