Mental health nursing worksheet with answers

In behaviour therapy, what is negative reinforcement?

1. AAdding a reward after a behaviour so that it happens more often
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. DIgnoring a behaviour so that it slowly disappears over time

What is transference?

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

Which sequence shows Tuckman's stages of group development?

1. AForming, storming, norming, performing, adjourning
2. BNorming, forming, storming, adjourning, performing
3. CForming, performing, storming, norming, adjourning
4. DStorming, forming, performing, norming, adjourning

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

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

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

1. A"If you speak to me like that, I'm leaving."
2. B"You shouldn't talk to people like that."
3. C"That's not true. I've helped you all day."
4. D"You sound very angry. Tell me what has happened."

Which side effect of clozapine can be life-threatening and is often overlooked?

1. AMild weight gain
2. BSevere constipation leading to bowel obstruction
3. CDrowsiness
4. DIncreased saliva

A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?

1. ASchizophrenia
2. BBipolar I disorder
3. CDelusional disorder
4. DSchizophreniform disorder

A patient in acute mania has slept for 2 hours in 3 nights, is losing weight and is pacing constantly. Which nursing concern is the priority?

1. ALow self-esteem
2. BDisturbed relationships with her family
3. CLack of knowledge about the illness
4. DRisk of physical exhaustion and injury