Mental health nursing worksheet with answers

In behaviour therapy, what is positive reinforcement?

1. AAdding a reward after a behaviour so that the behaviour becomes more likely
2. BRemoving a reward so that a behaviour becomes less likely
3. CAdding an unpleasant consequence so that a behaviour stops
4. DIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff

What is transference?

1. AA defence mechanism in which unconscious anxiety is turned into physical symptoms such as paralysis
2. BTransferring a patient to another ward
3. CThe nurse's feelings towards the patient
4. DThe patient unconsciously directs feelings about someone from their past onto the nurse

A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?

1. AAgnosia
2. BAtaxia
3. CApraxia
4. DAphasia

Which feature helps distinguish normal grief from major depression?

1. AIn grief, painful feelings come in waves and self-esteem is usually kept
2. BIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died
3. CIn grief, the person feels worthless and hopeless all the time
4. DGrief always lasts less than 2 weeks

Which nurse statement is most consistent with motivational interviewing?

1. A"You're an alcoholic, and you need to admit it."
2. B"If you don't stop drinking now, you'll die."
3. C"I've decided that you need to stop drinking completely."
4. D"What would be different for you if you drank less?"

How does obsessive-compulsive personality disorder differ from obsessive-compulsive disorder?

1. AIt is a lasting pattern of perfectionism and control without true obsessions and compulsions
2. BIt always involves repeated hand washing and checking rituals
3. CIt starts suddenly in later life after a stressful event and goes away on its own within a few months
4. DPeople with it always feel that their behaviour is senseless and unwanted

A man is found in a city far from home. He cannot remember who he is or how he got there, but his speech and thinking are otherwise normal. Tests show no head injury or intoxication. What is most likely?

1. ADissociative amnesia with dissociative fugue
2. BDelirium
3. CA manic episode with poor judgement and impulsive travel
4. DAlzheimer's disease

An older patient receiving haloperidol for agitation has an episode of fainting and palpitations. Which test does the nurse expect to be ordered first?

1. AA liver function test
2. BA white blood cell count with differential
3. CA serum lithium level
4. DAn ECG to look for a prolonged QT interval