29/06/2026
Online Nursing Support - NMCZ
MENTAL HEALTH & PSYCHIATRY COURSE
NMCZ MAY 2024 COMPETENCE EXAMINATION DN P5 - ANSWERS
SECTION A: MULTIPLE CHOICE QUESTIONS
1. Which among the following is a first-generation antipsychotic drug?
a) Clozapine
b) Olanzapine
c) Chlorpromazine 👈
d) Quetiapine
2. The involuntary blocking of unpleasant feelings and experiences from one's awareness is known as...
a) Displacement
b) Regression
c) Repression 👈
d) Suppression
3. The feeling of insects crawling under the skin in the absence of the actual stimuli is an example of...
a) Visual hallucinations
b) Gustatory hallucinations
c) Tactile hallucinations 👈
d) Auditory hallucinations
4. Hallucinations are seen in...
a) Schizophrenia 👈
b) Hysteria
c) Obsessions
d) Panic attacks
5. Slowered movements are commonly seen in...
a) Catatonic schizophrenia 👈
b) Dementia
c) Paranoid schizophrenia
d) Delusional disorders
6. Dissociation is present in...
a) Fugue 👈
b) Delirium
c) Personality
d) Schizophrenia
7. Perseveration is...
a) Repeating persistently the words of his own or others 👈
b) Using strange words
c) Using real words strung together oddly
d) Persistent thinking from which patient can't get rid of himself
8. Deja vu may be seen in one of the following...
a) Panic attacks
b) Drug withdraw
c) Drug intoxication 👈
d) Drug abuse
9. Mutism is associated with...
a) Delirium
b) Catatonic stupor 👈
c) Dementia
d) Korsakoff's psychosis
10. Hearing voices that are not really there would be called...
a) Hallucinations 👈
b) Illusion
c) Auditory perception
d) Delusion
11. False, fixed beliefs are called...
a) Hallucinations
b) Illusions
c) Perception
d) Delusion 👈
12. Constant feeling of fear and apprehension is diagnosed as...
a) Impulsivity
b) Depression
c) Hypomanic episode
d) Anxiety 👈
13. Flight of ideas and elevated mood is the diagnostic feature of...
a) Schizophrenia
b) Disruptive disorder
c) Severe irritability
d) Manic episode 👈
14. Disorganized thinking, Hallucination, Delusions are the key features of...
a) Somatic
b) Psychotic
c) Schizophrenia 👈
d) Neurotic
15. The belief that one is a special person is regarded as...
a) Delusion of grandiosity 👈
b) Erotomanic delusion
c) Delusion of Persecution
d) Delusion of reference
16. The diagnostic criteria for intellectual developmental disorder is based on...
a) Deficit in intellectual functions 👈
b) Above average in adaptive functions
c) Medium during the developmental period
d) Intact personality disorders
17. Gradual and staged desensitization can be used in the treatment of...
a) Phobia disorder 👈
b) Depression
c) Bipolar disorder
d) Generalized anxiety disorder
18. A thought process characterized by a series of ideas without apparent logical connections is referred to as...
a) Loosening of association 👈
b) Flight of ideas
c) Confabulation
d) Tangentiality
19. One of the following benzodiazepines is a long-acting drug...
a) Lorazepam
b) Diazepam 👈
c) Oxazepam
d) Alprax
20. First-line drugs for the treatment of mania is...
a) Lithium 👈
b) Valproate
c) Risperidone
d) Haloperidol
21. The ability to understand one's own behavior and emotion is called...
a) Judgement
b) Insight 👈
c) Intelligence
d) Personality
22. The normal response of an individual to the loss of a loved object is called...
a) Grief 👈
b) Low mood
c) Sadness
d) Depression
23. An increased sense of psychological well-being and happiness, not in keeping with ongoing events, is called...
a) Mood
b) Affect
c) Euphoria 👈
d) Euthymia
24. Exaggerated self-importance is a feature of which delusion?
a) Somatic delusion
b) Delusion of grandeur 👈
c) Delusion of reference
d) Delusion of control
25. Which one of the following is an example of atypical tricyclic antidepressant?
a) Clomipramine 👈
b) Imipramine
c) Venlafaxine
d) Sertraline
26. Which one of the following types of schizophrenia is thought to have the worst prognosis?
a) Residual
b) Hebephrenic 👈
c) Catatonic
d) Paranoid
27. Which of the following stages do epileptic patients commit crimes?
