1.Easy
Which feature is typical of bulimia nervosa?
- ARecurrent binge eating followed by compensatory behaviours such as vomiting
- BSevere restriction of food intake without any bingeing or compensatory behaviour
- CVery low body weight in all cases
- DNo concern about body shape
2.Easy
A person who has strong hostile feelings towards a neighbour is excessively friendly and generous to him. Which defence mechanism is this?
- AReaction formation
- BDisplacement
- CCompensation
- DDenial
3.Easy
A patient is having a panic attack. What should the nurse do?
- AEncourage the patient to join a busy group activity
- BLeave the patient alone to calm down
- CStay with the patient, speak calmly in short, simple sentences and provide a quiet space
- DExplain in detail how panic disorder develops so that the patient understands the attack
4.Medium
Which risk applies when antipsychotics are used in older people with dementia?
- AAn increased risk of stroke and death
- BImproved memory within a few days
- CA guaranteed cure of the dementia
- DA lower risk of falls than with no medicine at all
5.Medium
Which behaviour is a warning sign of possible suicidal intent in a depressed patient?
- ATalking about their favourite music
- BMaking plans for a family holiday
- CAsking for help with a job application for after discharge
- DGiving away valued possessions and suddenly seeming calm
6.Medium
What should a patient taking disulfiram be taught?
- ASmall amounts of beer are safe
- BAvoid all alcohol, including hidden sources such as some mouthwashes and sauces
- CIt cures alcohol dependence after one dose
- DIt works only if alcohol is drunk with it, so a small amount of wine is needed daily
7.Hard
A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?
- ATense each muscle group in turn for a few seconds, then let go and notice the difference
- BDo the exercise only during a panic attack, never at other times
- CTense all your muscles at once and keep them tight for 10 minutes
- DHold your breath for as long as possible while lying completely still on the floor
8.Hard
A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?
- ACall security to remove her from the ward
- BCalmly cover her and guide her to her room or a quiet area
- CTell her loudly in front of everyone that she must stop
- DAsk the other patients to ignore her and carry on
Answer key
- 1. A · Recurrent binge eating followed by compensatory behaviours such as vomiting
- 2. A · Reaction formation
- 3. C · Stay with the patient, speak calmly in short, simple sentences and provide a quiet space
- 4. A · An increased risk of stroke and death
- 5. D · Giving away valued possessions and suddenly seeming calm
- 6. B · Avoid all alcohol, including hidden sources such as some mouthwashes and sauces
- 7. A · Tense each muscle group in turn for a few seconds, then let go and notice the difference
- 8. B · Calmly cover her and guide her to her room or a quiet area
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