Mental health nursing worksheet with answers

A patient who was just diagnosed with cancer says, "The test results must be wrong; I feel fine." Which defence mechanism is this?

1. ASublimation
2. BProjection
3. CDisplacement
4. DDenial

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAphasia
2. BAmnesia
3. CAkathisia
4. DApraxia

For which patients is clozapine mainly used?

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

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. AFrequent criticism, hostility and emotional over-involvement
2. BRegular contact with the care team and other families
3. CEncouraging the patient to take part in activities
4. DCalm, supportive and warm communication

Which measurement should be monitored regularly in a patient taking venlafaxine?

1. AVisual acuity
2. BPeak expiratory flow
3. CSerum lithium level
4. DBlood pressure

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. ADo vigorous exercise in the bedroom until tired enough to fall asleep straight away
2. BStay in bed and watch television or use a phone until sleep finally comes
3. CIf still awake after about 20 minutes, get up, do something calm and return when sleepy
4. DLook at the clock often to check how much sleep is being lost

A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?

1. AThat she is trying to manipulate the staff
2. BThat the behaviour is part of her disability and needs no assessment
3. CA physical cause such as dental pain, an ear infection or constipation
4. DThat she needs an antipsychotic to control her behaviour

A caller says she is a patient's sister and asks how he is doing. The patient has not given consent to share information. What should the nurse do?

1. ATell her that he is on the ward but refuse to say anything else about his care or condition
2. BNeither confirm nor deny that he is there, and offer to pass on a message
3. CGive a full update, because she is a close family member
4. DAsk her to prove she is his sister and then share the details