1.Easy
A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?
- AAvoidant
- BHistrionic
- CSchizoid
- DDependent
2.Easy
Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?
- AHaloperidol
- BDantrolene
- CFluoxetine
- DLithium
3.Easy
Which statement about confidentiality in mental health nursing is correct?
- AOnly physical health information is confidential; mental health information may be shared with relatives on request
- BInformation can be shared with anyone who asks
- CPatient information is kept confidential, with exceptions such as a serious risk of harm to the patient or others
- DConfidentiality never has any exceptions
4.Medium
A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?
- AGrandiose
- BNihilistic
- CErotomanic
- DSomatic
5.Medium
How does obsessive-compulsive personality disorder differ from obsessive-compulsive disorder?
- AIt always involves repeated hand washing and checking rituals
- BPeople with it always feel that their behaviour is senseless and unwanted
- CIt is a lasting pattern of perfectionism and control without true obsessions and compulsions
- DIt starts suddenly in later life after a stressful event and goes away on its own within a few months
6.Medium
How may depression present differently in adolescents than in adults?
- AWith irritability rather than obvious sadness
- BAlways with psychotic symptoms
- CWith increased energy and less need for sleep
- DWith a high fever and a rash
7.Hard
A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?
- AWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- BThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
- CThiamine prevents all alcohol withdrawal seizures
- DThiamine quickly lowers the blood alcohol level
8.Hard
An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?
- ATell him that he is being silly and must go
- BLet a parent stay with him in class every day for the rest of the year
- CSupport a gradual, planned return to school with a consistent goodbye routine
- DAllow him to stay at home until he wants to go back
Answer key
- 1. C · Schizoid
- 2. B · Dantrolene
- 3. C · Patient information is kept confidential, with exceptions such as a serious risk of harm to the patient or others
- 4. C · Erotomanic
- 5. C · It is a lasting pattern of perfectionism and control without true obsessions and compulsions
- 6. A · With irritability rather than obvious sadness
- 7. A · Wernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- 8. C · Support a gradual, planned return to school with a consistent goodbye routine
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