1.Easy
According to Erikson, what is the main psychosocial task of adolescence?
- ATrust versus mistrust
- BIndustry versus inferiority
- CIntegrity versus despair
- DIdentity versus role confusion
2.Easy
Which of these is a negative symptom of schizophrenia?
- AHearing voices
- BAvolition (lack of motivation)
- CPersecutory delusions
- DDisorganised behaviour
3.Easy
In obsessive-compulsive disorder, what is an obsession?
- AA false belief that is held firmly despite clear evidence that it is untrue
- BA repeated action done to reduce anxiety, such as checking a lock
- CA strong interest in a hobby that the person enjoys very much
- DA recurrent, unwanted thought, urge or image that causes anxiety
4.Medium
A patient answers a question about breakfast: "Eggs come from chickens, chickens live on farms, my uncle had a farm, he drove a red tractor…" and never answers. What is this called?
- ATangentiality
- BWord salad
- CCircumstantiality
- DThought blocking
5.Medium
A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?
- ASevere weight gain in the first week
- BSigns of physical dependence, because it is a controlled stimulant
- CA dangerous rise in blood pressure after eating foods that contain tyramine
- DNew or worsening suicidal thoughts or unusual changes in mood or behaviour
6.Medium
The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?
- AAn ideal therapeutic relationship
- BTransference by the patient towards the nurse, which is never the nurse's concern
- CPossible boundary problems that she should discuss in supervision
- DThat the patient needs to be transferred to another unit
7.Hard
According to DSM-5, which childhood condition is a requirement for a later diagnosis of antisocial personality disorder?
- ASeparation anxiety disorder in early childhood
- BAutism spectrum disorder diagnosed before school age
- CEvidence of conduct disorder starting before age 15
- DA diagnosis of ADHD before age 7
8.Hard
A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?
- A"After a few months I can stop having blood tests."
- B"I'll need regular blood tests for as long as I take clozapine."
- C"If I get a sore throat or fever, I'll tell someone straight away."
- D"The tests are done because clozapine can lower my white cells."
Answer key
- 1. D · Identity versus role confusion
- 2. B · Avolition (lack of motivation)
- 3. D · A recurrent, unwanted thought, urge or image that causes anxiety
- 4. A · Tangentiality
- 5. D · New or worsening suicidal thoughts or unusual changes in mood or behaviour
- 6. C · Possible boundary problems that she should discuss in supervision
- 7. C · Evidence of conduct disorder starting before age 15
- 8. A · "After a few months I can stop having blood tests."
Full step-by-step solutions: practise this topic on examproblems.com.