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 taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

  1. AThe combination will cause high blood pressure
  2. BThe diazepam will block the pain-relieving effect of oxycodone
  3. CThere is no interaction between these two drugs
  4. DIncreased sedation and respiratory depression
2.Mental health nursingHard

A woman who is being abused by her partner says she will not leave him. What is the most appropriate response?

  1. ARespect her decision, give information about support services and help her make a safety plan
  2. BTell her that if she stays and is hurt again, it will be her own fault because she was warned about the risks
  3. CCall her partner to discuss his behaviour with him
  4. DTell her that she must leave him today or the nurse cannot help her
3.Clinical psychologyMedium

Exposure and response prevention is the main psychological treatment for:

  1. AOCD
  2. BADHD
  3. CInsomnia
  4. DBipolar disorder
4.Clinical psychologyHard

In Seligman's later reformulation of learned helplessness (Abramson, Seligman and Teasdale), depression is most likely when people attribute negative events to causes that are:

  1. AExternal, unstable and specific
  2. BExternal, stable and specific
  3. CInternal, stable and global
  4. DInternal, unstable and specific
5.PharmacologyMedium

Digoxin 0.25 mg is ordered. The tablets available are 0.125 mg. How many tablets should be given?

  1. A1 tablet
  2. B4 tablets
  3. C2 tablets
  4. D0.5 tablet
6.PharmacologyHard

Why is pyridoxine (vitamin B6) often given together with isoniazid for tuberculosis?

  1. ATo prevent peripheral neuropathy
  2. BTo prevent liver damage from isoniazid
  3. CTo increase the absorption of isoniazid
  4. DTo reduce bacterial resistance

3Solutions

1.Mental health nursing

Answer: D · Increased sedation and respiratory depression

Why this is the answer

Combining opioids with benzodiazepines greatly increases the risk of sedation, respiratory depression and death. Patients are monitored and taught to avoid alcohol and other sedatives.

Answer

D · Increased sedation and respiratory depression
2.Mental health nursing

Answer: A · Respect her decision, give information about support services and help her make a safety plan

Why this is the answer

Adults have the right to make their own decisions. Many survivors leave and return several times. The nurse documents carefully, provides resources and a safety plan, and keeps the door open for future help.

Answer

A · Respect her decision, give information about support services and help her make a safety plan
3.Clinical psychology

Answer: A · OCD

Why this is the answer

ERP exposes patients to obsessional triggers while preventing compulsions, so anxiety falls without the ritual.

Answer

A · OCD
4.Clinical psychology

Answer: C · Internal, stable and global

Why this is the answer

The attributional reformulation proposed that a depressive attributional style explains bad events by internal, stable and global causes, which leads to hopelessness.

Answer

C · Internal, stable and global
5.Pharmacology

Answer: C · 2 tablets

Why this is the answer

0.25 mg ÷ 0.125 mg = 2 tablets. Doses that need more than a few tablets or unusual fractions should be double-checked.

Answer

C · 2 tablets
6.Pharmacology

Answer: A · To prevent peripheral neuropathy

Why this is the answer

Isoniazid causes pyridoxine deficiency, which can lead to peripheral neuropathy. The risk is greater in slow acetylators, malnourished patients and people with diabetes or alcohol dependence.

Answer

A · To prevent peripheral neuropathy

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