Mental health nursing worksheet with answers

A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?

1. ARationalisation
2. BIdentification
3. CProjection
4. DSuppression

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

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

A patient smiles and laughs while describing the death of her son. How is this affect described?

1. ACongruent
2. BEuthymic
3. CIncongruent
4. DRestricted but appropriate

What is the key difference between factitious disorder and malingering?

1. AMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
2. BIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
3. CThere is no real difference between them, and both terms mean exactly the same thing
4. DIn factitious disorder, the symptoms are not produced on purpose at all

A patient says, "I'm worthless. Nobody cares about me." Which response is most therapeutic?

1. A"That's not true; everyone here cares about you."
2. B"You're feeling that no one cares about you. Tell me more."
3. C"Let's talk about something more cheerful."
4. D"You shouldn't say such things."

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

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

Which intervention is most appropriate for an older patient with delirium?

1. AKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much
2. BUse physical restraints at night to prevent falls
3. CProvide orientation cues, make sure glasses and hearing aids are used, and involve the family
4. DMove the patient to a different room each day

A woman who takes lithium for bipolar disorder tells the nurse she would like to become pregnant. What is the best response?

1. A"Lithium is completely safe in pregnancy, so there is no need to change anything at all."
2. B"You'll need to choose between treating your bipolar disorder and having a baby."
3. C"Stop the lithium today so that it is out of your body before you get pregnant."
4. D"Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."