Mental health nursing worksheet with answers

What is "sundowning" in a person with dementia?

1. AImproved memory and calmness as darkness falls each evening
2. BIncreased confusion and agitation in the late afternoon and evening
3. CSleeping all day and staying awake all night from the start of the illness
4. DSensitivity of the skin to sunlight caused by dementia medicines

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. AEmotional reasoning
2. BAll-or-nothing thinking
3. CCatastrophising
4. DPersonalisation

What is separation anxiety disorder in a child?

1. AExcessive, developmentally inappropriate fear of being apart from attachment figures
2. BA lack of interest in parents and other close carers, with no distress when they leave
3. CFear of social situations in which other children may laugh at them
4. DNormal crying when a baby meets a stranger for the first time

What should a patient taking disulfiram be taught?

1. ASmall amounts of beer are safe
2. BIt works only if alcohol is drunk with it, so a small amount of wine is needed daily
3. CAvoid all alcohol, including hidden sources such as some mouthwashes and sauces
4. DIt cures alcohol dependence after one dose

Which side effects are most common with quetiapine?

1. AInsomnia and severe weight loss
2. BHigh prolactin with breast enlargement in almost every patient
3. CSedation, dizziness when standing and weight gain
4. DA cough and swollen ankles

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

1. AAvoid all fluids so that there is less need to find a toilet
2. BExercise as hard as possible in the heat to burn off the extra weight
3. CDrink enough fluids and avoid overheating, because the medicine can affect temperature control
4. DStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction

For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?

1. ASpecific phobia
2. BAcute stress disorder after a recent trauma
3. CGeneralised anxiety disorder
4. DPanic disorder

A child has been admitted several times with unexplained fevers that only happen when her mother is present. Staff see the mother tampering with the child's IV line. What is the priority action?

1. ADiscuss the matter with the mother alone and ask her to stop
2. BDocument the event carefully in the notes and wait to see whether it happens again before telling anyone else
3. CEnsure the child's safety and follow child protection procedures
4. DDischarge the child home with the mother as soon as possible