1.Easy
In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?
- AInstillation of hope
- BAltruism
- CCatharsis
- DUniversality
2.Easy
What is tardive dyskinesia?
- AHigh fever with muscle rigidity
- BInvoluntary movements, often of the mouth, tongue and face, after long-term antipsychotic use
- CSudden, painful muscle spasm of the neck, tongue or eyes within hours or days of the first dose
- DRestlessness and inability to sit still in the first days
3.Easy
Which sequence shows Tuckman's stages of group development?
- AForming, performing, storming, norming, adjourning
- BStorming, forming, performing, norming, adjourning
- CNorming, forming, storming, adjourning, performing
- DForming, storming, norming, performing, adjourning
4.Medium
How should a patient take sublingual buprenorphine-naloxone tablets?
- ACrush the tablet and mix it with a spoonful of soft food such as yoghurt
- BLet the tablet dissolve completely under the tongue without chewing or swallowing it
- CChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
- DSwallow the tablet whole with a large glass of water
5.Medium
A patient with limited English needs a mental health assessment. Who should interpret?
- AThe nurse, using an online translation app on her phone for the whole assessment
- BAnother patient on the ward who speaks the language
- CA trained professional interpreter
- DThe patient's 12-year-old son
6.Medium
A patient with schizophrenia says, "The voices are telling me I'm evil." Which response is best?
- A"Let's not talk about the voices for now. Tell me about your family and your plans instead."
- B"I don't hear the voices, but I can see they are upsetting you. What are they saying to you?"
- C"The voices aren't real, so just ignore them."
- D"If you hear voices, you must be very ill."
7.Hard
A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?
- AStop answering her calls, because the symptoms are imaginary
- BTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
- CAsk the doctor to order new tests every time she reports a symptom
- DArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
8.Hard
A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?
- AA worsening of his psychosis that needs a higher dose of antipsychotic
- BWater intoxication from psychogenic polydipsia
- CNeuroleptic malignant syndrome from his antipsychotic medicine
- DDehydration caused by anticholinergic side effects
Answer key
- 1. D · Universality
- 2. B · Involuntary movements, often of the mouth, tongue and face, after long-term antipsychotic use
- 3. D · Forming, storming, norming, performing, adjourning
- 4. B · Let the tablet dissolve completely under the tongue without chewing or swallowing it
- 5. C · A trained professional interpreter
- 6. B · "I don't hear the voices, but I can see they are upsetting you. What are they saying to you?"
- 7. D · Arrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
- 8. B · Water intoxication from psychogenic polydipsia
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