Mental health nursing worksheet with answers

Which feature is typical of bulimia nervosa?

1. ASevere restriction of food intake without any bingeing or compensatory behaviour
2. BVery low body weight in all cases
3. CRecurrent binge eating followed by compensatory behaviours such as vomiting
4. DNo concern about body shape

Which statement about nicotine replacement therapy is correct?

1. AIt contains tar and carbon monoxide in smaller amounts than cigarettes
2. BIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
3. CIt must never be combined, for example a patch with gum
4. DIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings

Which pattern of decline is typical of vascular dementia?

1. AComplete recovery within a few weeks
2. BVery gradual and steady from the start, without sudden changes
3. CRapid improvement after starting antipsychotic medicine
4. DStepwise, with sudden worsening after each new vascular event

What is assertive community treatment (ACT)?

1. AA short course of assertiveness training for people with mild social anxiety
2. BA self-help group run entirely by former patients, without any professional staff or support at all
3. CIntensive team-based support at home for people with severe mental illness and frequent admissions
4. DCompulsory hospital treatment for people who refuse medicine

Which group of findings suggests neuroleptic malignant syndrome?

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

A patient says, "I'm worthless. Nobody cares about me." Which response is most therapeutic?

1. A"You shouldn't say such things."
2. B"You're feeling that no one cares about you. Tell me more."
3. C"Let's talk about something more cheerful."
4. D"That's not true; everyone here cares about you."

A patient with an anxiety disorder speaks so quickly about her worries that the nurse cannot follow. Which response is most helpful?

1. A"Let me tell you what I think your problem is, and then we can talk."
2. B"Let's slow down and talk about one thing at a time. What worries you most right now?"
3. C"There's really nothing to worry about, so just try to relax."
4. D"You're talking too fast, so we'll have to stop for today."

In the second session of a new therapy group, members argue about rules and one member challenges the leader's authority. How should the leader interpret this?

1. AIt is a normal stage of group development, to be handled openly and calmly
2. BThe leader should avoid all conflict by making every decision alone
3. CThe group has failed and should be ended before anyone is upset
4. DThe member who challenged the leader should be removed