Mental health nursing worksheet with answers

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. AReaction formation
2. BRegression
3. CIntellectualisation
4. DDisplacement

How is lithium mainly removed from the body?

1. AThrough the skin, in sweat only
2. BThrough the lungs, in the breath
3. CBy the liver, in the bile
4. DBy the kidneys, in the urine

What is transference?

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

What must a patient be told for consent to a new psychotropic medicine to be valid?

1. ANothing at all, because psychiatric patients cannot give consent
2. BOnly the benefits, so that the patient is not frightened by the side effects
3. CThe expected benefits, the main risks and the alternatives, including no treatment
4. DOnly the name of the medicine and the time of day it will be given

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

1. AA controlled response is a common reaction in the acute phase after assault
2. BShe is probably exaggerating the seriousness of what happened, because she does not seem upset
3. CHer calmness shows that the assault did not happen
4. DShe is not distressed and does not need any support

A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?

1. ARaised prolactin
2. BLow thyroid hormone
3. CRaised blood calcium
4. DLow blood sodium

An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?

1. AA neurocognitive disorder such as Alzheimer's disease
2. BBrief psychotic disorder in later life
3. CNormal ageing with mild forgetfulness
4. DDelirium

A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?

1. ARefer him straight to a residential detox programme
2. BHelp him set a quit date for next week
3. COffer non-judgemental information and explore how drinking affects his life
4. DDiscuss detailed strategies to prevent a relapse after he has stopped drinking