Mental health nursing worksheet with answers

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

1. ABorderline personality disorder
2. BSchizophrenia
3. CAttention-deficit hyperactivity disorder
4. DAlzheimer's disease

Which statement about confidentiality in mental health nursing is correct?

1. APatient information is kept confidential, with exceptions such as a serious risk of harm to the patient or others
2. BConfidentiality never has any exceptions
3. CInformation can be shared with anyone who asks
4. DOnly physical health information is confidential; mental health information may be shared with relatives on request

What type of drug is methadone, used in the treatment of opioid dependence?

1. AA non-addictive stimulant that reduces opioid craving
2. BA benzodiazepine that reduces anxiety during withdrawal
3. CAn opioid antagonist that blocks all opioid effects
4. DA long-acting full opioid agonist

How does conduct disorder differ from oppositional defiant disorder?

1. AConduct disorder involves only arguing with adults and losing one's temper
2. BOppositional defiant disorder includes serious physical aggression towards animals
3. CConduct disorder involves violating others' rights, such as cruelty, theft or fire setting
4. DThe two disorders are exactly the same and differ only in the age at which they are diagnosed

Which action reflects trauma-informed care?

1. AUsing physical restraint early to prevent any loss of control
2. BExplaining each procedure in advance and offering choices wherever possible
3. CMaking all decisions for the patient so that she does not feel burdened
4. DAsking the patient to repeat the full trauma story to each new staff member

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. ADepression in older adults can look like dementia and is treatable
2. BLow mood after the loss of a partner is always normal grief and never needs any assessment
3. COlder adults cannot be treated for depression
4. DMemory complaints in older adults are always caused by dementia

A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?

1. AAssess him physically, with vital signs and an ECG if indicated
2. BIgnore the complaint until he mentions it again
3. CAgree with the colleague and give him a PRN anxiolytic
4. DTell him to lie down in his room, rest and stop worrying so much about his health

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