Mental health nursing worksheet with answers

Which measure has good evidence for reducing suicide deaths?

1. AAvoiding the topic of suicide completely with people at risk
2. BAsking the patient to sign a no-suicide contract
3. CRestricting access to lethal means, such as firearms or large supplies of medicines
4. DGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AAvoidant, dependent and obsessive-compulsive
2. BHistrionic, dependent and schizoid
3. CParanoid, schizoid and schizotypal
4. DAntisocial, borderline, histrionic and narcissistic

How long does an SSRI usually take to have its full antidepressant effect?

1. AAbout 1 hour after the first dose is taken
2. BAbout 1 day
3. CAbout 1 year
4. DSeveral weeks (often about 4 to 6 weeks or longer)

What does the Mini-Cog screening test for cognitive impairment involve?

1. AA 30-minute brain scan
2. BRecall of three words and a clock-drawing task
3. CMeasuring the level of alcohol in the blood
4. DA questionnaire about mood over the past 2 weeks

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. AWait until the next day, because he will probably return on his own
2. BStart the missing patient procedure at once, informing the team and, if required, the police
3. CRemove his name from the ward list and give his bed to a new patient who is waiting for admission
4. DDo nothing, because patients are allowed to leave whenever they want

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. ASupervise the meal and observe the patient for an agreed period afterwards
2. BAllow the patient to choose to skip meals if she says she feels full or unwell
3. CTalk with the patient at length about calories during the meal
4. DLet the patient eat alone in her room for privacy

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe nurse has made an error and should cancel the discharge
2. BThe patient has developed a new psychotic illness
3. CThe patient no longer needs the sessions and should be discharged at once
4. DThe patient is reacting to the coming end of the relationship

A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?

1. ATell her she will be tube-fed if she does it again
2. BIgnore it, because exercise is always healthy
3. CCalmly follow the agreed care plan on activity and observation, without arguing or punishing
4. DPraise her for being so active and motivated, because it shows she is taking care of her health