Mental health nursing worksheet with answers

For which patients is clozapine mainly used?

1. AOlder patients with dementia who become agitated and restless in the evening
2. BPatients with schizophrenia that has not responded to two other antipsychotics
3. CPatients with mild anxiety who need a short-term sedative
4. DPatients having their very first episode of mild psychosis

What is the main goal of crisis intervention?

1. ATo admit every person in crisis to hospital for several months
2. BTo explore the person's childhood experiences in depth over many years
3. CTo change the person's personality so that crises never happen again
4. DTo help the person return at least to their level of functioning before the crisis

Which early feature is most typical of frontotemporal dementia?

1. AChanges in personality and behaviour, such as loss of inhibition
2. BStepwise decline after a series of small strokes
3. CSevere memory loss as the very first symptom, with no change in behaviour
4. DVisual hallucinations of people and animals

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt shows that the nurse is not listening at all
2. BIt suggests that the patient's choices are judged against the nurse's standards
3. CIt is against the law in mental health settings
4. DIt always makes the patient angry and more likely to become aggressive towards staff

What is the main advantage of a long-acting injectable antipsychotic?

1. AIt has no side effects, unlike the oral forms of the same antipsychotic drugs
2. BIt cures schizophrenia after a fixed course of injections
3. CIt improves adherence because the patient does not need to take daily tablets
4. DIt works faster than any oral antipsychotic in an acute crisis

A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?

1. A"You should find a new job where people like you."
2. B"What evidence do you have that nobody likes you?"
3. C"I'm sure everybody likes you."
4. D"Why do you care what people at work think?"

A patient with schizophrenia refuses his antipsychotic, saying it makes him feel slow. What is the best initial response?

1. ATell him he will be restrained and given an injection if he does not take the tablets by mouth
2. BHide the medication in his food
3. CRecord "refused" and never discuss it again
4. DExplore his reasons and side effects, and inform the team so the treatment can be reviewed

On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?

1. AEvaluating whether a PRN medicine given an hour ago has worked
2. BAccompanying a stable patient to the dining room and recording his food intake
3. CCarrying out the full admission suicide risk assessment of a newly admitted patient
4. DTeaching a patient about the side effects of lithium