Mental health nursing worksheet with answers

Haloperidol belongs to which group of antipsychotics?

1. ASelective serotonin reuptake inhibitors used for psychosis
2. BFirst-generation (typical) antipsychotics
3. CBenzodiazepines with an added antipsychotic effect
4. DSecond-generation (atypical) antipsychotics

Which pattern of decline is typical of vascular dementia?

1. AStepwise, with sudden worsening after each new vascular event
2. BRapid improvement after starting antipsychotic medicine
3. CComplete recovery within a few weeks
4. DVery gradual and steady from the start, without sudden changes

After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?

1. AUndoing
2. BProjection
3. CDenial
4. DSublimation

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I can take any cold and flu remedy from the pharmacy."
2. B"I'll tell any new doctor or dentist that I take an MAOI."
3. C"A sudden severe headache is a reason to get help straight away."
4. D"I'll avoid aged cheese and cured meats."

According to DSM-5, how long must signs of the disturbance last before schizophrenia can be diagnosed?

1. AAt least 6 months, including at least 1 month of active symptoms
2. BAt least 1 month, with no further time required
3. CAt least 2 years, including 6 months of active symptoms
4. DAt least 2 weeks of continuous symptoms

How should the nurse position herself when talking to an agitated patient?

1. ADirectly face to face, as close as possible, to show confidence
2. BBetween the patient and the wall, so the patient can leave easily
3. CAt a safe distance, slightly to the side, with a clear exit available
4. DBehind the patient and close to him, so that the patient does not feel threatened by eye contact

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

A patient who had been abstinent from alcohol for 6 months has started drinking again. He says, "I've failed completely. There's no point in trying." What is the most helpful response?

1. A"You obviously weren't serious about stopping."
2. B"Yes, I'm afraid you've wasted all of your hard work over the last six months."
3. C"Relapse is common in recovery. Let's look at what led to it and what you learned."
4. D"You'll have to start a completely new treatment from the beginning."