Mental health nursing worksheet with answers

What is agoraphobia?

1. AFear of being judged or embarrassed while speaking or eating in front of others
2. BFear of one specific object or animal, such as spiders, dogs or snakes
3. CFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
4. DFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance

In a mental status examination, what does assessing orientation check?

1. AWhether the patient knows the time, the place and who they are
2. BWhether the patient understands that they are ill and needs treatment for it
3. CWhether the patient can interpret proverbs and explain their meaning
4. DWhether the patient's mood matches the facial expression and tone of voice

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

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

Which side effects should the nurse monitor for in a patient starting donepezil?

1. ANausea, diarrhoea and a slow heart rate
2. BTremor, thirst and passing large amounts of urine
3. CDry mouth, constipation and urinary retention
4. DWeight gain and high blood glucose

Which item is part of a safety plan for a person experiencing domestic violence?

1. AKeeping all important documents in the shared house
2. BTelling the abuser about plans to leave so that he can prepare
3. CKeeping an emergency bag with documents, money and keys somewhere safe
4. DAvoiding contact with friends and support services so as not to provoke him

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. ASerotonin syndrome
2. BLithium toxicity
3. CHypertensive crisis from tyramine
4. DAgranulocytosis

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. AStop the fluoxetine at once and tell the prescriber at his next appointment
2. BTake a double dose at night to make him sleepy
3. CDiscuss with the prescriber whether he can take it in the morning instead
4. DDrink a small glass of wine or beer before bed to help him fall asleep

A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?

1. ASkip bathing for the rest of his stay
2. BAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative
3. CGet more staff to hold him so the bath can be finished quickly
4. DStop, try again later or in a different way, and explain each step calmly