Mental health nursing worksheet with answers

Which feature is typical of Korsakoff syndrome?

1. APinpoint pupils and slow breathing
2. BFever, rigidity and a high creatine kinase
3. CSevere memory loss with confabulation
4. DA flapping tremor of the hands caused by liver failure

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. ALabile
2. BBlunted
3. CCongruent
4. DFlat

A patient is having a panic attack. What should the nurse do?

1. AStay with the patient, speak calmly in short, simple sentences and provide a quiet space
2. BEncourage the patient to join a busy group activity
3. CLeave the patient alone to calm down
4. DExplain in detail how panic disorder develops so that the patient understands the attack

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

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

Why are "no-suicide contracts" not recommended as a safety measure?

1. AThey are too long and complicated for most patients to read, so few patients sign them
2. BThey are only for children
3. CThere is no evidence that they prevent suicide, and they can give false reassurance
4. DThey are illegal everywhere

What is the main advantage of a long-acting injectable antipsychotic?

1. AIt improves adherence because the patient does not need to take daily tablets
2. BIt works faster than any oral antipsychotic in an acute crisis
3. CIt has no side effects, unlike the oral forms of the same antipsychotic drugs
4. DIt cures schizophrenia after a fixed course of injections

A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?

1. ATell her that religion has no place in hospital care
2. BRespect the request, join in if comfortable, and offer to call the chaplain
3. CTry to persuade her to adopt the nurse's own beliefs
4. DIgnore the request politely and change the subject to the procedure itself

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AReport the finding, review his eating pattern and suggest giving the medicine after breakfast
2. BAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
3. CIgnore it, because weight changes in children are always normal
4. DStop the medicine immediately without telling the prescriber