Mental health nursing worksheet with answers

What is the difference between suppression and repression?

1. ABoth are signs of psychosis
2. BSuppression is conscious; repression is unconscious
3. CBoth are always conscious
4. DSuppression is unconscious; repression is conscious

An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?

1. APhysical abuse
2. BSelf-neglect by the father
3. CFinancial abuse
4. DSexual abuse

How does naltrexone help people with alcohol dependence?

1. AIt blocks opioid receptors and reduces the craving and pleasure from drinking
2. BIt replaces alcohol in the brain and prevents withdrawal seizures
3. CIt causes vomiting and flushing if the person drinks alcohol
4. DIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk

A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?

1. AChange his daily routine often, to help him get used to change
2. BPut him in a busy bay with lots of noise and activity to keep him stimulated
3. CKeep to his usual routines where possible and prepare him for any changes
4. DAvoid his parents' advice, because staff know best how to care for him

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. AUrine drug screen only
2. BSerum lithium level
3. CThyroid function tests
4. DAn MRI of the knee

An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?

1. AThe normal ageing process
2. BA first episode of schizophrenia caused by moving into the home
3. CAn infection such as a urinary tract infection, or a medicine side effect
4. DA sudden onset of Alzheimer's disease

A patient who is stable on lithium tells the nurse she has started taking ibuprofen every day for back pain. What should the nurse do?

1. AInform the prescriber, because ibuprofen can raise lithium to toxic levels
2. BTell her it is fine, because ibuprofen is sold without a prescription and is safe
3. CTell her to also take a diuretic for the swelling
4. DAdvise her to double her lithium dose

After witnessing a serious accident, a woman suddenly cannot move her legs. Full investigations are normal. Which nursing approach is most appropriate?

1. ATell her that the paralysis is fake and that she should stand up
2. BFocus every conversation on the details of her leg weakness
3. CIgnore her requests for help completely until she agrees to try to walk again on her own
4. DAccept that the symptom is real for her, help with mobility needs and gently explore recent stress