Psychiatry Exam Questions

Task 1 Depressed patients who are in a stressful psychosocial situation and who are found to have suicidal thoughts, plans and intentions: A. can be treated in an outpatient setting, B. can be treated in day wards, C. can be treated in residential inpatient care if they do not have access to the...

Task 1 Depressed patients who are in a stressful psychosocial situation and who are found to have suicidal thoughts, plans and intentions: A. can be treated in an outpatient setting, B. can be treated in day wards, C. can be treated in residential inpatient care if they do not have access to the means to commit suicide, D. should be treated in a hospital setting. Task 2 Author's definition: Mental health is the ability to develop towards a comprehensive understanding, experiencing, discovering and creating an ever higher hierarchy of reality and values, up to a concrete individual and social ideal, is: A. Aaron Antonovsky, B. Maxwell Jones, C. Kazimierz Dąbrowski, D. Tadeusz Bilikiewicz. Task 3 In psychiatric wards for insane offenders, the rule applies: A. it is more important to secure than to treat, B. treatment is more important than safeguarding, C. equal treatment of treatment and safeguards, D. it is not possible to transfer a patient from a maximum security ward to a basic security ward and vice versa. Task 4 Of the environmental factors that influence a child's psychological development, the system is the most important: A. school, 1 B. peer, C. family, D. socio-cultural. Task 5 The court, upon receiving notice that a patient has been admitted to a psychiatric hospital without his or her consent, shall proceed: A. only if an offence has been committed, B. only if the patient still does not consent to treatment after admission, C. only if the patient has been admitted for a 10-day observation because of aggression and there is doubt as to whether the patient is mentally ill, D. in any case of admission against the patient's will. Task 6 The ICD-10 classification classifies F60-69 as: A. neurotic, stress-related and somatic disorders, B. adult personality and behavioural disorders, C. mental retardation, D. disorders of psychological development. Task 7 According to the Decree of the Council of Ministers, the National Programme for the Protection of Mental Health is implemented in the years: A. 2010-2014, B. 2017-2022, C. 2012-2016, D. 2013-2017. 2 Task 8 The cause of serotonergic syndrome is: A. a sharp increase in serotonin levels, B. a sharp drop in serotonin levels, C. significant deficiency of the precursor serotonin, D. all answers are correct. Task 9 The assumptions of community psychiatry aim, among other things, to: A. treatment of the patient in the least repressive conditions for the patient, B. reduce the number of people in the treatment team, C. reducing treatment times, D. reducing the stigmatisation of patients. Task 10 Implement a community-based model of mental health care, i.e. the provision of multifaceted and universally accessible health care and other forms of care and assistance necessary for people with mental disorders to live in close proximity to their place of residence is: A. an indispensable direction of change and a prerequisite for the development of Psychiatric Health Care in the Republic of Poland, B. the standard implemented under the NFZ programme, C. a task that is carried out by the Local Government, D. answers A and B are correct. Task 11 The risk of suicide attempts and other self-injurious behaviour increases in people who take psychoactive substances, especially: A. cannabis, B. alcohol, 3 C. solvents, D. sedatives. Task 12 In the relationship with a patient with a mental disorder, therapeutic behaviours that begin contact and communication do NOT include: A. spotting the patient, B. paraphrasing, C. perception of change, D. being accessible to the patient. Task 13 Qualitative disorders of consciousness do NOT include: A. delirium, B. blackout, C. semi-sleeping, D. entanglement. Task 14 Recommended techniques for communicating with patients with anxiety disorders include: A. offering yourself, explaining, verbalising, B. active listening, paraphrasing, mirroring, C. encouraging description of experiences, encouraging comparisons, D. all answers are correct. Task 15 Which of the infectious diseases listed can have a detrimental effect on the foetus and cause mental retardation: A. rubella, 4 B. toxoplasmosis, C. chickenpox, D. all answers are correct. Task 16 The most common cause of dementia is: A. Alzheimer's disease, B. dementia with Lewy bodies, C. dementia of vascular origin, D. frontotemporal dementia. Task 17 Excessive sensitivity to failure, an inability to forgive insults, suspicion and a tendency to distort experiences by misinterpreting indifferent or even friendly behaviour of others as hostile or contemptuous, characterise the personality: A. borderline, B. schizoid, C. paranoid, D. histrionic. Task 18 Atypical antipsychotics do NOT include: A. Clozapine (Clozapol), B. Olanzapine (Zyprexa), C. Perphenazine (Trilafon), D. Quetiapine (Seroquel). Task 19 Methadone substitution treatment is provided for addicts: 5 A. cocaine, B. opiates, C. alcohol, D. tobacco. Task 20 Authenticity in working with the mentally ill patient: A. interferes - staff should not reveal their states, B. gets in the way - doesn't allow