1.Easy
Which medicine may be used to treat moderate serotonin syndrome?
- ATramadol
- BPhenelzine
- CSertraline
- DCyproheptadine
2.Easy
Why should nurses usually avoid asking patients "why" questions, such as "Why did you do that?"
- AThey are too open
- BThey can make the patient feel judged and defensive
- CThey make assessment shorter
- DThey are always against the law
3.Easy
Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?
- ASchizophrenia
- BAlzheimer's disease
- CBorderline personality disorder
- DAttention-deficit hyperactivity disorder
4.Medium
A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?
- AAvoid the patient for the rest of the shift
- BLaugh at the comments so he does not feel rejected
- CRespond with similar comments to build rapport
- DCalmly say that the comments are not acceptable and redirect him
5.Medium
Which psychological treatment is most effective for obsessive-compulsive disorder?
- AExposure and response prevention, a form of CBT
- BEncouraging the patient to perform the rituals more often
- CPsychoanalysis focused on early childhood memories
- DHypnosis to remove the obsessive thoughts permanently in a single session
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?
- AObsessive-compulsive disorder
- BGeneralised anxiety disorder
- CSocial anxiety disorder
- DAgoraphobia
7.Hard
The parent of a 16-year-old taking a stimulant for ADHD says her son's friends keep asking him for his tablets. What should the nurse teach?
- ASharing is fine as long as the friends are the same age
- BStore it securely and never share it, because stimulants are controlled drugs
- CGive the friends a smaller dose if they ask, so that they do not have side effects
- DStop the medicine so that there is no risk of sharing
8.Hard
In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?
- AShe may be showing resistance as painful topics come closer, which the nurse can gently explore
- BThe nurse has made a serious mistake and should hand her care to a colleague immediately
- CShe no longer needs any help, so the sessions should end at once
- DShe is being rude to the nurse on purpose and should be warned
Answer key
- 1. D · Cyproheptadine
- 2. B · They can make the patient feel judged and defensive
- 3. C · Borderline personality disorder
- 4. D · Calmly say that the comments are not acceptable and redirect him
- 5. A · Exposure and response prevention, a form of CBT
- 6. C · Social anxiety disorder
- 7. B · Store it securely and never share it, because stimulants are controlled drugs
- 8. A · She may be showing resistance as painful topics come closer, which the nurse can gently explore
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