Mental health nursing worksheet with answers

Which statement about self-disclosure by the nurse is correct?

1. AIt should be used often to build friendship with the patient
2. BIt is never allowed in any situation
3. CIt is helpful when the nurse shares personal problems in detail
4. DIt should be brief, rare and used only to help the patient

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

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

A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?

1. ADependent
2. BSchizoid
3. CHistrionic
4. DAvoidant

A patient answers a question about breakfast: "Eggs come from chickens, chickens live on farms, my uncle had a farm, he drove a red tractor…" and never answers. What is this called?

1. ACircumstantiality
2. BTangentiality
3. CWord salad
4. DThought blocking

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AIn the first weeks after discharge
2. BOnly after one year at home
3. CThere is no change in risk after discharge
4. DOnly while the patient is asleep in hospital

A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?

1. AYoung children often do not yet see death as permanent, so simple, honest words help
2. BThe child should not be told anything about the death until she is older
3. CThe child is in denial and needs psychiatric treatment
4. DThe child does not care about her grandmother and has not been affected by the death

A patient who has taken haloperidol for many years now has repeated lip smacking and tongue movements. Which action is most appropriate?

1. AGive benztropine, because it reliably reverses these movements
2. BIncrease the haloperidol dose, because a higher dose suppresses the abnormal movements of the mouth and tongue
3. CReport the movements, assess them with a scale such as the AIMS and ask for a medication review
4. DReassure the patient that the movements will soon stop on their own

The parent of a 16-year-old taking a stimulant for ADHD says her son's friends keep asking him for his tablets. What should the nurse teach?

1. AGive the friends a smaller dose if they ask, so that they do not have side effects
2. BStore it securely and never share it, because stimulants are controlled drugs
3. CSharing is fine as long as the friends are the same age
4. DStop the medicine so that there is no risk of sharing