Mental health nursing worksheet with answers

What is anhedonia?

1. AAn inability to fall asleep at night despite feeling very tired during the day
2. BLoss of interest or pleasure in activities that were enjoyed before
3. CRapid, pressured speech that is hard to interrupt
4. DA belief that one's body is diseased or rotting

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. AA single motor tic that lasts for 2 weeks in an adult
2. BSeizures with loss of consciousness during sleep
3. CSeveral motor tics and at least one vocal tic for over a year, starting before 18
4. DInvoluntary swearing in almost every sentence as the main and only symptom

At which level of anxiety is a person most able to learn and solve problems?

1. AModerate anxiety
2. BPanic
3. CSevere anxiety
4. DMild anxiety

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

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

Which effects of methadone should the nurse monitor for?

1. AHypertensive crisis after eating aged cheese
2. BRespiratory depression, sedation and a prolonged QT interval
3. CHair loss, weight loss and a painful red rash on the face
4. DAgranulocytosis and a sore throat

A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?

1. AFactitious disorder
2. BConversion disorder
3. CIllness anxiety disorder
4. DSomatic symptom disorder

A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?

1. AGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine
2. BWait until the end of the shift, then talk privately with the colleague
3. CReport the concern immediately to the nurse in charge, following policy, to protect patients
4. DSay nothing, because it is not her responsibility

On the third day of refeeding, a patient with severe anorexia nervosa develops swollen ankles, a low phosphate and an irregular pulse. What is most likely?

1. ANormal weight gain
2. BAn allergic reaction to the food
3. CSerotonin syndrome
4. DRefeeding syndrome