Mental health nursing worksheet with answers

Which sequence shows Tuckman's stages of group development?

1. AStorming, forming, performing, norming, adjourning
2. BNorming, forming, storming, adjourning, performing
3. CForming, storming, norming, performing, adjourning
4. DForming, performing, storming, norming, adjourning

Which early feature is most typical of frontotemporal dementia?

1. AStepwise decline after a series of small strokes
2. BVisual hallucinations of people and animals
3. CChanges in personality and behaviour, such as loss of inhibition
4. DSevere memory loss as the very first symptom, with no change in behaviour

How does delirium usually differ from dementia?

1. AThey are the same condition
2. BDelirium develops slowly over years; dementia starts suddenly and fluctuates from hour to hour
3. CDelirium starts suddenly and fluctuates; dementia develops gradually over months or years
4. DDementia always starts suddenly

Which finding in a patient with anorexia nervosa is most concerning?

1. AConstipation for the past few days
2. BA resting heart rate of 38/min
3. CFeeling cold in a warm room
4. DDry skin and brittle hair

Which group of findings suggests neuroleptic malignant syndrome?

1. AFine tremor and increased thirst
2. BWeight gain and raised blood glucose
3. CHigh fever, severe "lead-pipe" muscle rigidity, confusion, unstable blood pressure and a raised CK
4. DHyperreflexia, clonus, diarrhoea, dilated pupils and agitation within hours of a new serotonergic drug

What is the Abnormal Involuntary Movement Scale (AIMS) used for?

1. ATo assess the risk of a patient becoming violent
2. BTo rate the severity of depression
3. CTo screen for and monitor tardive dyskinesia
4. DTo measure the severity of alcohol withdrawal

A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?

1. ASelf-injury without suicidal intent never needs any assessment
2. BSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
3. CShe should be told that cutting is only attention-seeking behaviour
4. DNon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time

A school nurse is teaching about inhalant use such as sniffing glue or aerosols. Which risk should be stressed?

1. ASudden death from a heart arrhythmia, even on the first use
2. BInhalants cause only a mild headache and nothing else
3. CInhalants are only dangerous if they are mixed with alcohol
4. DThere is no physical risk, because the substances are legal