1.Easy
Which advice is part of good sleep hygiene?
- AHave a large meal and a strong coffee just before going to bed
- BTake long naps in the afternoon to make up for any lost sleep at night
- CUse a phone or tablet in bed until you feel tired enough to sleep
- DGet up at the same time each day and avoid caffeine later in the day
2.Easy
What is lanugo, which may be seen in severe anorexia nervosa?
- AFine, soft hair that grows on the body as it tries to conserve heat
- BPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
- CThickening of the skin on the knuckles caused by repeated vomiting
- DLoss of tooth enamel caused by repeated contact with stomach acid
3.Easy
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
- AFinancial abuse
- BSelf-neglect by the father
- CPhysical abuse
- DSexual abuse
4.Medium
A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?
- A"You should find a new job where people like you."
- B"What evidence do you have that nobody likes you?"
- C"I'm sure everybody likes you."
- D"Why do you care what people at work think?"
5.Medium
A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?
- AHypothyroidism
- BHyperthyroidism
- CAgranulocytosis
- DSerotonin syndrome
6.Medium
Which side effects should the nurse monitor for in a patient starting donepezil?
- ADry mouth, constipation and urinary retention
- BTremor, thirst and passing large amounts of urine
- CWeight gain and high blood glucose
- DNausea, diarrhoea and a slow heart rate
7.Hard
A patient taking an MAOI returns from a party with a severe headache at the back of the head, a stiff neck and palpitations. What should the nurse do first?
- AGive a cup of strong coffee for the headache
- BCheck the blood pressure and notify the prescriber urgently
- CGive her next MAOI dose early
- DAdvise her to lie down and sleep it off
8.Hard
A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?
- ASchizophrenia
- BDelusional disorder
- CSchizophreniform disorder
- DBipolar I disorder
Answer key
- 1. D · Get up at the same time each day and avoid caffeine later in the day
- 2. A · Fine, soft hair that grows on the body as it tries to conserve heat
- 3. A · Financial abuse
- 4. B · "What evidence do you have that nobody likes you?"
- 5. A · Hypothyroidism
- 6. D · Nausea, diarrhoea and a slow heart rate
- 7. B · Check the blood pressure and notify the prescriber urgently
- 8. B · Delusional disorder
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