Mental health nursing worksheet with answers

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

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

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAphasia
2. BAkathisia
3. CApraxia
4. DAmnesia

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ARinging in the ears
2. BA painful erection that does not go away
3. CDarkening of the skin on the hands and face
4. DA dry cough

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

1. AThe combination will cause high blood pressure
2. BThe diazepam will block the pain-relieving effect of oxycodone
3. CIncreased sedation and respiratory depression
4. DThere is no interaction between these two drugs

Which criteria are needed for a diagnosis of intellectual disability?

1. AProblems with reading only, with normal everyday functioning
2. BAn IQ score alone, measured at any time in adult life
3. CMemory loss and confusion that start for the first time after the age of 65
4. DLimits in both intellectual and adaptive functioning, starting in childhood

What is the PHQ-9 used for?

1. AScreening for alcohol problems
2. BScreening for depression and measuring its severity
3. CAssessing the severity of alcohol withdrawal
4. DMonitoring involuntary movements caused by antipsychotics

According to DSM-5, which childhood condition is a requirement for a later diagnosis of antisocial personality disorder?

1. ASeparation anxiety disorder in early childhood
2. BAutism spectrum disorder diagnosed before school age
3. CEvidence of conduct disorder starting before age 15
4. DA diagnosis of ADHD before age 7

A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?

1. AThat the behaviour is part of her disability and needs no assessment
2. BThat she needs an antipsychotic to control her behaviour
3. CA physical cause such as dental pain, an ear infection or constipation
4. DThat she is trying to manipulate the staff