Mental Health Nursing: cram pack

Formula sheets, the key method steps for every topic and 6 practice problems, with full solutions at the back.

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1Formulas and methods

Mental health nursing

Method

  1. Decide whether there is an immediate risk: suicide, violence, a drug emergency or a physical illness.
  2. Act on safety first: observe, remove means, de-escalate, stop a harmful drug, get help.
  3. Choose the therapeutic response: acknowledge feelings, present reality, avoid false reassurance and “why” questions.
  4. Respect rights: the least restrictive option, consent and confidentiality with its limits.

2Practice problems

1.Mental health nursingMedium

A patient says, "I'll take the pill, the bill, the hill, the still." What is this called?

  1. ANeologism
  2. BEcholalia
  3. CPerseveration
  4. DClang association
2.Mental health nursingHard

In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?

  1. AShe may be showing resistance as painful topics come closer, which the nurse can gently explore
  2. BShe no longer needs any help, so the sessions should end at once
  3. CThe nurse has made a serious mistake and should hand her care to a colleague immediately
  4. DShe is being rude to the nurse on purpose and should be warned
3.Clinical psychologyMedium

Mindfulness-based cognitive therapy (MBCT) has best evidence for:

  1. APreventing relapse in people with recurrent depression
  2. BCuring dementia
  3. CTreating attention problems in young children with ADHD
  4. DTreating acute psychosis
4.Clinical psychologyHard

An interview that follows a fixed set of questions in a fixed order to reach a diagnosis is called:

  1. AA projective test
  2. BAn unstructured interview
  3. CA free association session
  4. DA structured clinical interview
5.PharmacologyMedium

During adult cardiac arrest, how often is IV adrenaline (epinephrine) usually repeated?

  1. AOnce only, at the start
  2. BEvery 3–5 minutes
  3. CEvery 15–20 minutes
  4. DEvery 30 seconds
6.PharmacologyHard

An older patient who has taken omeprazole for many years has muscle cramps, tremor and an irregular heartbeat. Which lab finding is most likely linked to the drug?

  1. AHigh serum sodium
  2. BLow serum magnesium
  3. CLow serum glucose
  4. DHigh serum calcium

3Solutions

1.Mental health nursing

Answer: D · Clang association

Why this is the answer

Clang associations link words by rhyme or sound and are seen in mania and psychosis. Echolalia repeats another person's words; a neologism is a newly invented word.

Answer

D · Clang association
2.Mental health nursing

Answer: A · She may be showing resistance as painful topics come closer, which the nurse can gently explore

Why this is the answer

Resistance, such as avoiding topics or missing sessions, is common in the working phase when anxiety-provoking issues arise. The nurse notes the pattern without blame and explores it with the patient at her pace.

Answer

A · She may be showing resistance as painful topics come closer, which the nurse can gently explore
3.Clinical psychology

Answer: A · Preventing relapse in people with recurrent depression

Why this is the answer

MBCT combines mindfulness practice with cognitive therapy. Trials show it reduces relapse in people with three or more previous depressive episodes.

Answer

A · Preventing relapse in people with recurrent depression
4.Clinical psychology

Answer: D · A structured clinical interview

Why this is the answer

Structured interviews such as the SCID ask standard questions tied to diagnostic criteria, increasing reliability compared with unstructured interviews.

Answer

D · A structured clinical interview
5.Pharmacology

Answer: B · Every 3–5 minutes

Why this is the answer

In adult advanced life support, adrenaline 1 mg IV or IO is repeated every 3–5 minutes during the arrest. High-quality CPR and defibrillation for shockable rhythms remain the priorities.

Answer

B · Every 3–5 minutes
6.Pharmacology

Answer: B · Low serum magnesium

Why this is the answer

Long-term PPI use can cause hypomagnesaemia, which leads to cramps, tremor and arrhythmias. Other long-term risks include fractures, vitamin B12 deficiency and C. difficile infection.

Answer

B · Low serum magnesium

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