1.Easy
A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?
- AApraxia
- BAtaxia
- CAphasia
- DAgnosia
2.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
- BPatient information is kept confidential, with exceptions such as a serious risk of harm to the patient or others
- CInformation can be shared with anyone who asks
- DConfidentiality never has any exceptions
3.Easy
What is the difference between empathy and sympathy?
- AEmpathy is feeling sorry for a patient; sympathy is understanding their point of view
- BEmpathy is used only with children and teenagers; sympathy is used only with adult patients
- CEmpathy and sympathy mean exactly the same thing in nursing
- DEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
4.Medium
A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?
- A"You shouldn't talk to people like that."
- B"If you speak to me like that, I'm leaving."
- C"You sound very angry. Tell me what has happened."
- D"That's not true. I've helped you all day."
5.Medium
An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?
- AIts anticholinergic effects can cause confusion, urine retention and falls
- BIt has no effects at all in people over 80, so it will not help her sleep
- CIt is a strong opioid that causes severe dependence
- DIt raises blood pressure to dangerous levels in older adults
6.Medium
An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?
- AGenerativity versus stagnation
- BIntimacy versus isolation
- CIdentity versus role confusion
- DIntegrity versus despair
7.Hard
A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?
- AReport him to the police and his employer for non-adherence to treatment
- BDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
- CTell him he must take it for life and refuse to discuss it
- DAdvise him to stop it suddenly on his own and see what happens over the next month
8.Hard
A woman who is being abused by her partner says she will not leave him. What is the most appropriate response?
- ACall her partner to discuss his behaviour with him
- BRespect her decision, give information about support services and help her make a safety plan
- CTell her that if she stays and is hurt again, it will be her own fault because she was warned about the risks
- DTell her that she must leave him today or the nurse cannot help her
Answer key
- 1. C · Aphasia
- 2. B · Patient information is kept confidential, with exceptions such as a serious risk of harm to the patient or others
- 3. D · Empathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
- 4. C · "You sound very angry. Tell me what has happened."
- 5. A · Its anticholinergic effects can cause confusion, urine retention and falls
- 6. D · Integrity versus despair
- 7. B · Discuss benefits and risks, decide together with the prescriber and agree a relapse plan
- 8. B · Respect her decision, give information about support services and help her make a safety plan
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