Mental health nursing worksheet with answers

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

1. AInattention, hyperactivity and impulsivity
2. BLow mood, loss of interest and poor sleep
3. CObsessions, compulsions and repeated checking
4. DDelusions, hallucinations and disorganised speech

Which personality disorders belong to Cluster A, the "odd or eccentric" cluster?

1. AAntisocial, borderline, histrionic and narcissistic
2. BBorderline, avoidant and paranoid
3. CAvoidant, dependent and obsessive-compulsive
4. DParanoid, schizoid and schizotypal

Which sequence shows Tuckman's stages of group development?

1. AForming, performing, storming, norming, adjourning
2. BStorming, forming, performing, norming, adjourning
3. CForming, storming, norming, performing, adjourning
4. DNorming, forming, storming, adjourning, performing

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AChange the rules for this patient to avoid conflict
2. BLet each nurse decide on the day whether to apply the rules
3. CGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
4. DState the rule and the consequence clearly, and make sure all staff apply it consistently

In DSM-5-TR, prolonged grief disorder in adults requires that at least how long has passed since the death?

1. A2 weeks
2. B6 weeks
3. C12 months
4. D3 years

How does memantine work in Alzheimer's disease?

1. AIt blocks dopamine D₂ receptors
2. BIt increases serotonin by blocking its reuptake
3. CIt inhibits the breakdown of acetylcholine
4. DIt blocks NMDA glutamate receptors

A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?

1. AReport the concerns through child protection procedures and ensure the child's safety
2. BDischarge the child quickly so that the parents do not become angry and stop bringing him for medical care
3. CTell the parents that the nurse knows they are abusing the child
4. DAccept the parents' explanation, because babies often fall

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AHaloperidol does not work in older patients at all
2. BThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
3. CHaloperidol will make his hallucinations more frequent
4. DThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics