1.Easy
The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?
- AAbstract thinking
- BOrientation
- CLevel of consciousness
- DImmediate memory
2.Easy
What is the main difference between bipolar I and bipolar II disorder?
- ABipolar I involves only depression; bipolar II involves only mania
- BBipolar II is always more severe than bipolar I
- CBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
- DBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
3.Easy
What is the main mechanism of action of antipsychotic medicines?
- ABlocking the reuptake of serotonin only
- BIncreasing the release of dopamine
- CStimulating GABA receptors in the brain
- DBlocking dopamine D2 receptors
4.Medium
Which side effects are most common with quetiapine?
- ASedation, dizziness when standing and weight gain
- BInsomnia and severe weight loss
- CA cough and swollen ankles
- DHigh prolactin with breast enlargement in almost every patient
5.Medium
What should a patient taking disulfiram be taught?
- AAvoid all alcohol, including hidden sources such as some mouthwashes and sauces
- BSmall amounts of beer are safe
- CIt works only if alcohol is drunk with it, so a small amount of wine is needed daily
- DIt cures alcohol dependence after one dose
6.Medium
How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?
- AIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
- BIt involves surgically implanting electrodes deep in the brain under anaesthetic
- CIt is given as a daily tablet that contains tiny magnetic particles
- DIt needs a general anaesthetic and causes a seizure, like ECT
7.Hard
A patient in acute mania has slept for 2 hours in 3 nights, is losing weight and is pacing constantly. Which nursing concern is the priority?
- ARisk of physical exhaustion and injury
- BLow self-esteem
- CLack of knowledge about the illness
- DDisturbed relationships with her family
8.Hard
After her house burned down, a woman developed delusions and disorganised speech. Ten days later the symptoms have gone completely and she is back to normal. Which diagnosis best fits?
- ASchizophreniform disorder
- BBrief psychotic disorder
- CDelusional disorder
- DSchizophrenia
Answer key
- 1. A · Abstract thinking
- 2. C · Bipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
- 3. D · Blocking dopamine D2 receptors
- 4. A · Sedation, dizziness when standing and weight gain
- 5. A · Avoid all alcohol, including hidden sources such as some mouthwashes and sauces
- 6. A · It uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
- 7. A · Risk of physical exhaustion and injury
- 8. B · Brief psychotic disorder
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