Mental health nursing worksheet with answers

A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?

1. AAkathisia
2. BWaxy flexibility
3. CTardive dyskinesia
4. DEchopraxia

What is the difference between suppression and repression?

1. ABoth are signs of psychosis
2. BSuppression is unconscious; repression is conscious
3. CBoth are always conscious
4. DSuppression is conscious; repression is unconscious

In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?

1. A2 years
2. B6 weeks
3. C2 months
4. D2 weeks

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

Which principle applies to the use of physical restraint?

1. AIt does not need to be documented
2. BIt can be used for staff convenience on a busy shift, provided that it is documented and reviewed by the team afterwards
3. CIt is a last resort when less restrictive measures have failed, with close monitoring and release as soon as safe
4. DIt can be used as a punishment for rule-breaking

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

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

A patient taking valproate has severe abdominal pain spreading to her back, with nausea and vomiting. What should the nurse suspect?

1. ALithium toxicity
2. BPancreatitis
3. CSimple indigestion
4. DSerotonin syndrome

On the third day of refeeding, a patient with severe anorexia nervosa develops swollen ankles, a low phosphate and an irregular pulse. What is most likely?

1. ANormal weight gain
2. BSerotonin syndrome
3. CAn allergic reaction to the food
4. DRefeeding syndrome