1.Easy
Does asking a patient directly about suicidal thoughts increase their risk of suicide?
- AIt is only safe in adolescents
- BYes; it puts the idea into their head
- CYes; it should only be done by a psychiatrist after a full assessment
- DNo; asking directly is safe and helps to assess risk
2.Easy
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
- ASexual abuse
- BFinancial abuse
- CSelf-neglect by the father
- DPhysical abuse
3.Easy
Which sequence describes the cycle of violence often seen in intimate partner abuse?
- AReconciliation, acute violence, then tension-building with no further violence
- BTension-building, acute violence, then reconciliation (the "honeymoon" phase)
- CTension-building, then a calm phase that lasts for the rest of the relationship
- DAcute violence, then permanent separation of the partners
4.Medium
A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?
- AA high serum potassium
- BA high haemoglobin
- CA low serum cholesterol
- DA low serum sodium
5.Medium
What should a patient taking chlorpromazine be taught about sun exposure?
- ASunbathe for longer each day to improve mood
- BAvoid going outside at all, even in winter, for the rest of his life
- CSun exposure has no effect while taking this medicine
- DUse sunscreen and protective clothing, because the skin may burn easily
6.Medium
In DSM-5-TR, prolonged grief disorder in adults requires that at least how long has passed since the death?
- A6 weeks
- B12 months
- C2 weeks
- D3 years
7.Hard
A 20-year-old recovering from a first episode of psychosis smokes cannabis every day. What should the nurse include in teaching?
- ACannabis protects against psychosis and can replace his medicine
- BCannabis use increases the risk of psychotic symptoms returning
- CCannabis has no effect on mental health
- DSmoking more cannabis will help him sleep and prevent relapse
8.Hard
A patient on suicide precautions asks for his razor to shave. What is the most appropriate response?
- AGive him the razor, because he has the right to his own belongings
- BRefuse, and tell him he cannot shave at all while in hospital
- CFollow policy, for example by supervising the shave or offering an electric razor
- DLet another patient lend him a razor so that staff do not need to be involved and he can keep his privacy
Answer key
- 1. D · No; asking directly is safe and helps to assess risk
- 2. B · Financial abuse
- 3. B · Tension-building, acute violence, then reconciliation (the "honeymoon" phase)
- 4. D · A low serum sodium
- 5. D · Use sunscreen and protective clothing, because the skin may burn easily
- 6. B · 12 months
- 7. B · Cannabis use increases the risk of psychotic symptoms returning
- 8. C · Follow policy, for example by supervising the shave or offering an electric razor
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