Mental health nursing worksheet with answers

Which feature is typical of Korsakoff syndrome?

1. AA flapping tremor of the hands caused by liver failure
2. BSevere memory loss with confabulation
3. CFever, rigidity and a high creatine kinase
4. DPinpoint pupils and slow breathing

Which statement about confidentiality in mental health nursing is correct?

1. APatient information is kept confidential, with exceptions such as a serious risk of harm to the patient or others
2. BConfidentiality never has any exceptions
3. CInformation can be shared with anyone who asks
4. DOnly physical health information is confidential; mental health information may be shared with relatives on request

What is the CAGE questionnaire used for?

1. AAssessing cognitive function in older adults
2. BMeasuring the severity of opioid withdrawal
3. CScreening for problem drinking
4. DRating the severity of a patient's depression

A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?

1. AAvoid his parents' advice, because staff know best how to care for him
2. BPut him in a busy bay with lots of noise and activity to keep him stimulated
3. CChange his daily routine often, to help him get used to change
4. DKeep to his usual routines where possible and prepare him for any changes

Which monitoring is important for a patient starting valproate?

1. AHearing tests
2. BLung function and regular chest X-rays, because of the risk of pulmonary fibrosis
3. CLiver function and signs of pancreatitis, and counselling about pregnancy risks
4. DEye pressure only

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AGive her a lot of extra attention for the rest of the day
2. BIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
3. CTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
4. DScold her for breaking the ward rules and remove all her privileges

A patient taking an MAOI returns from a party with a severe headache at the back of the head, a stiff neck and palpitations. What should the nurse do first?

1. AAdvise her to lie down and sleep it off
2. BGive a cup of strong coffee for the headache
3. CCheck the blood pressure and notify the prescriber urgently
4. DGive her next MAOI dose early

A woman with PTSD after a sexual assault by a man becomes distressed when a male nurse is assigned to her. What is the most appropriate response?

1. ALeave her without a named nurse until she calms down
2. BInsist that she accept the male nurse, as all staff are professional
3. CAssign a female nurse where possible and explain her care plan to her
4. DTell her that she must learn to face her fears