Mental health nursing worksheet with answers

Free printable Mental health nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

Which medicine may be used to treat moderate serotonin syndrome?

  1. ASertraline
  2. BPhenelzine
  3. CTramadol
  4. DCyproheptadine
2.Easy

In a dark room, a patient mistakes a coat hanging on the door for a man standing there. What is this called?

  1. AA hallucination
  2. BAn idea of reference
  3. CA delusion
  4. DAn illusion
3.Easy

A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?

  1. AReflecting
  2. BSeeking clarification
  3. CDefending
  4. DOffering self
4.Medium

What is the CIWA-Ar scale used for?

  1. AScreening for dementia in older adults
  2. BRating the severity of alcohol withdrawal to guide treatment
  3. CMeasuring the depth of sedation in patients on a ventilator in intensive care
  4. DMeasuring the risk of falls in hospital
5.Medium

A patient answers a question about breakfast: "Eggs come from chickens, chickens live on farms, my uncle had a farm, he drove a red tractor…" and never answers. What is this called?

  1. ACircumstantiality
  2. BWord salad
  3. CThought blocking
  4. DTangentiality
6.Medium

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
7.Hard

A patient taking lithium has had vomiting and diarrhoea for 2 days. She now has a coarse tremor and is confused. What should the nurse do first?

  1. AEncourage a low-salt diet
  2. BGive an antidiarrhoeal and continue the lithium as normal, with extra salt in her diet
  3. CGive the next dose with extra water
  4. DHold the next dose and notify the prescriber urgently so a lithium level can be taken
8.Hard

A voluntary patient who has no immediate risk of harm wants to leave the ward against medical advice. What is the correct general approach?

  1. AExplain the risks, inform the team, document the discussion and respect their right to leave according to the law and policy
  2. BTell the patient that staff will restrain them and bring them back to the ward if they try to leave without the doctor's permission
  3. CHide the patient's belongings
  4. DLock the door to stop the patient leaving

Answer key

  1. 1. D · Cyproheptadine
  2. 2. D · An illusion
  3. 3. C · Defending
  4. 4. B · Rating the severity of alcohol withdrawal to guide treatment
  5. 5. D · Tangentiality
  6. 6. D · Keep to his usual routines where possible and prepare him for any changes
  7. 7. D · Hold the next dose and notify the prescriber urgently so a lithium level can be taken
  8. 8. A · Explain the risks, inform the team, document the discussion and respect their right to leave according to the law and policy

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