Welcome to your 2. 👨👩👧 Family Care, Treatment Adherence & Initial Psychiatric Assessment Arena — 40 Integrated MCQs
1.
A patient has improved during admission but lives alone, has difficulty obtaining medicines and may miss review visits. Which discharge decision is most appropriate?
2.
Which information makes a follow-up plan most useful to a patient leaving hospital?
3.
A patient with a chronic illness is discharged with medicines, rehabilitation advice and a review date. At follow-up, symptoms have improved, but the patient has been unable to perform the advised exercises. Which response best assesses the whole treatment plan?
4.
An admitted patient says they hear a voice when nobody is speaking. Which mental-state domain does this report chiefly concern?
5.
A patient admitted to a psychiatric ward becomes disorientated during the evening. Staff report fluctuating alertness, and the patient has a fever. What is the priority in the initial assessment?
6.
At a routine review, a patient reports worsening function and repeated difficulty obtaining treatment. What is the best next step?
7.
An admitted patient reports hearing a voice telling them to attack a neighbour. Which finding most directly affects the immediate safety plan?
8.
A patient recovering from an acute illness is being discharged. Which assessment is most useful when deciding whether care at home is feasible?
9.
After receiving discharge instructions, a patient and caregiver both say that they understand. Which action best checks whether they can use the information at home?
10.
A patient understands their treatment but cannot afford repeated travel for review. Which factor is chiefly limiting adherence?
11.
A patient regularly collects prescribed medicine but says they take it only when symptoms become noticeable because they doubt its value at other times. Which intervention best addresses the principal barrier?
12.
A patient has stopped a prescribed medicine because an adverse effect is troubling them. What is the most useful first response?
13.
A patient admitted after a period of severe distress says, “My family would be better off without me.” What is the best next question?
14.
After the first psychiatric assessment, some diagnostic details remain uncertain. What is the most appropriate immediate outcome of the assessment?
15.
During an interview, a patient says, “I feel fine,” but speaks softly, moves slowly and appears tearful. Which interpretation is most accurate?
16.
A patient is leaving hospital after psychiatric treatment. The discharge summary states “follow up locally,” but no service or contact route has been identified. What should be done before discharge?
17.
A stable patient attends a local follow-up visit after discharge. They report new treatment difficulties but have no immediate safety concern. What response best supports continuity while avoiding an unnecessary tertiary-care visit?
18.
An admitted patient is able to discuss their care and asks the team not to share diagnostic details with a relative. The relative wants an update so they can help at home. What is the best approach?
19.
A patient wants to take prescribed medicine but misses doses because the pharmacy is difficult to reach. What best describes this problem?
20.
An admitted patient answers questions at length but repeatedly moves to unrelated ideas before reaching a point. Which aspect of the mental-state examination is chiefly being assessed?
21.
A patient recovering from an acute illness can walk short distances but cannot prepare meals or collect medicines. Her daughter offers help but works during the day. What is the best basis for a home-care plan?
22.
An admitted patient is alert, physically stable and gives a coherent account. A trainee proposes a broad panel of investigations without identifying what each would assess. What is the best principle for choosing tests?
23.
A clinician advises a patient to begin a nonpharmacological treatment. Which instruction is most likely to help the patient follow through?
24.
Which finding is part of the mental-state examination rather than the history of how the illness developed?
25.
A patient takes a prescribed psychiatric medicine regularly but is considering stopping it because of a troublesome adverse effect. Which response is most likely to support continued care?
26.
A family caring for a patient with a long-term psychiatric illness asks what information matters most at discharge. Which combination is most useful?
27.
A clinician explains a home-care plan to a patient and caregiver. The caregiver understands it, but the patient appears uncertain and has not spoken. What is the best next step?
28.
A patient awaiting a routine local appointment expresses a current intention to harm themselves. Which response is most appropriate?
29.
A patient with a chronic illness needs continuing care at home. Which feature is most important in the care plan?
30.
A caregiver says they are exhausted from providing continuous support to a relative with chronic illness. Which response best protects the sustainability of home care?
31.
An admitted patient has a recent behavioural change. The clinician reviews symptoms, medicines, substance use, physical health, mental state and immediate risk. What should these findings produce at this stage?
32.
A patient with stable symptoms can receive routine review near home. What is the main purpose of arranging this follow-up?
33.
During an initial assessment, the patient cannot clearly describe when their symptoms began. With appropriate attention to consent and confidentiality, what may help clarify the time course?
34.
A patient agrees that psychological therapy could help but has missed two sessions because their work hours overlap with appointments. What is the best next step?
35.
A patient is admitted after a sudden change in behaviour and appears confused. Which assessment principle is most important?
36.
A relative offers to manage all aspects of a patient's home care. The patient can make decisions about their care. What should the clinician establish first?
37.
A patient has missed several doses of medicine. Which question is most likely to identify the reason without blaming the patient?
38.
A patient has just been admitted for psychiatric assessment. Which issue should be addressed at the outset?
39.
At review, a patient reports taking medicine as agreed, but their daily functioning has deteriorated. What is the best interpretation?
40.
An admitted patient gives a limited account of recent behaviour. With the patient’s agreement, a relative reports several days of reduced sleep and a marked change from usual functioning. How should this information be used?
