Mental health nursing worksheet with answers

According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?

1. APre-interaction phase
2. BOrientation phase
3. CWorking phase
4. DTermination phase

What is Russell's sign, seen in some patients with eating disorders?

1. ACalluses or scars on the back of the hand from inducing vomiting
2. BSwelling of the ankles and feet during the first days of refeeding in hospital
3. CFine, downy hair growing on the face and back
4. DYellowing of the skin from eating a lot of carrots

A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?

1. AChanging the subject
2. BSummarising
3. CRestating
4. DFocusing

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

1. ABlood pressure
2. BPeak expiratory flow
3. CSerum lithium level
4. DVisual acuity

A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?

1. ACalmly say that the comments are not acceptable and redirect him
2. BAvoid the patient for the rest of the shift
3. CLaugh at the comments so he does not feel rejected
4. DRespond with similar comments to build rapport

How should a nurse screen a patient for intimate partner violence?

1. AOnly ask patients who have visible injuries
2. BAsk in private, without the partner or family present
3. CAsk in front of the partner to see how he reacts
4. DAsk the partner instead of the patient

During a session, a patient says he intends to seriously harm a named neighbour. What is the correct general principle?

1. AConfidentiality means nothing can be shared
2. BThe threat should be ignored because patients often say things they don't mean
3. CThe risk to an identifiable person must be shared with the team and may need to be disclosed to protect that person, following the law and policy
4. DThe nurse should personally go and warn the neighbour without telling the team

A 20-year-old recovering from a first episode of psychosis smokes cannabis every day. What should the nurse include in teaching?

1. ACannabis has no effect on mental health
2. BCannabis use increases the risk of psychotic symptoms returning
3. CCannabis protects against psychosis and can replace his medicine
4. DSmoking more cannabis will help him sleep and prevent relapse