1.Easy
According to Peplau, what are the main phases of the nurse–patient relationship?
- ADenial, anger and acceptance
- BOrientation, working and termination
- CAdmission, treatment and discharge
- DAssessment, diagnosis and evaluation
2.Easy
What is a hallucination?
- AA sensory perception without an external stimulus
- BA misinterpretation of a real stimulus
- CA fixed false belief
- DA rapid shift between topics
3.Easy
According to DSM-5, generalised anxiety disorder involves excessive worry on more days than not for at least how long?
- A1 month
- B2 years
- C2 weeks
- D6 months
4.Medium
When is the risk of suicide particularly high for patients after psychiatric inpatient care?
- AOnly after one year at home
- BOnly while the patient is asleep in hospital
- CThere is no change in risk after discharge
- DIn the first weeks after discharge
5.Medium
Which physical finding is common in bulimia nervosa?
- ASwelling of the salivary glands at the angle of the jaw
- BRaised blood pressure, a fast pulse and a high temperature
- CVery low body weight with lanugo hair
- DA high serum potassium level
6.Medium
A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?
- AGeneralised anxiety disorder
- BSocial anxiety disorder
- CAgoraphobia
- DObsessive-compulsive disorder
7.Hard
A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?
- ALook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
- BDiagnose late-onset schizophrenia and start an antipsychotic immediately
- CAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
- DAssume it is normal ageing and take no action
8.Hard
A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?
- AAvoid the patient and let other staff do all of his care
- BTell the patient that he reminds her of her father
- CRecognise this as countertransference and discuss it in clinical supervision
- DIgnore the feeling, because feelings do not affect nursing care
Answer key
- 1. B · Orientation, working and termination
- 2. A · A sensory perception without an external stimulus
- 3. D · 6 months
- 4. D · In the first weeks after discharge
- 5. A · Swelling of the salivary glands at the angle of the jaw
- 6. B · Social anxiety disorder
- 7. A · Look for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
- 8. C · Recognise this as countertransference and discuss it in clinical supervision
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