Mental health nursing worksheet with answers

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AHistrionic, dependent and schizoid
2. BAvoidant, dependent and obsessive-compulsive
3. CAntisocial, borderline, histrionic and narcissistic
4. DParanoid, schizoid and schizotypal

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

1. AUndoing
2. BReaction formation
3. CDenial
4. DDisplacement

When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?

1. ATangential thinking
2. BConcrete thinking
3. CFlight of ideas
4. DThought blocking

A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?

1. AAgoraphobia
2. BObsessive-compulsive disorder
3. CSocial anxiety disorder
4. DGeneralised anxiety disorder

Which group of findings suggests serotonin syndrome?

1. AWeight gain and dry mouth
2. BAgitation, sweating, tremor, hyperreflexia and clonus starting within hours of a drug change
3. CLow temperature and slow heart rate
4. DSlowly developing rigidity with low reflexes and high fever over several days after an antipsychotic

A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

1. AThere is no interaction between these two drugs
2. BThe diazepam will block the pain-relieving effect of oxycodone
3. CIncreased sedation and respiratory depression
4. DThe combination will cause high blood pressure

A 10-year-old eats only a few foods and refuses others because he fears choking after a frightening episode. He is losing weight but has no concerns about body shape. Which diagnosis fits best?

1. AAnorexia nervosa
2. BAvoidant/restrictive food intake disorder (ARFID)
3. CBinge-eating disorder with secret eating
4. DBulimia nervosa

A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?

1. ASay nothing, because it is not her responsibility
2. BGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine
3. CReport the concern immediately to the nurse in charge, following policy, to protect patients
4. DWait until the end of the shift, then talk privately with the colleague