Part 2 book “Revision MCQs and EMIs for the MRCPsych - Practice questions and mock exams for the written papers” has contents: Approaches to treatment, clinical specialities, mental health service provision, legal and ethical aspects of psychiatry. | 254 Care of the dying and bereaved ANSWERS 1. c This is the strong opioid of choice in the UK. Figure on page 877 of the accompanying textbook depicts the WHO analgesic ladder. Reference: Psychiatry: An evidence-based text, p. 877. Reference: Psychiatry: An evidence-based text, p. 881. 9. (i) (ii) (iii) (iv) 2. (i) (ii) (iii) (iv) (iii) a (iv) b a b d c g b e f Reference: Psychiatry: An evidence-based text, p. 882. Reference: Psychiatry: An evidence-based text, p. 877. 3. b Constipation is a likely side-effect under these circumstances. It should be pre-empted and laxatives prescribed. Reference: Psychiatry: An evidence-based text, pp. 877–878. 4. e Very few such patients become addicted. Reference: Psychiatry: An evidence-based text, pp. 878–891. 5. 10. e The suicide risk of widows and widowers is increased, particularly in the first week after bereavement, but falls in the first month. Reference: Psychiatry: An evidence-based text, pp. 881–885. 11. (i) (ii) (iii) (iv) a b a c Reference: Psychiatry: An evidence-based text, pp. 882–883. (i) c – The third phase is that of adaptation. (ii) a (iii) b – The patient may exhibit anxiety, depression and poor concentration. (iv) a Reference: Psychiatry: An evidence-based text, p. 880. 12. (i) (ii) (iii) (iv) b a a a Reference: Psychiatry: An evidence-based text, pp. 883–884. 6. (i) b – The patient may express feelings of resentment and frustration may be directed in all directions, towards family and friends, healthcare professionals, or even to God. (ii) d – It may be the loss of health and independence or the loss of role in society and among peers and family. (iii) c (iv) d Reference: Psychiatry: An evidence-based text, p. 880. 7. (i) (ii) (iii) (iv) a – An alternative is haloperidol. c d c Reference: Psychiatry: An evidence-based text, p. 881. 8. (i) c (ii) d 13. (i) d (ii) h – These tasks are as follows: to accept the reality of the loss; to work through the pain of grief; to adjust to an .
