Mental health nursing worksheet with answers

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

1. ARestating
2. BSummarising
3. CVoicing doubt
4. DGiving advice

Asked how she slept, a patient describes her evening meal, a television programme and a phone call from her sister in great detail, and finally says that she slept badly. What is this called?

1. ATangentiality
2. BCircumstantiality
3. CPerseveration
4. DThought blocking

Which sequence describes the cycle of violence often seen in intimate partner abuse?

1. AAcute violence, then permanent separation of the partners
2. BTension-building, then a calm phase that lasts for the rest of the relationship
3. CReconciliation, acute violence, then tension-building with no further violence
4. DTension-building, acute violence, then reconciliation (the "honeymoon" phase)

A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?

1. AGet up quickly to get the blood flowing to the brain
2. BDrink a cup of strong coffee before getting out of bed each morning
3. CSit on the edge of the bed for a moment and then stand up slowly
4. DStop the medicine if the dizziness happens more than once

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"You're thinking about your mother. Tell me about her."
2. B"Please stop asking about her now and finish your lunch before it gets cold."
3. C"Your mother will visit you later this afternoon."
4. D"Your mother died 30 years ago. You know that."

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. ADo nothing, because patients are allowed to leave whenever they want
2. BRemove his name from the ward list and give his bed to a new patient who is waiting for admission
3. CWait until the next day, because he will probably return on his own
4. DStart the missing patient procedure at once, informing the team and, if required, the police

A young man spends hours a day checking his nose in mirrors and has asked for several operations, although others see nothing unusual about it. What is the most likely diagnosis?

1. ADelusional disorder, jealous type
2. BIllness anxiety disorder
3. CBody dysmorphic disorder
4. DAnorexia nervosa

A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?

1. ADelusional disorder
2. BSchizophreniform disorder
3. CBipolar I disorder
4. DSchizophrenia