1.Easy
Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?
- AExcessive hunger
- BSexual dysfunction
- CSevere constipation
- DHair loss
2.Easy
According to crisis theory, how long does an acute crisis usually last before it resolves in some way?
- AAbout 4–6 weeks
- BAbout 2–3 hours
- CAbout 1 year
- DAbout 5 years
3.Easy
According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?
- AInvoluntary swearing in almost every sentence as the main and only symptom
- BSeveral motor tics and at least one vocal tic for over a year, starting before 18
- CA single motor tic that lasts for 2 weeks in an adult
- DSeizures with loss of consciousness during sleep
4.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
5.Medium
A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?
- ADo nothing, because patients are allowed to leave whenever they want
- BStart the missing patient procedure at once, informing the team and, if required, the police
- CWait until the next day, because he will probably return on his own
- DRemove his name from the ward list and give his bed to a new patient who is waiting for admission
6.Medium
A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?
- ADissociative amnesia for the trauma
- BAvoidance
- CIntrusion symptoms
- DChanges in arousal and reactivity
7.Hard
A nurse teaches a family member how to use a naloxone kit. Which statement shows a need for further teaching?
- A"If he doesn't respond, I may need to give a second dose."
- B"I'll check his breathing and put him in the recovery position if he is breathing but still not awake."
- C"I'll stay with him, because the overdose can come back."
- D"Once I've given the naloxone, I don't need to call an ambulance."
8.Hard
A nurse posts on social media about a "funny" patient on her ward, without giving his name. What is correct?
- AIt breaches confidentiality, because he could still be identified
- BIt is acceptable because his name was not used
- CIt is only a problem if the patient finds the post himself
- DIt is acceptable if the post is set to "friends only"
Answer key
- 1. B · Sexual dysfunction
- 2. A · About 4–6 weeks
- 3. B · Several motor tics and at least one vocal tic for over a year, starting before 18
- 4. B · Illness anxiety disorder
- 5. B · Start the missing patient procedure at once, informing the team and, if required, the police
- 6. D · Changes in arousal and reactivity
- 7. D · "Once I've given the naloxone, I don't need to call an ambulance."
- 8. A · It breaches confidentiality, because he could still be identified
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