Mental health nursing worksheet with answers

What type of drug is methadone, used in the treatment of opioid dependence?

1. AA long-acting full opioid agonist
2. BAn opioid antagonist that blocks all opioid effects
3. CA benzodiazepine that reduces anxiety during withdrawal
4. DA non-addictive stimulant that reduces opioid craving

What does the principle of the "least restrictive alternative" mean in mental health care?

1. APatients may never be restricted in any way, even when there is a serious risk to themselves or others
2. BAll patients must be admitted to a locked ward
3. CRestraint should be the first measure used
4. DCare should restrict the patient's freedom as little as possible while keeping them and others safe

The nurse says to a withdrawn patient, "I'll sit with you for a while." Which technique is this?

1. AGiving advice
2. BOffering self
3. CPlacing the event in sequence
4. DPresenting reality

A patient with limited English needs a mental health assessment. Who should interpret?

1. AThe nurse, using an online translation app on her phone for the whole assessment
2. BThe patient's 12-year-old son
3. CA trained professional interpreter
4. DAnother patient on the ward who speaks the language

A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?

1. APositive reinforcement
2. BTransference
3. CSplitting by the patient
4. DDiagnostic overshadowing

Which statement about buspirone for anxiety is correct?

1. AIt must be taken with alcohol
2. BIt takes weeks to work and is not useful as an as-needed drug
3. CIt works within minutes during a panic attack, like a benzodiazepine
4. DIt is highly addictive

For the last 3 years a man has had frequent periods of mildly raised mood and periods of low mood. None has been severe enough to count as hypomania or a major depressive episode. Which diagnosis fits best?

1. ACyclothymic disorder
2. BBipolar II disorder
3. CMajor depressive disorder
4. DBipolar I disorder

A patient on olanzapine has gained 8 kg in 3 months and reports thirst and passing urine frequently. What should the nurse do?

1. AStop the olanzapine straight away without telling the prescriber
2. BArrange a blood glucose test and inform the prescriber
3. CAdvise him to drink less water
4. DReassure him that this is unrelated to the drug