Mental health nursing worksheet with answers

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAphasia
2. BAmnesia
3. CApraxia
4. DAkathisia

In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?

1. AAltruism
2. BInstillation of hope
3. CUniversality
4. DCatharsis

What is transference?

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

A patient with schizophrenia says, "The voices are telling me I'm evil." Which response is best?

1. A"Let's not talk about the voices for now. Tell me about your family and your plans instead."
2. B"The voices aren't real, so just ignore them."
3. C"I don't hear the voices, but I can see they are upsetting you. What are they saying to you?"
4. D"If you hear voices, you must be very ill."

In the mental status examination, what is assessed under "insight"?

1. AThe speed of the patient's speech
2. BWhether the patient can make safe everyday decisions about money, meals and self-care
3. CThe patient's orientation to time and place
4. DWhether the patient understands that they have a mental health problem and needs help

A patient says, "I'll take the pill, the bill, the hill, the still." What is this called?

1. AEcholalia
2. BNeologism
3. CClang association
4. DPerseveration

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. ATake a double dose at night to make him sleepy
2. BDiscuss with the prescriber whether he can take it in the morning instead
3. CStop the fluoxetine at once and tell the prescriber at his next appointment
4. DDrink a small glass of wine or beer before bed to help him fall asleep

A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?

1. AReport him to the police and his employer for non-adherence to treatment
2. BTell him he must take it for life and refuse to discuss it
3. CDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
4. DAdvise him to stop it suddenly on his own and see what happens over the next month