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 man who is attracted to a colleague accuses his wife of wanting to have an affair. Which defence mechanism is this?

  1. AProjection
  2. BRegression
  3. CSuppression
  4. DRationalisation
2.Easy

After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?

  1. ASublimation
  2. BProjection
  3. CUndoing
  4. DDenial
3.Easy

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

  1. ASeizures with loss of consciousness during sleep
  2. BSeveral motor tics and at least one vocal tic for over a year, starting before 18
  3. CInvoluntary swearing in almost every sentence as the main and only symptom
  4. DA single motor tic that lasts for 2 weeks in an adult
4.Medium

A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?

  1. AOnly after 7 days without alcohol
  2. BAbout 6–24 hours after the last drink
  3. CAbout 2–3 weeks after the last drink
  4. DWithin 5 minutes of the last drink
5.Medium

Which effect is expected and temporary after electroconvulsive therapy (ECT)?

  1. APermanent loss of all long-term memories from before the treatment
  2. BLoss of speech for months
  3. CShort-term confusion and memory loss around the time of treatment
  4. DParalysis of the legs
6.Medium

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

  1. AAntidepressant discontinuation syndrome
  2. BA relapse of her depression into a severe psychotic depression
  3. CSerotonin syndrome
  4. DNeuroleptic malignant syndrome
7.Hard

An older woman living with her son looks thin and unkempt. She says her son "looks after the money" and she is often hungry. What should the nurse do?

  1. ATell her that she must move out of her son's home at once and stay with friends until the matter is sorted out
  2. BTalk to her privately, document the findings and raise an adult safeguarding concern
  3. CIgnore it, because family finances are a private matter
  4. DAsk the son in front of her whether he is stealing her money
8.Hard

A patient who took a high-dose benzodiazepine daily for a year tells you she stopped it suddenly 2 days ago. What is the main risk?

  1. AWithdrawal seizures
  2. BHair loss
  3. CWeight gain
  4. DHypoglycaemia

Answer key

  1. 1. A · Projection
  2. 2. C · Undoing
  3. 3. B · Several motor tics and at least one vocal tic for over a year, starting before 18
  4. 4. B · About 6–24 hours after the last drink
  5. 5. C · Short-term confusion and memory loss around the time of treatment
  6. 6. A · Antidepressant discontinuation syndrome
  7. 7. B · Talk to her privately, document the findings and raise an adult safeguarding concern
  8. 8. A · Withdrawal seizures

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