you to build distance with patients, C. applies to nurses only, D. is necessary because patients are very sensitive to any inauthentic behaviour. Task 21 Offering yourself in communicating with the mentally ill is: A. Focusing on the instrumental function by performing all nursing activities in accordance with current knowledge, B. establishing a relationship with the patient by paying attention to their appearance and changing their behaviour, C. empathising with the patient's emotional situation, seeing it from his or her perspective and communicating in such a way that he or she feels that he or she is understood, D. Focusing attention on the patient, on their needs, ensuring that they are always present and willing to talk. Task 22 Sentences such as "Keep your head up", "Everything will be OK", in a therapeutic relationship between a psychiatric nurse and a mentally ill patient, should: A. often use, as they quickly calm and tranquilise the patient, B. Use as often as possible with adolescents with depression, C. avoid, as they are often a source of irritation for the patient, 6 D. rather avoid, as patients do not take 'laid-back' staff seriously. Task 23 An increase in stress management skills, an increase in social skills and an enhanced sense of efficacy are the goals of therapeutic communication with the patient: A. in an acute psychotic state, B. addicted, C. in a catatonic state, D. with impaired perception. Task 24 Paraphrasing is: A. showing understanding, B. repeating after the patient some of the essential elements of their speech, C. observing non-verbal signals, D. specifically entering into the inner world of the interviewee's experiences and naming what he or she is feeling at the moment he or she is talking about. Task 25 Tolerance in working with the mentally ill patient: A. is irrelevant, B. interferes, the patient has to return to 'reality', his strange behaviour cannot be tolerated, C. applies to nurses only, D. is indispensable in building a sense of acceptance of the patient. Task 26 7 The treatment team are: A. only doctors and nurses employed by the hospital, B. all hospital staff regardless of qualifications, C. a group of people with relevant qualifications, experience and knowledge working together to achieve therapeutic goals, D. psychologists and psychiatrists pursuing the stated therapeutic goals. Task 27 Anxiety is one of the most distressing symptoms and quite common, so communicating with the patient: A. does not require any particular commitment or preparation on the part of the nurse, B. start by gathering information on the psychological circumstances of the anxiety, C. requires patience and care with simultaneous helplessness on the part of the nurse in the face of anxiety, D. must not contain the characteristics of active listening. Task 28 In caring for a child with autism, the following goals should be adopted in particular: A. Improving self-care, as the child usually functions well in other areas, B. improve social competence as speech and self-care are normal, C. improving speech, self-care and social competence, D. improving attention through pharmacotherapy. Task 29 WHAT ACTION IS WRONG in caring for a patient with mania who has an increased psychomotor drive and does not sleep as long as the physiological norm: A. reduction in the amount of coffee and tea consumed in the evening, 8 B. lack of assistance in organising time until the morning when the patient cannot sleep, C. reminding people of the hours set aside for sleep, bedtime, D. use of pharmacotherapy and observation of the patient's sleep. Task 30 Electroconvulsive treatment of the mentally ill: A. is prohibited by law in Poland, B. is not reimbursed by the National Health Service, C. always requires so-called double consent, D. requires the consent of the person, even if taken without consent. Task 31 Which of the given phenomena in children may be associated with the onset of schizophrenia later in life: A. the heraldic symptoms of schizophrenia in adolescence, B. weirdness, C. answers A and B are wrong, D. answers A and B are correct. Task 32 Which conceptual model of nursing refers to the patient as an open system, made up of parts that are interdependent with each other, and the whole system is in constant interaction with the environment, which affects the individual through stressors? A. Dorothea Orem, B. Hildegard Peplau, C. Virginia Henderson, D. Betty Neuman. Task 33 9 Psychological aspects of occupational therapy can include: A. improving self-esteem, B. increase in self esteem, C. understanding your own needs, D. all answers are correct. Task 34 During the admission of a patient to a psychiatric hospital, the recognition of somatic and psychological problems and the making of nursing diagnoses are the responsibility of the staff: A. emergency room(admission room) and hospital ward, B. hospital ward only, C. emergency rooms (admissions room) only, D. all answers are incorrect. Task 35 Reducing the risk of suicide in a depressed patient is achieved by, among other things, providing the patient with a sense of security, which is achieved by: A. non-verbal information by showing calmness, B. decisiveness and activity, C. a lack of acceptance of the patient's periodic incapacity, D. answers A and B are correct. Task 36 You are caring for an elderly person with anxiety. What