Mental health nursing worksheet with answers

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. AAttention-deficit hyperactivity disorder
2. BSchizophrenia
3. CAlzheimer's disease
4. DBorderline personality disorder

In behaviour therapy, what is negative reinforcement?

1. AIgnoring a behaviour so that it slowly disappears over time
2. BPunishing a behaviour with an unpleasant consequence so that it becomes less likely
3. CTaking away something unpleasant after a behaviour, which makes it more likely
4. DAdding a reward after a behaviour so that it happens more often

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

1. AEchopraxia
2. BEcholalia
3. CNeologism
4. DConfabulation

A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?

1. AAsk her to name things she can see, hear and touch in the room right now
2. BAsk her to close her eyes and think back to the worst moment of the trauma
3. CAsk her to describe the traumatic event in as much detail as she can
4. DLeave her alone until the episode has passed on its own

Why are "no-suicide contracts" not recommended as a safety measure?

1. AThey are only for children
2. BThey are too long and complicated for most patients to read, so few patients sign them
3. CThere is no evidence that they prevent suicide, and they can give false reassurance
4. DThey are illegal everywhere

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. AStart the missing patient procedure at once, informing the team and, if required, the police
2. BWait until the next day, because he will probably return on his own
3. CRemove his name from the ward list and give his bed to a new patient who is waiting for admission
4. DDo nothing, because patients are allowed to leave whenever they want

A patient in seclusion appears to be asleep. What should the nurse do?

1. AWake the patient every 5 minutes to ask how they feel and to check their breathing
2. BStop observing because the patient is asleep
3. CLeave the patient until the next shift
4. DContinue observation at the required frequency, checking breathing and wellbeing

An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?

1. AA sign that she needs a higher dose of amitriptyline
2. BSudden-onset Alzheimer's disease
3. CThe combined anticholinergic effects of her medicines
4. DThe normal effects of ageing