Mental health nursing worksheet with answers

What are the core features of attention-deficit hyperactivity disorder (ADHD)?

1. AInattention, hyperactivity and impulsivity
2. BObsessions, compulsions and repeated checking
3. CDelusions, hallucinations and disorganised speech
4. DLow mood, loss of interest and poor sleep

For which patients is clozapine mainly used?

1. APatients having their very first episode of mild psychosis
2. BPatients with mild anxiety who need a short-term sedative
3. CPatients with schizophrenia that has not responded to two other antipsychotics
4. DOlder patients with dementia who become agitated and restless in the evening

Which of these is a negative symptom of schizophrenia?

1. APersecutory delusions
2. BAvolition (lack of motivation)
3. CHearing voices
4. DDisorganised behaviour

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"Of course, as long as you don't tell the other patients."
2. B"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
3. C"That would be against the rules, so please stop asking about it."
4. D"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."

When should blood be taken to measure a patient's lithium level?

1. AAbout 12 hours after the last dose
2. B1 hour after the last dose
3. CAt any time of day, since it makes no difference
4. DImmediately after the morning dose

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. AOffer the oral medicine first, before considering an injection
2. BPlace him in seclusion and then decide about medicine later
3. CHide the medicine in his drink without telling him
4. DGive an intramuscular injection at once without offering any choice

A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?

1. ARecognise this as countertransference and discuss it in clinical supervision
2. BIgnore the feeling, because feelings do not affect nursing care
3. CTell the patient that he reminds her of her father
4. DAvoid the patient and let other staff do all of his care

After a serious bus accident, the nurse is helping uninjured survivors. Which action reflects psychological first aid?

1. AGive every survivor a benzodiazepine at the scene to prevent long-term psychological problems from developing
2. BAsk each survivor to describe the accident in full detail straight away
3. CProvide safety, comfort and practical help, and connect people with their families and support
4. DTell survivors that they will definitely develop PTSD