Mental health nursing worksheet with answers

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

1. ADenial, anger and acceptance
2. BForming, storming and norming
3. CAlarm, resistance and exhaustion
4. DOrientation, working and termination

What are the two core areas affected in autism spectrum disorder?

1. ASocial communication and interaction, and restricted, repetitive behaviours or interests
2. BMood and appetite, which change with the seasons
3. CMemory and orientation to time and place
4. DReading and writing only, with completely normal social skills and play

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AApraxia
2. BAmnesia
3. CAkathisia
4. DAphasia

Why is the nurse's body language important in therapeutic communication?

1. APatients often respond more to non-verbal messages than to the words used
2. BBody language matters only when patients cannot speak the same language
3. CPatients with mental illness cannot understand non-verbal signals
4. DIt is only important during the termination phase

A patient insists that the staff are poisoning his food. What is the best initial approach?

1. AArgue logically until he admits he is wrong
2. BAgree with him so he trusts you
3. CAcknowledge his fear without arguing about the belief and focus on reality-based topics
4. DTell him firmly that he will not be given any food until he stops making the accusation

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. AProvide a quiet, low-stimulation environment and keep staff and patient safe
2. BTry to talk the patient down by discussing his feelings in detail
3. CEncourage him to walk around the ward and join in activities to help burn off the drug
4. DPut him in a busy area so that staff can watch him more easily

A patient says, "I'm such a failure. My wife left me and I lost my job." The nurse answers, "Don't worry, things will get better soon." What is wrong with this response?

1. AIt uses the technique of presenting reality wrongly
2. BIt explores the problem too deeply too early
3. CIt is too direct and confronting
4. DIt is false reassurance that dismisses the patient's feelings

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. ABulimia nervosa
2. BBinge-eating disorder with secret eating
3. CAvoidant/restrictive food intake disorder (ARFID)
4. DAnorexia nervosa