1.Easy
According to DSM-5, how long must symptoms last for a major depressive episode to be diagnosed?
- AAt least 6 months
- BAt least 2 weeks
- CAt least 2 years
- DAt least 2 days
2.Easy
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
- AMaintenance of change
- BPreparation
- CPrecontemplation
- DContemplation
3.Easy
Which statement about nicotine replacement therapy is correct?
- AIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
- BIt contains tar and carbon monoxide in smaller amounts than cigarettes
- CIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings
- DIt must never be combined, for example a patch with gum
4.Medium
According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?
- AA patient who feels lonely and wants more visitors
- BA patient who wants to improve her self-esteem
- CA patient who wants to find a new hobby
- DA patient who has not eaten or drunk anything for two days
5.Medium
Which statement about buspirone for anxiety is correct?
- AIt is highly addictive
- BIt must be taken with alcohol
- CIt works within minutes during a panic attack, like a benzodiazepine
- DIt takes weeks to work and is not useful as an as-needed drug
6.Medium
In the mental status examination, what is assessed under "insight"?
- AWhether the patient understands that they have a mental health problem and needs help
- BThe speed of the patient's speech
- CWhether the patient can make safe everyday decisions about money, meals and self-care
- DThe patient's orientation to time and place
7.Hard
A patient with PTSD is having a nightmare and thrashing in bed. What is the safest way for the nurse to wake him?
- AShake him firmly by the shoulders until he is fully awake
- BHold his arms down firmly so that he cannot hit anyone or hurt himself while he is still asleep
- CStand at a safe distance, say his name clearly and tell him where he is
- DTurn on all the lights and shout loudly so that he wakes up quickly
8.Hard
A woman taking carbamazepine for bipolar disorder uses an oral contraceptive pill. What should the nurse teach?
- AShe should take the pill and the carbamazepine at exactly the same time each day so that both of them stay fully effective
- BCarbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
- CThe two drugs do not interact in any way
- DCarbamazepine increases the effect of the pill, so she can take it every other day
Answer key
- 1. B · At least 2 weeks
- 2. C · Precontemplation
- 3. C · It provides nicotine without the harmful smoke, to reduce withdrawal and cravings
- 4. D · A patient who has not eaten or drunk anything for two days
- 5. D · It takes weeks to work and is not useful as an as-needed drug
- 6. A · Whether the patient understands that they have a mental health problem and needs help
- 7. C · Stand at a safe distance, say his name clearly and tell him where he is
- 8. B · Carbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
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