Mental health nursing worksheet with answers

What is the main aim of motivational interviewing?

1. ATo confront the person firmly until they admit they have a problem
2. BTo tell the person exactly what they must do to recover
3. CTo help the person explore and resolve their mixed feelings about change
4. DTo frighten the person with the worst possible health consequences of their drinking

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

1. ADenial
2. BReaction formation
3. CDisplacement
4. DUndoing

A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?

1. AAkathisia
2. BEchopraxia
3. CWaxy flexibility
4. DTardive dyskinesia

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. ATreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
2. BGive her a lot of extra attention for the rest of the day
3. CIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
4. DScold her for breaking the ward rules and remove all her privileges

A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?

1. A"The doctor is very experienced, so you should trust her."
2. B"Everyone here knows you well, so don't worry."
3. C"You feel that people here don't really know you?"
4. D"Why do you think the doctor is wrong about you?"

Which information is essential when documenting the use of physical restraint?

1. AThe reason for it, alternatives tried, start and end times, and the observations made
2. BOnly the time the restraint started and the name of the nurse in charge of the shift
3. CThe nurse's personal opinion of the patient's character and attitude
4. DThe full names of the other patients who saw the incident

A patient's mood changes several times a day, usually after conflicts with others. She has chronic feelings of emptiness and a strong fear of being abandoned. Which diagnosis is most likely?

1. ASchizoid personality disorder with low mood
2. BPersistent depressive disorder
3. CBipolar I disorder
4. DBorderline personality disorder

On the third day of refeeding, a patient with severe anorexia nervosa develops swollen ankles, a low phosphate and an irregular pulse. What is most likely?

1. ASerotonin syndrome
2. BRefeeding syndrome
3. CAn allergic reaction to the food
4. DNormal weight gain