1.Easy
Which of these is a positive symptom of schizophrenia?
- AAuditory hallucinations
- BLack of motivation (avolition)
- CPoverty of speech (alogia)
- DFlat affect
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
- BDenial
- CCompensation
- DDisplacement
3.Easy
What are the core features of attention-deficit hyperactivity disorder (ADHD)?
- AObsessions, compulsions and repeated checking
- BDelusions, hallucinations and disorganised speech
- CInattention, hyperactivity and impulsivity
- DLow mood, loss of interest and poor sleep
4.Medium
When should blood be taken to measure a patient's lithium level?
- AImmediately after the morning dose
- BAbout 12 hours after the last dose
- C1 hour after the last dose
- DAt any time of day, since it makes no difference
5.Medium
A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?
- AGeneralised anxiety disorder
- BAgoraphobia
- CSocial anxiety disorder
- DObsessive-compulsive disorder
6.Medium
Which information is essential when documenting the use of physical restraint?
- AThe reason for it, alternatives tried, start and end times, and the observations made
- BThe nurse's personal opinion of the patient's character and attitude
- CThe full names of the other patients who saw the incident
- DOnly the time the restraint started and the name of the nurse in charge of the shift
7.Hard
A woman taking carbamazepine for bipolar disorder uses an oral contraceptive pill. What should the nurse teach?
- ACarbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
- BCarbamazepine increases the effect of the pill, so she can take it every other day
- CThe two drugs do not interact in any way
- DShe should take the pill and the carbamazepine at exactly the same time each day so that both of them stay fully effective
8.Hard
A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?
- AThat the plan has failed and should be stopped immediately
- BThat the tantrums are caused by a physical illness
- CThat the child needs firm punishment for each tantrum instead
- DAn extinction burst, which is expected before the behaviour decreases
Answer key
- 1. A · Auditory hallucinations
- 2. A · Reaction formation
- 3. C · Inattention, hyperactivity and impulsivity
- 4. B · About 12 hours after the last dose
- 5. C · Social anxiety disorder
- 6. A · The reason for it, alternatives tried, start and end times, and the observations made
- 7. A · Carbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
- 8. D · An extinction burst, which is expected before the behaviour decreases
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