Mental health nursing worksheet with answers

What are the two core areas affected in autism spectrum disorder?

1. AMemory and orientation to time and place
2. BReading and writing only, with completely normal social skills and play
3. CMood and appetite, which change with the seasons
4. DSocial communication and interaction, and restricted, repetitive behaviours or interests

Which side effects are anticholinergic?

1. ALow blood glucose and weight loss
2. BDiarrhoea, sweating, watery eyes and increased saliva production
3. CDry mouth, constipation, urinary retention and blurred vision
4. DHigh fever and rash

A patient taking a monoamine oxidase inhibitor (MAOI) must avoid which kind of food?

1. AFoods high in tyramine, such as aged cheese and cured meats
2. BFresh vegetables
3. CRice and pasta
4. DFresh milk and plain yoghurt, because of their calcium content

A patient who started a high-dose corticosteroid (prednisolone or prednisone) a week ago is now euphoric, sleeping little and talking very fast. What should the nurse suspect?

1. AAlcohol withdrawal
2. BA normal reaction to feeling better from the treatment
3. CMood changes caused by the corticosteroid
4. DLithium toxicity

A few hours after the first dose of haloperidol, a young man's neck twists to one side and his eyes roll upward. What is this?

1. ATardive dyskinesia
2. BSerotonin syndrome
3. CNeuroleptic malignant syndrome
4. DAcute dystonia

Which US legal case is associated with the duty of mental health professionals to protect people who are threatened by a patient?

1. AMiranda v Arizona
2. BTarasoff v Regents of the University of California
3. CRoe v Wade
4. DBrown v Board of Education

A patient with a known panic disorder says she has chest pain and difficulty breathing. What should the nurse do first?

1. AAsk her to breathe slowly into a paper bag and leave her alone until the panic has passed, as it always does in panic disorder
2. BTell her it is just another panic attack
3. CAssess her physically, including vital signs, and get an ECG according to policy, before assuming it is panic
4. DGive her a lecture on cognitive restructuring

A voluntary patient who has no immediate risk of harm wants to leave the ward against medical advice. What is the correct general approach?

1. AHide the patient's belongings
2. BExplain the risks, inform the team, document the discussion and respect their right to leave according to the law and policy
3. CLock the door to stop the patient leaving
4. DTell the patient that staff will restrain them and bring them back to the ward if they try to leave without the doctor's permission