1.Easy
Which signs suggest acute cocaine intoxication?
- ADilated pupils, a fast heart rate and high blood pressure
- BPinpoint pupils, slow breathing and drowsiness
- CSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
- DRed eyes, increased appetite, dry mouth and slowed reactions
2.Easy
Lithium is mainly used to treat:
- AAlcohol withdrawal
- BBipolar disorder
- CPanic attacks as a quick-acting drug
- DSchizophrenia as the first-line drug
3.Easy
A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?
- ADependent
- BSchizoid
- CHistrionic
- DAvoidant
4.Medium
What should a patient on clozapine be taught to report immediately?
- AIncreased saliva at night
- BFever, sore throat or other signs of infection
- CMild drowsiness after the evening dose
- DA wish to eat more
5.Medium
Which factor is one of the strongest predictors of future suicide?
- AA previous suicide attempt
- BBeing married
- CHaving a stable job
- DHaving a strong religious faith
6.Medium
A patient says, "I'll take the pill, the bill, the hill, the still." What is this called?
- ANeologism
- BClang association
- CEcholalia
- DPerseveration
7.Hard
An 82-year-old started amitriptyline last week. Which finding is most concerning?
- AA slightly dry mouth
- BFeeling a little drowsy in the evening
- CNew confusion and difficulty passing urine
- DMild constipation that responds to extra fluids and fibre in the diet
8.Hard
A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?
- AWait until he asks to join activities before involving him
- BTell him firmly that he will lose his ward privileges unless he gets up and showers at once
- CAgree a simple daily routine with small, achievable activities and give positive feedback
- DLet him stay in bed, because negative symptoms cannot change
Answer key
- 1. A · Dilated pupils, a fast heart rate and high blood pressure
- 2. B · Bipolar disorder
- 3. B · Schizoid
- 4. B · Fever, sore throat or other signs of infection
- 5. A · A previous suicide attempt
- 6. B · Clang association
- 7. C · New confusion and difficulty passing urine
- 8. C · Agree a simple daily routine with small, achievable activities and give positive feedback
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