a) Ictal
b) Post-ictal 👈
c) Post-traumatic
d) Pre-ictal
28. Which one of the following drugs is used in the treatment of dementia?
a) Clozapine
b) Phenothiazines
c) Memantine 👈
d) Thorazine
29. When a patient is not in contact with reality, this is typical in...
a) Psychosis 👈
b) Neurosis
c) Illusion
d) Hallucination
30. When a patient claims that, "I have no intestines and stomach", even if people see me eat food and drink water this is called...
a) Delusion of death
b) Nihilistic delusion 👈
c) Paranoid delusion
d) Holothymic delusion
31. Misinterpretation of an object is known as...
a) Delusions
b) Hallucinations
c) Illusions 👈
d) Psychosis
32. Bipolar II Disorder, major depressive episodes alternate with periods of...
a) Hyperventilation
b) Hypomania 👈
c) Hypothermia
d) Hypoxia
33. A type of Schizophrenia in which a patient is pre-occupied with delusions of persecution and ideas of reference is likely to be...
a) Paranoid 👈
b) Disorganized
c) Catatonic
d) Undifferentiated
34. Diagnosis of schizophrenia is based entirely on...
a) Psychiatric history and ECT
b) Mental status examination
c) Brain scan
d) Psychiatric history and mental state examination 👈
35. A patient with bipolar disorder says: "I am going to buy the gold because its cold and hold" this is an example of...
a) Neologism
b) Word salad
c) Flight of ideas
d) Clang association 👈
36. Which of the following is a delusion...
a) Grandiose 👈
b) Grandpara
c) Voices in the third room
d) voices in third person
37. A client is admitted with a diagnosis of persecutory delusions. This diagnosis reflects a belief that one is...
a) Highly important or famous
b) Being plotted against for killing 👈
c) Connected to events unrelated to oneself
d) Responsible for the evil in the world
38. Maintaining an awkward or a sustained posture is termed as...
a) Compulsion
b) Stereotype
c) Echolalia
d) Waxy flexibility 👈
39. A talk that does not go directly to the topic but takes time for that individual to state the point is called...
a) Obsession thinking
b) Fragmented thinking
c) Circumstantial thinking 👈
d) Disjointed thinking
40. The patient remarks repeatedly that he is Jesus Christ and has come to save the world. This can best be described as...
a) Defense of identification
b) A delusion of grandeur 👈
c) An illusion
d) An idea of reference
41. Judith a third-year student failed her mock examination and two weeks later she becomes mute and refuse to participate in all activities. The psychiatrist assessed her and a diagnosis of depression was made. This type of depression is referred to as...
a) Manic depressive disorder
b) Bipolar depression
c) Endogenous
d) Exogenous 👈
42. Which of the following symptoms is considered a "negative symptom" of schizophrenia?
a) Auditory hallucinations
b) Delusions
c) Flat affect 👈
d) Delirium
43. The knowledge and skills people need to have to live in a community are...
a) Social skills 👈
b) Assertiveness skills
c) Self-awareness skills
d) Communication skills
44. Misinterpretation of external stimuli is known as...
a) Illusion 👈
b) Hallucinations
c) Perception
d) Delusion
45. Inability to talk as seen in severe depression is termed as...
a) Word salads
b) Neologisms
c) Mutism 👈
d) Stupor
46. When the patient keeps on repeating the words spoken by the interviewer, it is called...
a) Chance association
b) Echolalia 👈
c) Echopraxia
d) Stereotyping
47. The reduced emotional output or feelings or affect usually experienced by psychiatric patients is referred to as...
a) Depression
b) Incongruent of affect
c) Flat affect 👈
d) Ambivalence
48. The primary goal in working with an actively psychotic, suspicious client would be to
a) Promote interaction with others
b) Decrease his anxiety and increase trust 👈
c) Improve his relationship with his parents
d) Encourage participation in therapy activities
49. Preoccupation with the fear that one has a serious disease (disease conviction) or will get a serious disease (disease phobia) is called...
