Mental health nursing worksheet with answers

What is transference?

1. AThe nurse's feelings towards the patient
2. BTransferring a patient to another ward
3. CA defence mechanism in which unconscious anxiety is turned into physical symptoms such as paralysis
4. DThe patient unconsciously directs feelings about someone from their past onto the nurse

How does delirium usually differ from dementia?

1. ADelirium starts suddenly and fluctuates; dementia develops gradually over months or years
2. BDelirium develops slowly over years; dementia starts suddenly and fluctuates from hour to hour
3. CDementia always starts suddenly
4. DThey are the same condition

Which feature is central to anorexia nervosa?

1. ANormal concern about healthy eating
2. BRecurrent binge eating without any compensatory behaviour, with marked distress about the binges
3. CEating non-food items
4. DRestriction of food intake with an intense fear of gaining weight and a distorted body image

What should a patient taking chlorpromazine be taught about sun exposure?

1. AAvoid going outside at all, even in winter, for the rest of his life
2. BUse sunscreen and protective clothing, because the skin may burn easily
3. CSunbathe for longer each day to improve mood
4. DSun exposure has no effect while taking this medicine

Which effect is expected and temporary after electroconvulsive therapy (ECT)?

1. ALoss of speech for months
2. BParalysis of the legs
3. CPermanent loss of all long-term memories from before the treatment
4. DShort-term confusion and memory loss around the time of treatment

Which principle applies to the use of physical restraint?

1. AIt can be used for staff convenience on a busy shift, provided that it is documented and reviewed by the team afterwards
2. BIt is a last resort when less restrictive measures have failed, with close monitoring and release as soon as safe
3. CIt does not need to be documented
4. DIt can be used as a punishment for rule-breaking

A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?

1. ANon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
2. BSelf-injury without suicidal intent never needs any assessment
3. CSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
4. DShe should be told that cutting is only attention-seeking behaviour

A depressed patient says, "I don't enjoy anything any more, so there's no point in doing anything." Which intervention best reflects behavioural activation?

1. APlan small, scheduled activities with him and review how he felt afterwards
2. BWait until his mood improves before suggesting activities
3. CTell him that his thoughts are irrational and he should stop thinking that way
4. DEncourage him to rest in bed as much as possible until the medicine works