Mental health nursing worksheet with answers

Which question is open-ended?

1. A"What has been on your mind today?"
2. B"Are you feeling sad today?"
3. C"Did you sleep well last night?"
4. D"Have you taken your medicine yet?"

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. ATermination phase
2. BWorking phase
3. COrientation phase
4. DPre-interaction phase

Which advice is part of good sleep hygiene?

1. AGet up at the same time each day and avoid caffeine later in the day
2. BHave a large meal and a strong coffee just before going to bed
3. CTake long naps in the afternoon to make up for any lost sleep at night
4. DUse a phone or tablet in bed until you feel tired enough to sleep

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

1. A"That's not true. I've helped you all day."
2. B"You sound very angry. Tell me what has happened."
3. C"If you speak to me like that, I'm leaving."
4. D"You shouldn't talk to people like that."

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I'll avoid aged cheese and cured meats."
2. B"I'll tell any new doctor or dentist that I take an MAOI."
3. C"I can take any cold and flu remedy from the pharmacy."
4. D"A sudden severe headache is a reason to get help straight away."

A patient on lamotrigine for bipolar disorder develops a new rash. What should the nurse do?

1. AIgnore it, because rashes are always harmless
2. BDouble the dose
3. CReport it promptly, because it may be the start of a serious skin reaction
4. DApply a moisturiser, and continue the drug as normal because rashes are common

A patient with depression answers every question with one or two words and looks at the floor. Which approach is most helpful?

1. AEncourage him to cheer up and think about the good things in his life
2. BEnd the conversation quickly, because the patient clearly does not want to talk
3. CAsk several open questions in quick succession to keep the conversation going
4. DUse simple statements, allow extra time for answers and stay with the patient even in silence

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. AMajor depressive disorder
2. BBipolar I disorder
3. CBipolar II disorder
4. DCyclothymic disorder