a) Obsession
b) Somatization
c) Dysmorphic
d) Hypochondriasis 👈
50. Which one of the following is a feature of mania?
a) Elated mood 👈
b) Flat affect
c) Distractibility of poverty
d) Delusion of poverty
ONLINE NURSING SUPPORT-NMCZ
CALL/WATSAP: 0965475875 FOR REVISIONS
SECTION B: COMPLETION QUESTIONS
71. A consequence of degenerative brain changes as individual ages where there is loss of intellectual capacities like memory loss, judgment and orientation is called- DEMENTIA
72. Delivering of mental health care to clients while they continue to live in their homes is called- COMMUNITY MENTAL HEALTH CARE / COMMUNITY PSYCHIATRY
73. Hearing of voices without any corresponding object or stimulus is called- AUDITORY HALLUCINATION
74. During colonialism mental patients who did not recover from the illness were taken to Southern Rhodesia at a place called- INGUZANA
75. The term used to refer to repetitive ideas coming into your mind frequently and taking an action is called- COMPULSION
76. The word associated by rhythm is called- CLANG ASSOCIATION
77. The delusion of a patient feels that his or her feelings or actions are controlled by some outside force is called- DELUSION OF CONTROL
78. The supervised confinement of a patient in a room that may be locked to protect others or him/herself from significant harm is called- SECLUSION
79. A patient seeing a strange person and believing that he/she has seen that person before is known as- DEJA VU
80. The ability to bounce back from life's adversities is known as- RESILIENCE
81. The inability to decide for or against, due to co-existence of two opposing impulses for the same thing at the same time in the same person is called- AMBIVALENCE
82. Maintaining of an awkward posture is called- WAXY FLEXIBILITY
83. The process of becoming aware of what is presented through the sense organs is called- PERCEPTION
84. A situation in which the reinforcement for a particular behaviour is withdrawn and the behaviour usually stops is called- EXTINCTION
85. A Subjective feeling of restlessness in the lower limbs that is related to abnormal activity in the extrapyramidal system in the brain, as a result of antipsychotic drugs is called- AKATHISIA
86. A partial or complete loss of memory is called- AMNESIA
87. An experience where the self is felt to be unreal, detached from reality or different in some way which can be triggered by tiredness, dissociative episodes is called- DEPERSONALIZATION
88. An affective disorder characterized by a profound and persistent sadness is called- DEPRESSION
89. A movement disorder in which the person automatically and inappropriately imitates or mirrors the movements of another is known as- ECHOPRAXIA
90. The unpleasant experience of having one's train of thought curtailed absolutely, often more a sign than a symptom is called- THOUGHT BLOCKING
91. The experience of thoughts being removed or extracted from one's mind is called- THOUGHT WITHDRAWAL
92. An organism's psychological or physical dependence on a drug, characterized by tolerance and withdrawal symptoms when stopped abruptly is called- ADDICTION / SUBSTANCE DEPENDENCE
93. A state of particular muscular rigidity is called- CATATONIA / CATATONIC STUPOR
94. An abnormal, sudden excessive, uncontrolled electrical discharge of neurons within the brain that may result in alteration in consciousness, motor, or sensory ability and or behavior is called- SEIZURE / EPILEPTIC SEIZURE
95. When a client is passive and cannot stand on his/her words is the characteristic of- DEPENDENT PERSONALITY / PASSIVITY
96. The process of enabling a mentally ill person to return to the highest level of function is called- REHABILITATION
97. Inability to experience pleasure in activities that one initially enjoyed is called- ANHEDONIA
98. The seizure that persists for at least 20 minutes or it's repeated so frequently as not to give recovery in between is called- STATUS EPILEPTICUS
99. What stage of epilepsy does patient have experiences such as; feeling of tension insomnia, irritability, headache and ill temper- PRODROMAL STAGE / PRE-ICTAL PHASE
100. The term used to describe an individual's reaction to any change that requires and adjustment or response is- STRESS
ONLINE NURSING SUPPORT-NMCZ
CALL/WATSAP: 0965475875 FOR REVISIONS
