Mental health nursing worksheet with answers

Which of these medicines is a second-generation (atypical) antipsychotic?

1. AHaloperidol
2. BChlorpromazine
3. CQuetiapine
4. DLorazepam

What is Russell's sign, seen in some patients with eating disorders?

1. AYellowing of the skin from eating a lot of carrots
2. BFine, downy hair growing on the face and back
3. CSwelling of the ankles and feet during the first days of refeeding in hospital
4. DCalluses or scars on the back of the hand from inducing vomiting

A patient is having a panic attack. What should the nurse do?

1. ALeave the patient alone to calm down
2. BExplain in detail how panic disorder develops so that the patient understands the attack
3. CEncourage the patient to join a busy group activity
4. DStay with the patient, speak calmly in short, simple sentences and provide a quiet space

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. ADepression in older adults can look like dementia and is treatable
2. BOlder adults cannot be treated for depression
3. CLow mood after the loss of a partner is always normal grief and never needs any assessment
4. DMemory complaints in older adults are always caused by dementia

Which psychological treatment is most effective for obsessive-compulsive disorder?

1. APsychoanalysis focused on early childhood memories
2. BEncouraging the patient to perform the rituals more often
3. CExposure and response prevention, a form of CBT
4. DHypnosis to remove the obsessive thoughts permanently in a single session

What should a patient taking disulfiram be taught?

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

A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?

1. ATell him to lie down in his room, rest and stop worrying so much about his health
2. BIgnore the complaint until he mentions it again
3. CAgree with the colleague and give him a PRN anxiolytic
4. DAssess him physically, with vital signs and an ECG if indicated

A patient taking naltrexone for alcohol dependence is brought to the emergency department with a broken leg. Why should the nurse tell the team about the naltrexone?

1. ANaltrexone makes opioids much stronger, so smaller doses must be used
2. BIt is not relevant, because naltrexone only affects the way the body responds to alcohol
3. CNaltrexone causes broken bones to heal more slowly
4. DNaltrexone blocks opioid analgesics, so pain relief needs to be planned differently