1.Easy
What is delirium?
- AA normal part of ageing
- BA lifelong learning disability
- CA sudden, fluctuating disturbance of attention and awareness
- DA slowly progressive loss of memory and thinking over several years
2.Easy
According to WHO guidance, how long should a full alcohol hand rub take?
- AAbout 5 minutes
- BAbout 20–30 seconds
- CAbout 2 minutes
- DAbout 5 seconds
3.Easy
What is the "teach-back" method in patient education?
- ATeaching the family instead of the patient
- BAsking the patient to explain the information back in their own words
- CGiving the patient a written leaflet to read at home before the next visit
- DRepeating the same information three times
4.Medium
A patient can wash their face and arms but cannot reach their back and feet. What is the best approach?
- AAsk the patient to wait until a relative visits
- BLet the patient do what they can and help with the rest
- CWash the patient completely yourself to save time and effort
- DLeave the back and feet unwashed
5.Medium
Before fitting anti-embolism stockings, what should the nurse do?
- AFit the tightest size available so the stockings give the best effect
- BChoose a size by looking at the patient's shoe size and weight
- CMeasure the legs to get the right size and check for arterial disease
- DFit them over existing bandages or wounds
6.Medium
What is the main aim of "protected mealtimes" on hospital wards?
- ATo give staff a fixed break while the patients are eating their meals
- BTo make sure all patients eat the same meal at once
- CTo stop visitors from bringing any food into hospital
- DTo let patients eat without interruptions, with help where needed
7.Hard
A patient with delirium tries to leave the ward at night, saying they are going home, and would be at serious risk outside. What is correct (England and Wales)?
- AGive a sedative without asking anyone
- BLet them leave, as all adults are free to go wherever they like
- CAssess capacity and, if it is lacking, act in their best interests
- DLock them in a side room until the morning for their own safety
8.Hard
A patient with new swallowing difficulty is prescribed a modified-release tablet. What should the nurse do?
- ACrush the tablet and mix it with yoghurt
- BOmit the medicine without telling anyone
- CContact the prescriber or pharmacist for a suitable alternative
- DCut the tablet into quarters and give the pieces one at a time with water
Answer key
- 1. C · A sudden, fluctuating disturbance of attention and awareness
- 2. B · About 20–30 seconds
- 3. B · Asking the patient to explain the information back in their own words
- 4. B · Let the patient do what they can and help with the rest
- 5. C · Measure the legs to get the right size and check for arterial disease
- 6. D · To let patients eat without interruptions, with help where needed
- 7. C · Assess capacity and, if it is lacking, act in their best interests
- 8. C · Contact the prescriber or pharmacist for a suitable alternative
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