1.Easy
What are the core features of attention-deficit hyperactivity disorder (ADHD)?
- ALow mood, loss of interest and poor sleep
- BObsessions, compulsions and repeated checking
- CInattention, hyperactivity and impulsivity
- DDelusions, hallucinations and disorganised speech
2.Easy
What is systematic desensitisation?
- AA medicine that reduces anxiety within minutes of being taken
- BSudden and prolonged exposure to the most feared situation at once
- CGradual exposure to a feared situation, step by step, while using relaxation
- DTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
3.Easy
According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?
- ASeveral motor tics and at least one vocal tic for over a year, starting before 18
- BInvoluntary swearing in almost every sentence as the main and only symptom
- CSeizures with loss of consciousness during sleep
- DA single motor tic that lasts for 2 weeks in an adult
4.Medium
When is the risk of suicide particularly high for patients after psychiatric inpatient care?
- AThere is no change in risk after discharge
- BIn the first weeks after discharge
- COnly after one year at home
- DOnly while the patient is asleep in hospital
5.Medium
Which feature helps distinguish normal grief from major depression?
- AIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died
- BIn grief, the person feels worthless and hopeless all the time
- CIn grief, painful feelings come in waves and self-esteem is usually kept
- DGrief always lasts less than 2 weeks
6.Medium
Which US legal case is associated with the duty of mental health professionals to protect people who are threatened by a patient?
- ATarasoff v Regents of the University of California
- BMiranda v Arizona
- CRoe v Wade
- DBrown v Board of Education
7.Hard
A patient taking valproate has severe abdominal pain spreading to her back, with nausea and vomiting. What should the nurse suspect?
- ASimple indigestion
- BSerotonin syndrome
- CLithium toxicity
- DPancreatitis
8.Hard
A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?
- ATell him he must take it for life and refuse to discuss it
- BAdvise him to stop it suddenly on his own and see what happens over the next month
- CDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
- DReport him to the police and his employer for non-adherence to treatment
Answer key
- 1. C · Inattention, hyperactivity and impulsivity
- 2. C · Gradual exposure to a feared situation, step by step, while using relaxation
- 3. A · Several motor tics and at least one vocal tic for over a year, starting before 18
- 4. B · In the first weeks after discharge
- 5. C · In grief, painful feelings come in waves and self-esteem is usually kept
- 6. A · Tarasoff v Regents of the University of California
- 7. D · Pancreatitis
- 8. C · Discuss benefits and risks, decide together with the prescriber and agree a relapse plan
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