Mental health nursing worksheet with answers

A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?

1. AWord salad
2. BThought blocking
3. CClang association
4. DFlight of ideas

Which sequence shows Tuckman's stages of group development?

1. AForming, storming, norming, performing, adjourning
2. BNorming, forming, storming, adjourning, performing
3. CForming, performing, storming, norming, adjourning
4. DStorming, forming, performing, norming, adjourning

A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?

1. A"Tell me what it has been like since she died."
2. B"It sounds very lonely without her."
3. C"Everybody feels that way sometimes. You'll get over it."
4. D"Losing your wife must have been very hard for you."

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

1. AVisual acuity
2. BBlood pressure
3. CSerum lithium level
4. DPeak expiratory flow

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

1. AGive it just before bedtime so that it works overnight
2. BGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
3. CIt causes weight gain, so offer fewer snacks during the day
4. DIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ATell her that her beliefs are not real
2. BAvoid asking about it, because culture is not relevant to mental health
3. CExplore the experience in her cultural context before calling it a symptom
4. DRecord it immediately as a command hallucination

On the fourth day after giving birth, a mother is tearful and moody but is caring for her baby, eating and sleeping when she can. What is the most appropriate nursing response?

1. AAdvise her to stop breastfeeding and let others feed the baby at night so that she can rest and recover
2. BExplain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
3. CTell her that antidepressants must be started at once
4. DArrange an emergency psychiatric admission today

An older woman living with her son looks thin and unkempt. She says her son "looks after the money" and she is often hungry. What should the nurse do?

1. AIgnore it, because family finances are a private matter
2. BTell her that she must move out of her son's home at once and stay with friends until the matter is sorted out
3. CAsk the son in front of her whether he is stealing her money
4. DTalk to her privately, document the findings and raise an adult safeguarding concern