symptoms/problems related to anxiety in older people should you attention to: A. immaturity of the personality in terms of defence mechanisms, B. alcohol dependence, C. Dependence on sedative medication and lack of support, 10 D. all answers are correct. Task 37 The use of physical restraint in the form of immobilisation or isolation in hospital shall not exceed: A. 6 hours, B. 8 hours, C. 12 hours, D. 16 hours. Task 38 A patient with mania does not want to cooperate with the treatment team. What are the reasons for this attitude of the patient: A. an excessive sense of illness, B. positive effect of pharmacotherapy, C. psychotic sensations, D. absence of psychotic experiences. Task 39 Patient with obsessive-compulsive disorder, treated pharmacologically and psychotherapeutically for many years with no apparent improvement. The patient's symptoms significantly interfere with his functioning, causing him considerable distress. The patient was considered to be suffering from a drug-resistant form of obsessive compulsive disorder. The patient in this situation may be eligible: A. only to psychotherapy because treatment options have been exhausted, B. for neurosurgical treatment (deep brain stimulation), C. d o alcohol treatment as a new pharmacological method, D. to desensitisation as the main treatment method. Task 40 11 The patient suffers from an eating disorder. On admission to the unit, the patient's nutritional status should be assessed by: A. measurement of body weight, B. measurement of arm circumference, C. assessment of the thickness of the dermal-fatty folds, D. all answers are correct. Task 41 Which of the statements made by the depressed patient does not indicate a higher risk of suicide: A. only death will bring me relief, B. the family will suffer if I die, C. it will be easier for everyone when I die, D. there is no person who is interested in me. Task 42 The nursing activities, as well as those of the entire therapeutic team in the rehab unit, are directed in addicts towards: A. maintenance of abstinence by the patient, B. assimilation of knowledge and acquisition of remedial skills by the patient, C. improvement of mental and physical health by the patient, D. all answers are correct. Task 43 In caring for patients in whom aggression may escalate, it is important to counter aggression by: A. ensuring an adequate number of staff on duty, B. employing staff with the right competence and aptitude, C. following procedures and standards, D. all answers are correct. 12 Task 44 The theory of self-care deficits was developed by: A. Nancy Roper, B. Betty Newman, C. Madeleine Leninger, D. Dorothea Orem. Task 45 During the interview in the psychiatric emergency room, you hear the following statements from the patient "I am being followed by my boss", "yesterday I was locked in a time capsule, I had a surgical procedure performed in another space, I have an implant so that I can I am receiving radio waves from another galaxy". The above beliefs belong to a disorder: A. perception, B. delusions, C. obsessive-compulsive, D. magical thinking. Task 46 The aim of caring for an elderly patient with depression, feelings of loneliness and a sense of hopelessness, which can lead to suicide, will primarily be: A. sustaining and building communication, B. protection from loneliness and the return of hope, C. commitment to pharmacotherapy, D. ensuring physical security. Task 47 13 The patient with schizophrenia withdraws from social contact. In the therapeutic intervention the nurse will use: A. showing respect, reinforcing accepted social behaviour, lack of empathy, B. Showing acceptance, empathy and respect and being authentic with the patient, C. Showing antipathy, respect and being authentic with the patient, D. encouraging the expression of emotions and thoughts, showing empathy, adopting a mask-like facial expression. Task 48 A nurse who is caring for a patient who is not taking prescribed psychotropic medication should consider the reasons for this, which do NOT include: A. the patient's proper insight into their own health situation, B. the desire to commit suicide, C. no sense of illness, D. no hope of recovery. Task 49 The compulsion to walk as one of the side effects of the neuroleptics taken is: A. akathisia and tazkinesia, B. dystonia, C. dyskinesia, D. akinesia. Task 50 You are caring for a patient in a depressive/catatonic stupor. There is no verbal contact with the patient and he is not taking his meals. What method will you use in line with the nurse's role of assisting the patient? A. directing, giving guidance, B. teaching, 14 C. acting for the patient, D. advising. Task 51 In supporting a patient with a mental disorder, care should be taken to build a therapeutic relationship. The therapeutic relationship is built by: A. inspiring confidence in the patient, authenticity in the way we communicate, B. respect for the patient, but without accepting the patient's negative experiences, C. communicating with the patient taking into account cognitive deficits, disregarding the current emotional state because this is out of one's control, D. adopting an evaluative attitude towards the patient, as this allows you to modify their behaviour. Task 52 Phototherapy treatment is indicated for patients: A. with bipolar affective disorder, B. with schizophrenia, C. with borderline personality