Mental health nursing worksheet with answers

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

1. AAntisocial, borderline, histrionic and narcissistic
2. BParanoid, schizoid and schizotypal
3. CHistrionic, dependent and schizoid
4. DAvoidant, dependent and obsessive-compulsive

To which drug class does donepezil belong?

1. ASelective serotonin reuptake inhibitors
2. BCholinesterase inhibitors
3. CDopamine antagonists
4. DBenzodiazepines

What is trichotillomania?

1. AA fear of hair, combs and hairdressers
2. BHair loss caused by lithium treatment
3. CRepeatedly pulling out one's own hair, leading to hair loss
4. DA fungal infection of the scalp that is common in people with OCD

Which treatment is recommended first-line for chronic insomnia in adults?

1. ADrinking alcohol in the evening to fall asleep
2. BStaying in bed for longer each morning
3. CCognitive behavioural therapy for insomnia (CBT-I)
4. DLong-term daily benzodiazepines

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. ADo nothing, because patients are allowed to leave whenever they want
2. BStart the missing patient procedure at once, informing the team and, if required, the police
3. CRemove his name from the ward list and give his bed to a new patient who is waiting for admission
4. DWait until the next day, because he will probably return on his own

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"Your mother died 30 years ago. You know that."
2. B"Please stop asking about her now and finish your lunch before it gets cold."
3. C"Your mother will visit you later this afternoon."
4. D"You're thinking about your mother. Tell me about her."

A patient has had delusions and hallucinations for a year. For most of this time he has also had episodes of major depression, but for at least two weeks at a time his psychotic symptoms continued without any mood symptoms. Which diagnosis best fits this pattern?

1. ADelusional disorder
2. BMajor depression with psychotic features
3. CBrief psychotic disorder
4. DSchizoaffective disorder

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. BStop, try again later or in a different way, and explain each step calmly
3. CGet more staff to hold him so the bath can be finished quickly
4. DSkip bathing for the rest of his stay