Mental health nursing worksheet with answers

Free printable Mental health nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

  1. AEchopraxia
  2. BNeologism
  3. CEcholalia
  4. DConfabulation
2.Easy

Which finding is typical of a manic episode?

  1. AA decreased need for sleep with high energy
  2. BSlowed speech and movement
  3. CFeelings of worthlessness
  4. DSleeping 14 hours a day
3.Easy

What does the principle of the "least restrictive alternative" mean in mental health care?

  1. APatients may never be restricted in any way, even when there is a serious risk to themselves or others
  2. BRestraint should be the first measure used
  3. CCare should restrict the patient's freedom as little as possible while keeping them and others safe
  4. DAll patients must be admitted to a locked ward
4.Medium

Which postpartum presentation is a psychiatric emergency?

  1. ATearfulness and mood swings on the third day after birth
  2. BConfusion, hallucinations and rapidly changing mood a few days after birth
  3. CFeeling tearful at times but enjoying the baby and sleeping well when she can
  4. DTiredness and worry about feeding the baby in the first week
5.Medium

A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?

  1. AErotomanic
  2. BNihilistic
  3. CGrandiose
  4. DSomatic
6.Medium

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

  1. AIt raises blood pressure to dangerous levels in older adults
  2. BIt has no effects at all in people over 80, so it will not help her sleep
  3. CIt is a strong opioid that causes severe dependence
  4. DIts anticholinergic effects can cause confusion, urine retention and falls
7.Hard

A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?

  1. ASchizophrenia
  2. BBipolar I disorder
  3. CDelusional disorder
  4. DSchizophreniform disorder
8.Hard

Which patient should the nurse see first?

  1. AA patient on lithium with a fine hand tremor
  2. BAn anxious patient who wants to discuss discharge plans before the morning ward round
  3. CA newly admitted patient who says voices are telling him to jump out of the window
  4. DA depressed patient who asks for help getting to sleep

Answer key

  1. 1. C · Echolalia
  2. 2. A · A decreased need for sleep with high energy
  3. 3. C · Care should restrict the patient's freedom as little as possible while keeping them and others safe
  4. 4. B · Confusion, hallucinations and rapidly changing mood a few days after birth
  5. 5. C · Grandiose
  6. 6. D · Its anticholinergic effects can cause confusion, urine retention and falls
  7. 7. C · Delusional disorder
  8. 8. C · A newly admitted patient who says voices are telling him to jump out of the window

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