Mock Exam 2016

Question 1

1. Which statements will be CORRECT for motivational interviewing?
2. The clinician’s role is to circle goals, and to use reflection and summarising with
   an individual
3. The clinician’s role is to question in depth the goals of the individual
4. The clinicians role is to engage the patient and develop rapport
5. The clinicians role is to scope out all the needs of the patient prior to planning

Answer 1

a. The answer is 1 and 2.
b. The answer is 2 and 3
c. The answer is 1 and 3
d. The answer is 1 and 4

Answer =
c. The answer is 1 and 3

1. The clinician’s role is to circle goals, and to use reflection and summarising with
   an individual
2. The clinicians role is to engage the patient and develop rapport

Question 2

All of the following may be used in the treatment of dysthymic disorder except:

a) Lithium
b) Antipsychotics
c) Oestrogen
d) Phenergan

Answer 2

d) Phenergan

Question 3

Circle the INCORRECT statement

a) There are three stages to assessing suicide risk
b) Patients who are at high risk should be re- assessed within 7 days
c) Patients at risk may have passing thoughts of suicide or self-harm
d) Patients at risk must have an action plan developed for them

Answer 3

b) Patients who are at high risk should be re- assessed within 7 days

Question 4

Circle the incorrect answer from the below statements about the psychological
symptoms experienced by patients with chronic kidney disease

a) The biggest psychological impacts upon the patient is depression

b) The biggest psychological stress is not associated with the disease but with
the medications and their side effects

c) Patients with CKD are impacted psychological because of the increased need
to see health professionals

Answer 4

b) The biggest psychological stress is not associated with the disease but with
the medications and their side effects

Question 5

One of the following statements about Basal cell carcinoma is correct

1. Basal cell carcinoma is the commonest form of skin cancer
2. It accounts for 2/3rds of all skin cancers
3. Found most commonly in females
4. It presents as a superficial lesion, and has translucent pearly borders

a. The answer is 1 and 2 only
b. The answer is 1, 3 and 4.
c. The answer is 1, 2 & 4
d. The answer is all of them

Answer 5

c. The answer is 1, 2 & 4
1. Basal cell carcinoma is the commonest form of skin cancer
2. It accounts for 2/3rds of all skin cancers
4. It presents as a superficial lesion, and has translucent pearly borders

Question 6

Which one of the following statements about Squamous cell carcinoma is
correct?

1. Squamous cell carcinoma is a common skin cancer
2. It is of greater concern than BCC as it is an invasive cancer
3. It presents as thick roughened skin
4. It does not appear on the mucous membranes

a. The answer is 1 and 2 only
b. The answer is 1, 2 and 3
c. The answer is 1, 2 & 4
d. The answer is all of them

Answer 6

c. The answer is 1, 2 & 4
1. Squamous cell carcinoma is a common skin cancer
2. It is of greater concern than BCC as it is an invasive cancer
4. It does not appear on the mucous membranes

Question 7

7. Which of the below statements show the nursing approach to manage for factors of
   culture and language that may impact an individual’s ability to self-manage their
   chronic illness
8. Assess cultural and religious perspectives
9. Assess how illness impacts them
10. Asses their physical and mental condition
11. Assess how illness impacts them
    a. The answer is 1 and 2
    b. The answer is 1, 2 and 3
    c. The answer is 1, 2 and 4
    d. The answer is ALL of them

Answer 7

c. The answer is 1, 2 and 4
1. Assess cultural and religious perspectives
2. Assess how illness impacts them
2. Assess how illness impacts them

Question 8

8. The Clinicians role in each of the Corbin and Strauss Illness Trajectory
   phases are correctly identified in which of the below statements
9. The clinician’s role in the stable phase is to help the individual maintain
   health and prevent deterioration
10. The clinician’s role in the trajectory phase is to help the individual to plan
    in order to maintain health and prevent deterioration
11. The clinician’s role in the unstable phase is to remove the threat to life
12. The clinician’s role in the dying phase is to help the individual to adapt
    with each major downward turn in disability

a. The answer is 1 , 2
b. The answer is 1, 2, 3
c. The answer is 2, 3, 4
d. The answer is 2 , 4

Answer 8

a. The answer is 1 and 2

1. The clinician’s role in the stable phase is to help the individual maintain
   health and prevent deterioration
2. The clinician’s role in the trajectory phase is to help the individual to plan
   in order to maintain health and prevent deterioration

Question 9

Briefly describe what Marjolin’s Ulcer is

Answer 9

Marjolin’s ulcer is the relatively rare but aggressive transformation of a chronic wound
into a degenerative malignant skin lesion. It can occur in burns, osteomyelitis, leg ulcers,
pressure ulcers and fistulae

Question 10

How would you promote wound healing in this patient? (You must have at least
two of these to get full marks)

Answer 10

Encourage her to have a diet high in essential vitamins and minerals
Encourage her to give up smoking, identify any barriers and assess her confidence to
change this, apply appropriate dressings, monitor for infection, and avoid irritating
solutions on skin

Question 11

What are the topical agents suggested by Chang & Johnson that promote
haemostasis in malignant wounds? (Must have at least two of these to get full
marks)

Answer 11

Calcium alginate dressings, cautery with silver nitrate stix or solution, ostomy
hydrocolloid powders that contain gelatine or pectin

Question 12

What are the extra absorbent dry dressings that Chang & Johnson mentions that
could be used on this wound? (must have at least two of these to get full marks)

Answer 12

Zetuvit, Mesorb or Exu-dry