1.Easy
What is the CAGE questionnaire used for?
- AScreening for problem drinking
- BRating the severity of a patient's depression
- CMeasuring the severity of opioid withdrawal
- DAssessing cognitive function in older adults
2.Easy
According to crisis theory, how long does an acute crisis usually last before it resolves in some way?
- AAbout 1 year
- BAbout 2–3 hours
- CAbout 4–6 weeks
- DAbout 5 years
3.Easy
What is a delusion?
- AA brief, reasonable worry about a real problem that eases when the person is reassured
- BA perception without a stimulus
- CA fixed, false belief not shared by the person's culture and not changed by evidence
- DA temporary loss of memory
4.Medium
How should a nurse screen a patient for intimate partner violence?
- AAsk the partner instead of the patient
- BAsk in front of the partner to see how he reacts
- COnly ask patients who have visible injuries
- DAsk in private, without the partner or family present
5.Medium
A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?
- AIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
- BIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
- CIt must be taken with grapefruit juice to be absorbed
- DIt is safe in pregnancy and needs no special precautions
6.Medium
A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?
- AConversion disorder
- BIllness anxiety disorder
- CSomatic symptom disorder
- DFactitious disorder
7.Hard
A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?
- AThiamine prevents all alcohol withdrawal seizures
- BThiamine quickly lowers the blood alcohol level
- CThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
- DWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
8.Hard
A woman with PTSD after a sexual assault by a man becomes distressed when a male nurse is assigned to her. What is the most appropriate response?
- AInsist that she accept the male nurse, as all staff are professional
- BLeave her without a named nurse until she calms down
- CAssign a female nurse where possible and explain her care plan to her
- DTell her that she must learn to face her fears
Answer key
- 1. A · Screening for problem drinking
- 2. C · About 4–6 weeks
- 3. C · A fixed, false belief not shared by the person's culture and not changed by evidence
- 4. D · Ask in private, without the partner or family present
- 5. B · It can seriously harm an unborn baby, so effective contraception and specialist advice are essential
- 6. B · Illness anxiety disorder
- 7. D · Wernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- 8. C · Assign a female nurse where possible and explain her care plan to her
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