Mental health nursing worksheet with answers

A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?

1. ASeeking clarification
2. BOffering self
3. CDefending
4. DReflecting

What is a psychiatric advance directive (advance statement)?

1. AA document in which a person states their treatment wishes for a time when they may lack capacity
2. BA court order that allows a patient to be detained in hospital
3. CA note from the doctor that lists the patient's diagnoses
4. DA contract in which the patient promises the team to take every prescribed medicine for life

Does asking a patient directly about suicidal thoughts increase their risk of suicide?

1. ANo; asking directly is safe and helps to assess risk
2. BYes; it puts the idea into their head
3. CYes; it should only be done by a psychiatrist after a full assessment
4. DIt is only safe in adolescents

Which group of findings suggests neuroleptic malignant syndrome?

1. AHyperreflexia, clonus, diarrhoea, dilated pupils and agitation within hours of a new serotonergic drug
2. BFine tremor and increased thirst
3. CHigh fever, severe "lead-pipe" muscle rigidity, confusion, unstable blood pressure and a raised CK
4. DWeight gain and raised blood glucose

Which nurse statement is most consistent with motivational interviewing?

1. A"You're an alcoholic, and you need to admit it."
2. B"I've decided that you need to stop drinking completely."
3. C"If you don't stop drinking now, you'll die."
4. D"What would be different for you if you drank less?"

Which feature helps distinguish normal grief from major depression?

1. AIn grief, the person feels worthless and hopeless all the time
2. BIn grief, painful feelings come in waves and self-esteem is usually kept
3. CGrief always lasts less than 2 weeks
4. DIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died

A man is found in a city far from home. He cannot remember who he is or how he got there, but his speech and thinking are otherwise normal. Tests show no head injury or intoxication. What is most likely?

1. ADissociative amnesia with dissociative fugue
2. BDelirium
3. CAlzheimer's disease
4. DA manic episode with poor judgement and impulsive travel

A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?

1. AWater intoxication from psychogenic polydipsia
2. BA worsening of his psychosis that needs a higher dose of antipsychotic
3. CDehydration caused by anticholinergic side effects
4. DNeuroleptic malignant syndrome from his antipsychotic medicine