Mental health nursing worksheet with answers

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. AMind reading
2. BEmotional reasoning
3. CCatastrophising
4. DPersonalisation

In obsessive-compulsive disorder, what is an obsession?

1. AA recurrent, unwanted thought, urge or image that causes anxiety
2. BA repeated action done to reduce anxiety, such as checking a lock
3. CA false belief that is held firmly despite clear evidence that it is untrue
4. DA strong interest in a hobby that the person enjoys very much

Which feature is central to anorexia nervosa?

1. AEating non-food items
2. BNormal concern about healthy eating
3. CRecurrent binge eating without any compensatory behaviour, with marked distress about the binges
4. DRestriction of food intake with an intense fear of gaining weight and a distorted body image

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. AAvoid asking about it, because culture is not relevant to mental health
2. BExplore the experience in her cultural context before calling it a symptom
3. CTell her that her beliefs are not real
4. DRecord it immediately as a command hallucination

The wife of a man with alcohol dependence organises her life around his drinking, hides it from others and neglects her own needs. What does this pattern suggest?

1. ALearned helplessness in the patient
2. BCodependency
3. CEnabling by the healthcare team
4. DDelirium tremens

Which psychological treatment is most effective for obsessive-compulsive disorder?

1. APsychoanalysis focused on early childhood memories
2. BHypnosis to remove the obsessive thoughts permanently in a single session
3. CEncouraging the patient to perform the rituals more often
4. DExposure and response prevention, a form of CBT

A man has odd beliefs about being able to read minds, dresses eccentrically and has few friends because others make him anxious. He has never had sustained hallucinations or delusions. Which diagnosis fits best?

1. ASchizophrenia
2. BAntisocial personality disorder
3. CSchizotypal personality disorder
4. DHistrionic personality disorder with odd dress

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. ALook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
2. BAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
3. CAssume it is normal ageing and take no action
4. DDiagnose late-onset schizophrenia and start an antipsychotic immediately