Mental health nursing worksheet with answers

Which feature is typical of bulimia nervosa?

1. ANo concern about body shape
2. BVery low body weight in all cases
3. CSevere restriction of food intake without any bingeing or compensatory behaviour
4. DRecurrent binge eating followed by compensatory behaviours such as vomiting

What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
2. BBipolar I involves only depression; bipolar II involves only mania
3. CBipolar II is always more severe than bipolar I
4. DBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults

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

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

In a therapy group, one member talks constantly and interrupts others. What should the group leader do?

1. AAsk the member to leave the group permanently so that others can speak
2. BCriticise the member in front of the whole group so that she learns to stay quiet
3. CAcknowledge the member's contribution and invite others to share their views
4. DLet the member continue, because she has a lot to say

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. AIf still awake after about 20 minutes, get up, do something calm and return when sleepy
2. BLook at the clock often to check how much sleep is being lost
3. CStay in bed and watch television or use a phone until sleep finally comes
4. DDo vigorous exercise in the bedroom until tired enough to fall asleep straight away

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIts anticholinergic effects can cause confusion, urine retention and falls
2. BIt has no effects at all in people over 80, so it will not help her sleep
3. CIt raises blood pressure to dangerous levels in older adults
4. DIt is a strong opioid that causes severe dependence

While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?

1. AIgnore her own reaction, because the nurse's feelings do not matter in patient care
2. BLeave the patient immediately and not return
3. CMatch the patient's level of anxiety to show empathy
4. DRecognise that anxiety spreads between people, and calm herself first

A nurse suspects that a patient is hiding his tablets in his cheek and later spitting them out. What is the best approach?

1. ACheck his mouth after each dose, as policy allows, and explore why he does not want it
2. BCrush all his tablets into his food without telling him
3. CStop giving him his medicine at all, because he is not taking it anyway, and record that he refused
4. DAccuse him in front of other patients so that he is embarrassed and stops