type, D. with seasonal depression. Task 53 Sleep disorders in the course of depression, usually manifest as: A. lack of sleep or short sleep, B. narcolepsy or sleep apnoea, C. bruxism or sleepwalking, D. Somnambulism or hypersomnia. Task 54 15 Patients with suicidal thoughts, may hoard drugs. If this is the case, in the patient's care: A. check that the patient is not storing medication in the cupboard, B. control the use of medication, but not always because it is inconvenient for staff, C. absolutely administer the drug intramuscularly, D. check that the patient is not carrying medication, only at the start of treatment. Task 55 The patient describes his condition: I have been feeling weak for at least two weeks, lethargic, nothing makes me happy, even things that were pleasant for me, I have difficulty sleeping, I wake up too early, I feel sleep deprived, I have no appetite. Excluding primary somatic disorders, the symptoms described by the patient may indicate: A. schizophrenia, B. mania, C. paroxysmal anxiety, D. affective disorder. Task 56 When caring for a patient aged 15 with mild mental retardation, it is important to bear in mind when planning, for example, the patient's education, that his or her intellectual capacity is in the mental age range: A. 9-12 years, B. 5-9 years, C. 3-6 years, D. less than 3 years. Task 57 In caring for an elderly person with depressive thinking and depressive self-assessment, the main nursing goal is considered: 16 A. to induce motivation to seek psychiatric help, B. to arouse and strengthen the patient's sense of self-worth, C. strengthening family and community functioning, D. arouse a willingness to account for the patient's own life. Task 58 In ECW care, the nurse may anticipate certain problems/situations. Which of the statements describing ECW situations are true? A. experiencing anxiety and the possibility of complications related to general anaesthesia, B. muscle pains, while headaches are usually absent, C. fears of memory disorders, but these are extremely rare, D. almost every treatment ends in disorientation and psychomotor agitation. Task 59 During admission to the psychiatric ward, you observe a patient who makes uncontrolled movements of the tongue and mandible, mumbles, smacks, makes athetotic movements. The above symptoms may be indicative of: A. akathisia, B. drug-induced parkinsonism, C. late dyskinesias, D. dry mouth. Task 60 A patient has been admitted to the ward following a suicide attempt, there is still a risk of suicidal tendencies. What action will NOT be taken: A. constantly being with the patient and talking about feelings related to suicide, B. Periodically staying with the patient and avoiding talking about feelings related to suicide, 17 C. inspiring hope by gently smuggling in optimism, D. use of distraction (diversion) techniques. Task 61 One of the nurse's powers regarding the use of direct coercion is to: A. prolonging the use of physical restraint in the form of immobilisation or isolation for up to 4 hours in a social welfare unit in the event that a medical order cannot be obtained, B. prolonging the use of physical restraint in the form of immobilisation or isolation for up to 8 hours in a social welfare unit in event that a medical order cannot be obtained, C. prolonging the use of physical restraint in the form of immobilisation or isolation for a maximum of 4 hours in each treatment facility and social welfare unit, D. prolonging the use of physical restraint in the form of immobilisation or isolation for a period not exceeding 8 hours in each treatment facility and social welfare unit when a medical order cannot be obtained. Task 62 You work in a general psychiatric unit, you know that there is a risk of aggression in your patients who are affected by various factors that predispose them to aggression, which include personality traits. The personality type particularly associated with predisposition to aggressive behaviour is personality: A. anti-social, B. dependent, C. anxiety, D. post-traumatic stress disorder. Task 63 Somatic abstinence symptoms of nicotine dependence do NOT include: A. excessive sleepiness, B. increase in appetite, 18 C. headaches, D. cough. Task 64 The stigmatisation associated with mental illness is a phenomenon that can consequently lead to: A. periodic increase in social standing with concomitant economic discrimination, B. Social isolation as an expression of the free choice of the mentally ill person, C. loss of social standing and social exclusion and discrimination, D. loss of social standing and subjective high quality of life. Task 65 The most common psychopathological consequences of harmful drinking include: A. lowered mood states, B. irritability, C. personality changes and impaired functioning in social roles, D. all answers are correct. Task 66 Symptoms of schizophrenia according to Bleuer: A. Ambivalence, autism, association, affect, B. Ambivalence, autism, alogia, C. Autism, association, affect, alogia, D. Positive symptoms and negative symptoms. Task 67 Positive symptoms in schizophrenia include: A. Alogia, hallucinations, B. Hallucinations, delusions, anhedonia, 19 C. Hallucinations, delusions, D. Delusions, affect. Task 68 What are the current disease classifications (in Europe and the USA) called: A. ICD-10, DSM-IV, B. ICD-11, DSM-V, C. ICD-10, DSM-V, D. ICD-9, DMS-IV. 20