Mental health nursing worksheet with answers

What is lanugo, which may be seen in severe anorexia nervosa?

1. AThickening of the skin on the knuckles caused by repeated vomiting
2. BPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
3. CFine, soft hair that grows on the body as it tries to conserve heat
4. DLoss of tooth enamel caused by repeated contact with stomach acid

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AReport the concern according to child protection procedures
2. BConfront the parents and ask them directly whether they hurt the child
3. CInvestigate the family alone at home before reporting
4. DWait until there is clear proof before telling anyone

A patient says, "If I don't get top marks, I'm a complete failure." Which cognitive distortion is this?

1. AAll-or-nothing thinking
2. BMind reading
3. CPersonalisation
4. DCatastrophising

A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?

1. AA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
2. BThe patient is checked every hour during the day only
3. CThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
4. DThe patient can be left alone while asleep

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
2. BThese are signs of an allergic reaction, so she should never take lithium again
3. CThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
4. DThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored

Which US legal case is associated with the duty of mental health professionals to protect people who are threatened by a patient?

1. ARoe v Wade
2. BBrown v Board of Education
3. CMiranda v Arizona
4. DTarasoff v Regents of the University of California

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

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

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AAn extinction burst, which is expected before the behaviour decreases
2. BThat the tantrums are caused by a physical illness
3. CThat the child needs firm punishment for each tantrum instead
4. DThat the plan has failed and should be stopped immediately