Mental health nursing worksheet with answers

What is lanugo, which may be seen in severe anorexia nervosa?

1. AFine, soft hair that grows on the body as it tries to conserve heat
2. BPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
3. CThickening of the skin on the knuckles caused by repeated vomiting
4. DLoss of tooth enamel caused by repeated contact with stomach acid

Which statement about confidentiality in mental health nursing is correct?

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

What is milieu therapy?

1. AA type of medication
2. BTherapy done only one-to-one in a private room, away from the ward community
3. CUsing the whole ward environment and community as part of the treatment
4. DElectroconvulsive therapy

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. AAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
2. BRespond respectfully but firmly, and keep the same expectations as for other patients
3. CTell him that he is not as important as he thinks he is
4. DArrange for only the senior doctor to see him from now on

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

1. AIncreased sedation and respiratory depression
2. BThere is no interaction between these two drugs
3. CThe combination will cause high blood pressure
4. DThe diazepam will block the pain-relieving effect of oxycodone

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

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

Two days after surgery, a 79-year-old woman is quiet and drowsy, stares into space and gives muddled answers that vary through the day. Her daughter says she was sharp before. What is most likely?

1. ADepression after surgery
2. BHypoactive delirium
3. CAdvanced dementia
4. DNormal tiredness after anaesthesia

A patient with an anxiety disorder speaks so quickly about her worries that the nurse cannot follow. Which response is most helpful?

1. A"Let me tell you what I think your problem is, and then we can talk."
2. B"Let's slow down and talk about one thing at a time. What worries you most right now?"
3. C"You're talking too fast, so we'll have to stop for today."
4. D"There's really nothing to worry about, so just try to relax."