1.Easy
At which level of anxiety is a person most able to learn and solve problems?
- ASevere anxiety
- BModerate anxiety
- CPanic
- DMild anxiety
2.Easy
A person who has strong hostile feelings towards a neighbour is excessively friendly and generous to him. Which defence mechanism is this?
- ADisplacement
- BReaction formation
- CCompensation
- DDenial
3.Easy
What is tardive dyskinesia?
- ASudden, painful muscle spasm of the neck, tongue or eyes within hours or days of the first dose
- BHigh fever with muscle rigidity
- CInvoluntary movements, often of the mouth, tongue and face, after long-term antipsychotic use
- DRestlessness and inability to sit still in the first days
4.Medium
Which criteria are needed for a diagnosis of intellectual disability?
- AProblems with reading only, with normal everyday functioning
- BLimits in both intellectual and adaptive functioning, starting in childhood
- CMemory loss and confusion that start for the first time after the age of 65
- DAn IQ score alone, measured at any time in adult life
5.Medium
A patient in a manic episode is too busy to sit down to eat. What is the best way to support nutrition?
- AOffer a large, three-course meal in the busy dining room at the usual set mealtimes
- BWait until the patient asks for food
- COffer high-calorie finger foods and drinks that can be eaten on the move
- DInsist that the patient sits at the table for 1 hour
6.Medium
A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?
- A"Your mother will visit you later this afternoon."
- B"Please stop asking about her now and finish your lunch before it gets cold."
- C"You're thinking about your mother. Tell me about her."
- D"Your mother died 30 years ago. You know that."
7.Hard
A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?
- AHelp him set a quit date for next week
- BDiscuss detailed strategies to prevent a relapse after he has stopped drinking
- COffer non-judgemental information and explore how drinking affects his life
- DRefer him straight to a residential detox programme
8.Hard
A patient asks, "Do you think I should divorce my husband?" Which response best supports the patient's autonomy?
- A"You should ask your doctor what to do about it."
- B"Yes, I think you'd be happier without him."
- C"No, divorce would only make things worse for you."
- D"What are your thoughts about the options you have?"
Answer key
- 1. D · Mild anxiety
- 2. B · Reaction formation
- 3. C · Involuntary movements, often of the mouth, tongue and face, after long-term antipsychotic use
- 4. B · Limits in both intellectual and adaptive functioning, starting in childhood
- 5. C · Offer high-calorie finger foods and drinks that can be eaten on the move
- 6. C · "You're thinking about your mother. Tell me about her."
- 7. C · Offer non-judgemental information and explore how drinking affects his life
- 8. D · "What are your thoughts about the options you have?"
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