1.Easy
A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?
- AElectroconvulsive therapy
- BLithium carbonate
- CSeclusion in a quiet room
- DBright light therapy
2.Easy
In Freud's theory of personality, what is the role of the ego?
- ATo act as the moral conscience that creates guilt
- BTo store all forgotten memories from childhood
- CTo seek immediate pleasure regardless of the consequences
- DTo balance the demands of the id, the superego and reality
3.Easy
According to Erikson, what is the main psychosocial task of adolescence?
- AIdentity versus role confusion
- BIntegrity versus despair
- CTrust versus mistrust
- DIndustry versus inferiority
4.Medium
A patient on an antipsychotic paces constantly and says he cannot sit still. What is this called?
- ACatatonia
- BTardive dyskinesia
- CAkathisia
- DPseudoparkinsonism
5.Medium
Which activity is most suitable for a patient in an acute manic episode?
- AA walk with a staff member
- BA long group discussion in the day room
- CA complicated board game such as chess with other patients
- DA competitive team game of volleyball
6.Medium
A patient with borderline personality disorder praises one nurse as "the only one who understands me" and calls the others useless. What is the best team response?
- AAvoid the patient
- BLet the favoured nurse make all decisions for this patient
- CTell the patient that the other nurses are also useless
- DAgree on consistent rules and responses across the whole team
7.Hard
A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?
- A"I'll need regular blood tests for as long as I take clozapine."
- B"If I get a sore throat or fever, I'll tell someone straight away."
- C"After a few months I can stop having blood tests."
- D"The tests are done because clozapine can lower my white cells."
8.Hard
A patient tells the nurse, "You're the only one I can talk to. You're much better than the other nurses." What is the most appropriate response?
- A"Thank you. I'll make sure I'm always the one assigned to you from now on."
- B"I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
- C"You shouldn't compare nurses. That's not fair to them, and it's rude."
- D"The other nurses are not as experienced as I am, so it makes sense that you prefer talking to me."
Answer key
- 1. D · Bright light therapy
- 2. D · To balance the demands of the id, the superego and reality
- 3. A · Identity versus role confusion
- 4. C · Akathisia
- 5. A · A walk with a staff member
- 6. D · Agree on consistent rules and responses across the whole team
- 7. C · "After a few months I can stop having blood tests."
- 8. B · "I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
Full step-by-step solutions: practise this topic on examproblems.com.