Mental health nursing worksheet with answers

What is malingering?

1. AProducing symptoms on purpose to take on the role of a sick person, without any external gain
2. BExcessive worry about having a serious illness despite repeated normal results and reassurance from doctors
3. CIntentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
4. DPhysical symptoms caused by stress that the person does not produce on purpose

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

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

A patient smiles and laughs while describing the death of her son. How is this affect described?

1. AIncongruent
2. BCongruent
3. CRestricted but appropriate
4. DEuthymic

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 name of the medicine and the time of day it will be given
3. CThe expected benefits, the main risks and the alternatives, including no treatment
4. DOnly the benefits, so that the patient is not frightened by the side effects

Which nurse statement is most consistent with motivational interviewing?

1. A"If you don't stop drinking now, you'll die."
2. B"You're an alcoholic, and you need to admit it."
3. C"What would be different for you if you drank less?"
4. D"I've decided that you need to stop drinking completely."

An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?

1. AAn infection such as a urinary tract infection, or a medicine side effect
2. BA first episode of schizophrenia caused by moving into the home
3. CA sudden onset of Alzheimer's disease
4. DThe normal ageing process

A patient with capacity has signed consent for a course of ECT. After two sessions, she says she wants to stop. What is correct?

1. AShe can only stop if her family agrees
2. BHer signed consent becomes binding after the first session, so the agreed course must now be completed
3. CShe must complete the course once she has signed
4. DShe can withdraw her consent at any time, and her decision must be respected and reported to the team

A patient is pacing, has clenched fists and is shouting at staff. What is the most appropriate first approach?

1. ATurn your back and ignore the behaviour
2. BRestrain the patient immediately
3. CStand close to the patient and raise your voice so that you clearly take control of the situation
4. DUse calm verbal de-escalation, keep a safe distance and make sure both of you have an exit