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A mother asks how she can promote secure attachment in her infant. According to Ainsworth’s research, which parental behaviour is most associated with secure attachment?
A patient begins seizing in a community mental health drop-in center. Several staff and clients are present, but no one initially helps. What would be the most effective method to promote rapid intervention?
A paediatrician explains to a new parent that consistent emotional availability is especially crucial during a child’s early months. According to Bowlby, at which age range is attachment most critically formed?
A psychiatric ward nurse notices a patient collapse but hesitates, as the area is crowded with senior clinicians. She later states, “I thought it wasn’t serious since no one else reacted.” What concept best describes her reasoning?
Conformity bias
A mother asks why her 8-month-old son seems particularly distressed when she leaves, even when other familiar adults are present. According to Bowlby, what concept best explains this strong preference for the mother?
A 3-year-old doesn’t react to loud noises or being called. Parents note he only responds when touched.Which trait does this represent?
Which of the following fears is least typical of normal development in a 2-year-old child?
A 5-year-old with a difficult temperament has poor emotional regulation. His mother has a history of untreated postnatal depression.What most contributes to his difficulties?
What is the most common age for the emergence of fear of imaginary creatures?
A medical student observing on the psychiatric ward notices that the consultant repeatedly interrupts junior doctors and ignores nursing staff in ward rounds. The atmosphere is tense, and staff appear reluctant to raise concerns.
What key professionalism principle is being undermined?
A 42-year-old teacher begins feeling bored and purposeless. He quits his job and enrols in art school. According to Levinson’s theory, which phase is he likely in?
A psychiatry trainee finds that their supervisor has signed off competencies in the e-portfolio without actually observing them perform the required tasks.
What is the most appropriate action?
A 60-year-old man reflects on his life with satisfaction, despite regrets. He volunteers and reports a sense of peace and purpose. Which Eriksonian stage has he resolved?
A 40-year-old woman reports feeling deeply unfulfilled despite being successful in her career, financially stable, and surrounded by supportive friends and family. She says she’s “stuck,” and wonders if she’s living her true purpose.
Which of Maslow’s levels is this patient most likely striving toward?
A 17-year-old in a youth justice setting has a history of emotional neglect and family incarceration. What is a likely long-term neurobiological impact of chronic early stress?
A 50-year-old woman with generalised anxiety disorder expresses constant worry about losing her home, despite a stable job and regular income. She obsessively checks locks and stockpiles food. Which Maslow need remains psychologically unfulfilled?
In a population study, children with 4 or more ACEs had significantly increased risk of which of the following adult outcomes?
A 29-year-old woman has stable income, housing, and social support. She is focused on building her small business, learning new skills, and engaging in community projects. What Maslow level does this best represent?
A 9-year-old boy frequently lies, skips homework, and shows little empathy. His father says, “He’s on his own a lot. I don’t really check on him—I’ve got my own problems.” What is the most likely parenting style?
A junior doctor believes that older patients are always less likely to benefit from psychotherapy, and so she refers only younger patients for treatment. Her decision is based on a past patient who made little progress and was over 65. What heuristic is influencing her clinical decision-making?
A 35-year-old man with low self-esteem says, “If I fail at this, it means I’m a failure in everything.” What type of cognitive error is he demonstrating?
A 33-year-old man with schizoaffective disorder is assessed using the HCR-20. He has frequent paranoid thoughts but complies with treatment and attends appointments. He lives with supportive family members. Which of the following would be considered a protective factor, though not formally scored in HCR-20?
A 29-year-old woman is detained under the MHA after a violent outburst. She is suspected of having a personality disorder and substance misuse. Which two HCR-20 domains are most immediately relevant for short-term risk management?
A 3-year-old child plays pretend games, uses three-word sentences, and is fully toilet trained during the day. However, he cannot draw a circle and struggles with puzzles. What domain is most likely delayed?
Which of the following fears is least typical of normal development in a 2-year-old child?
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