Mental health nursing worksheet with answers

According to crisis theory, how long does an acute crisis usually last before it resolves in some way?

1. AAbout 2–3 hours
2. BAbout 5 years
3. CAbout 4–6 weeks
4. DAbout 1 year

After being criticised by her manager, a woman goes home and shouts at her children. Which defence mechanism is this?

1. AReaction formation
2. BDenial
3. CUndoing
4. DDisplacement

Which nurse response is an example of giving advice, a non-therapeutic technique?

1. A"If I were you, I would leave him."
2. B"What options have you thought about?"
3. C"How do you feel about leaving him?"
4. D"Tell me more about your relationship."

How does memantine work in Alzheimer's disease?

1. AIt blocks NMDA glutamate receptors
2. BIt increases serotonin by blocking its reuptake
3. CIt inhibits the breakdown of acetylcholine
4. DIt blocks dopamine D₂ receptors

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt is given as a daily tablet that contains tiny magnetic particles
2. BIt involves surgically implanting electrodes deep in the brain under anaesthetic
3. CIt needs a general anaesthetic and causes a seizure, like ECT
4. DIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure

An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?

1. AIntegrity versus despair
2. BGenerativity versus stagnation
3. CIdentity versus role confusion
4. DIntimacy versus isolation

A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?

1. AHe should be told that his behaviour is unacceptable and that visits will be stopped
2. BHe does not care about his wife's death and is using it as an excuse to be rude
3. CHe has antisocial personality disorder that was not noticed before
4. DHis anger may be part of grief, displaced onto staff, so she should not take it personally

A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?

1. AAgree a simple daily routine with small, achievable activities and give positive feedback
2. BTell him firmly that he will lose his ward privileges unless he gets up and showers at once
3. CWait until he asks to join activities before involving him
4. DLet him stay in bed, because negative symptoms cannot change