Mental health nursing worksheet with answers

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

1. AAll-or-nothing thinking
2. BPersonalisation
3. CCatastrophising
4. DEmotional reasoning

Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?

1. AExcessive hunger
2. BSevere constipation
3. CSexual dysfunction
4. DHair loss

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. AFluoxetine
2. BLithium
3. CDantrolene
4. DHaloperidol

How should a patient take sublingual buprenorphine-naloxone tablets?

1. AChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
2. BSwallow the tablet whole with a large glass of water
3. CCrush the tablet and mix it with a spoonful of soft food such as yoghurt
4. DLet the tablet dissolve completely under the tongue without chewing or swallowing it

In the termination phase of the nurse–patient relationship, which behaviour is common and should be expected?

1. AThe patient always feels relieved and shows no feelings
2. BThe patient finally begins to share their problems for the first time
3. CThe patient asks for the relationship to start again from the beginning
4. DThe patient may show anger, sadness or a return of earlier symptoms

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. APlace him in seclusion and then decide about medicine later
2. BOffer the oral medicine first, before considering an injection
3. CHide the medicine in his drink without telling him
4. DGive an intramuscular injection at once without offering any choice

An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?

1. AThe normal effects of ageing
2. BA sign that she needs a higher dose of amitriptyline
3. CThe combined anticholinergic effects of her medicines
4. DSudden-onset Alzheimer's disease

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. AArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
2. BTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
3. CAsk the doctor to order new tests every time she reports a symptom
4. DStop answering her calls, because the symptoms are imaginary