1.Easy
A patient says, "I'm scared about my surgery tomorrow." Which nurse response is an example of false reassurance?
- A"Tell me more about how you're feeling."
- B"Don't worry, everything will be fine."
- C"What worries you most about tomorrow?"
- D"You sound frightened."
2.Easy
Which advice is part of good sleep hygiene?
- AUse a phone or tablet in bed until you feel tired enough to sleep
- BHave a large meal and a strong coffee just before going to bed
- CGet up at the same time each day and avoid caffeine later in the day
- DTake long naps in the afternoon to make up for any lost sleep at night
3.Easy
According to DSM-5, how long must symptoms last for a major depressive episode to be diagnosed?
- AAt least 2 weeks
- BAt least 2 years
- CAt least 6 months
- DAt least 2 days
4.Medium
What is the main advantage of a long-acting injectable antipsychotic?
- AIt improves adherence because the patient does not need to take daily tablets
- BIt cures schizophrenia after a fixed course of injections
- CIt has no side effects, unlike the oral forms of the same antipsychotic drugs
- DIt works faster than any oral antipsychotic in an acute crisis
5.Medium
A few hours after the first dose of haloperidol, a young man's neck twists to one side and his eyes roll upward. What is this?
- AAcute dystonia
- BTardive dyskinesia
- CNeuroleptic malignant syndrome
- DSerotonin syndrome
6.Medium
A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?
- AChange his daily routine often, to help him get used to change
- BAvoid his parents' advice, because staff know best how to care for him
- CPut him in a busy bay with lots of noise and activity to keep him stimulated
- DKeep to his usual routines where possible and prepare him for any changes
7.Hard
A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?
- AEncourage him to drink a large glass of wine to settle the symptoms
- BWait for the next routine score in four hours before deciding
- CReduce monitoring, because a higher score on this scale means that his withdrawal is improving
- DGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
8.Hard
The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?
- ALeaving the young person to decide on her own when to start eating more
- BMedicine alone, because therapy is not effective in adolescents
- CFamily-based treatment, in which the parents take an active role in restoring the child's eating
- DLong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere
Answer key
- 1. B · "Don't worry, everything will be fine."
- 2. C · Get up at the same time each day and avoid caffeine later in the day
- 3. A · At least 2 weeks
- 4. A · It improves adherence because the patient does not need to take daily tablets
- 5. A · Acute dystonia
- 6. D · Keep to his usual routines where possible and prepare him for any changes
- 7. D · Give the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
- 8. C · Family-based treatment, in which the parents take an active role in restoring the child's eating
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