1.Easy
According to Erikson, what is the main psychosocial task of adolescence?
- AIntegrity versus despair
- BTrust versus mistrust
- CIdentity versus role confusion
- DIndustry versus inferiority
2.Easy
In a dark room, a patient mistakes a coat hanging on the door for a man standing there. What is this called?
- AA hallucination
- BAn illusion
- CAn idea of reference
- DA delusion
3.Easy
Which early feature is most typical of frontotemporal dementia?
- AStepwise decline after a series of small strokes
- BSevere memory loss as the very first symptom, with no change in behaviour
- CVisual hallucinations of people and animals
- DChanges in personality and behaviour, such as loss of inhibition
4.Medium
A patient at risk of suicide is admitted. Which environmental check is most important?
- ARemove items that could be used for self-harm, such as belts, cords and sharp objects
- BMake sure the patient has a television in the room
- CLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home
- DPlace the patient in a room at the end of the corridor for privacy
5.Medium
Which risk applies when antipsychotics are used in older people with dementia?
- AA lower risk of falls than with no medicine at all
- BAn increased risk of stroke and death
- CImproved memory within a few days
- DA guaranteed cure of the dementia
6.Medium
A patient says, "I'll take the pill, the bill, the hill, the still." What is this called?
- AClang association
- BPerseveration
- CEcholalia
- DNeologism
7.Hard
A young man spends hours a day checking his nose in mirrors and has asked for several operations, although others see nothing unusual about it. What is the most likely diagnosis?
- AAnorexia nervosa
- BDelusional disorder, jealous type
- CIllness anxiety disorder
- DBody dysmorphic disorder
8.Hard
During a session, a patient says he intends to seriously harm a named neighbour. What is the correct general principle?
- AThe 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
- BThe threat should be ignored because patients often say things they don't mean
- CConfidentiality means nothing can be shared
- DThe nurse should personally go and warn the neighbour without telling the team
Answer key
- 1. C · Identity versus role confusion
- 2. B · An illusion
- 3. D · Changes in personality and behaviour, such as loss of inhibition
- 4. A · Remove items that could be used for self-harm, such as belts, cords and sharp objects
- 5. B · An increased risk of stroke and death
- 6. A · Clang association
- 7. D · Body dysmorphic disorder
- 8. A · 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
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