1.Easy
A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?
- AChanging the subject
- BGiving approval
- CReflecting feelings
- DPresenting reality
2.Easy
In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?
- AOnly after 1 year
- BWithin 3 months
- CWithin 3 days
- DOnly after 2 years
3.Easy
Which feature is typical of Korsakoff syndrome?
- AA flapping tremor of the hands caused by liver failure
- BPinpoint pupils and slow breathing
- CFever, rigidity and a high creatine kinase
- DSevere memory loss with confabulation
4.Medium
Which statement about buspirone for anxiety is correct?
- AIt works within minutes during a panic attack, like a benzodiazepine
- BIt takes weeks to work and is not useful as an as-needed drug
- CIt is highly addictive
- DIt must be taken with alcohol
5.Medium
When are delirium tremens most likely to start after the last drink?
- AAfter 2 months
- BAbout 2 to 4 days (48 to 96 hours)
- CWithin 1 to 2 hours
- DAfter 2 weeks
6.Medium
How should a nurse screen a patient for intimate partner violence?
- AOnly ask patients who have visible injuries
- BAsk the partner instead of the patient
- CAsk in front of the partner to see how he reacts
- DAsk in private, without the partner or family present
7.Hard
A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?
- AThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
- BHaloperidol does not work in older patients at all
- CHaloperidol will make his hallucinations more frequent
- DThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
8.Hard
A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?
- ATry to persuade her to adopt the nurse's own beliefs
- BIgnore the request politely and change the subject to the procedure itself
- CRespect the request, join in if comfortable, and offer to call the chaplain
- DTell her that religion has no place in hospital care
Answer key
- 1. C · Reflecting feelings
- 2. B · Within 3 months
- 3. D · Severe memory loss with confabulation
- 4. B · It takes weeks to work and is not useful as an as-needed drug
- 5. B · About 2 to 4 days (48 to 96 hours)
- 6. D · Ask in private, without the partner or family present
- 7. A · These patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
- 8. C · Respect the request, join in if comfortable, and offer to call the chaplain
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