Mental health nursing worksheet with answers

Which drug class is the main treatment for alcohol withdrawal?

1. AOpioids
2. BBenzodiazepines
3. CSSRIs
4. DAntipsychotics as first-line treatment

Which feature is typical of bulimia nervosa?

1. AVery low body weight in all cases
2. BRecurrent binge eating followed by compensatory behaviours such as vomiting
3. CSevere restriction of food intake without any bingeing or compensatory behaviour
4. DNo concern about body shape

Which measure has good evidence for reducing suicide deaths?

1. AAsking the patient to sign a no-suicide contract
2. BRestricting access to lethal means, such as firearms or large supplies of medicines
3. CAvoiding the topic of suicide completely with people at risk
4. DGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment

Which signs are typical of opioid withdrawal?

1. APinpoint pupils and slow breathing
2. BDeep sleep and constipation
3. CYawning, a runny nose, dilated pupils, goosebumps and diarrhoea
4. DHigh fever, lead-pipe rigidity and confusion within a day of the last dose

Which setting is best for an initial assessment interview with a new patient?

1. AA quiet, private room with chairs at the same level and easy access to the door
2. BThe corridor, so that the interview can be done quickly
3. CThe busy day room, so that the patient feels part of the ward
4. DA small office with the nurse sitting behind a high desk between herself and the door

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. ARegular contact with the care team and other families
2. BFrequent criticism, hostility and emotional over-involvement
3. CEncouraging the patient to take part in activities
4. DCalm, supportive and warm communication

A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?

1. AAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative
2. BGet more staff to hold him so the bath can be finished quickly
3. CStop, try again later or in a different way, and explain each step calmly
4. DSkip bathing for the rest of his stay

A patient taking venlafaxine has started a second serotonergic medicine. She is restless, sweating, has a fast pulse and twitching muscles. What should the nurse do first?

1. AGive the next dose of venlafaxine as planned
2. BHold the serotonergic medicines and inform the prescriber urgently
3. CEncourage her to walk or exercise in the garden to relieve the restlessness and muscle twitching
4. DGive paracetamol (acetaminophen) and check her again tomorrow