1.Easy
Which sequence shows the five stages of grief described by Kübler-Ross?
- AAnger, denial, acceptance, bargaining, depression
- BAcceptance, bargaining, anger, depression, denial
- CDenial, anger, bargaining, depression, acceptance
- DShock, guilt, hope, sadness, recovery
2.Easy
According to DSM-5, generalised anxiety disorder involves excessive worry on more days than not for at least how long?
- A6 months
- B1 month
- C2 weeks
- D2 years
3.Easy
Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?
- ADisulfiram
- BClonidine
- CNaloxone
- DFlumazenil
4.Medium
How should a patient take sublingual buprenorphine-naloxone tablets?
- ASwallow the tablet whole with a large glass of water
- BCrush the tablet and mix it with a spoonful of soft food such as yoghurt
- CChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
- DLet the tablet dissolve completely under the tongue without chewing or swallowing it
5.Medium
Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?
- AShuffling gait, mask-like face, rigidity and a resting tremor
- BSudden muscle spasm of the neck with the eyes rolled upwards
- CRestless pacing and an inability to sit still
- DLip smacking, tongue thrusting and grimacing after years of treatment
6.Medium
A patient says, "I'm worthless. Nobody cares about me." Which response is most therapeutic?
- A"Let's talk about something more cheerful."
- B"You're feeling that no one cares about you. Tell me more."
- C"You shouldn't say such things."
- D"That's not true; everyone here cares about you."
7.Hard
During a session, a patient says he intends to seriously harm a named neighbour. What is the correct general principle?
- AThe threat should be ignored because patients often say things they don't mean
- BThe risk to an identifiable person must be shared with the team and may need to be disclosed to protect that person, following the law and policy
- CThe nurse should personally go and warn the neighbour without telling the team
- DConfidentiality means nothing can be shared
8.Hard
A depressed patient says, "I don't enjoy anything any more, so there's no point in doing anything." Which intervention best reflects behavioural activation?
- APlan small, scheduled activities with him and review how he felt afterwards
- BEncourage him to rest in bed as much as possible until the medicine works
- CTell him that his thoughts are irrational and he should stop thinking that way
- DWait until his mood improves before suggesting activities
Answer key
- 1. C · Denial, anger, bargaining, depression, acceptance
- 2. A · 6 months
- 3. B · Clonidine
- 4. D · Let the tablet dissolve completely under the tongue without chewing or swallowing it
- 5. A · Shuffling gait, mask-like face, rigidity and a resting tremor
- 6. B · "You're feeling that no one cares about you. Tell me more."
- 7. B · The risk to an identifiable person must be shared with the team and may need to be disclosed to protect that person, following the law and policy
- 8. A · Plan small, scheduled activities with him and review how he felt afterwards
Full step-by-step solutions: practise this topic on examproblems.com.