Mental health nursing worksheet with answers

Which statement about confidentiality in mental health nursing is correct?

1. AConfidentiality never has any exceptions
2. BInformation can be shared with anyone who asks
3. COnly physical health information is confidential; mental health information may be shared with relatives on request
4. DPatient information is kept confidential, with exceptions such as a serious risk of harm to the patient or others

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AOnly after 1 year
2. BOnly after 2 years
3. CWithin 3 days
4. DWithin 3 months

What is tardive dyskinesia?

1. ASudden, painful muscle spasm of the neck, tongue or eyes within hours or days of the first dose
2. BRestlessness and inability to sit still in the first days
3. CInvoluntary movements, often of the mouth, tongue and face, after long-term antipsychotic use
4. DHigh fever with muscle rigidity

A patient uses the word "glimpotrance" and explains that it means the force that controls his thoughts. What is this?

1. AA neologism
2. BA clang association
3. CEcholalia
4. DCircumstantiality

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

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

How should the nurse position herself when talking to an agitated patient?

1. ADirectly face to face, as close as possible, to show confidence
2. BBetween the patient and the wall, so the patient can leave easily
3. CBehind the patient and close to him, so that the patient does not feel threatened by eye contact
4. DAt a safe distance, slightly to the side, with a clear exit available

An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?

1. ALet a parent stay with him in class every day for the rest of the year
2. BSupport a gradual, planned return to school with a consistent goodbye routine
3. CAllow him to stay at home until he wants to go back
4. DTell him that he is being silly and must go

After her house burned down, a woman developed delusions and disorganised speech. Ten days later the symptoms have gone completely and she is back to normal. Which diagnosis best fits?

1. ASchizophrenia
2. BBrief psychotic disorder
3. CSchizophreniform disorder
4. DDelusional disorder