Mental health nursing worksheet with answers

An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?

1. AFinancial abuse
2. BSexual abuse
3. CSelf-neglect by the father
4. DPhysical abuse

How does binge-eating disorder differ from bulimia nervosa?

1. AThe person never feels a loss of control while eating
2. BThere are no regular compensatory behaviours, such as vomiting or laxative use
3. CBinges happen only once a year, so they are not a problem
4. DThe person always has a very low body weight and a fear of gaining weight

Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?

1. ASummarising
2. BRestating
3. CFocusing
4. DExploring

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt is safe in pregnancy and needs no special precautions
2. BIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
3. CIt must be taken with grapefruit juice to be absorbed
4. DIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential

A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?

1. AValproate makes lamotrigine work faster, so the dose must be increased quickly
2. BThe two drugs together cause severe hair growth
3. CLamotrigine will lower the valproate level until it has no effect
4. DValproate raises lamotrigine levels, which increases the risk of a serious rash

A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?

1. AIntrusion symptoms
2. BAvoidance
3. CDissociative amnesia for the trauma
4. DChanges in arousal and reactivity

Two weeks after starting an SSRI, a patient says, "This isn't working. I'll stop taking it." What is the best response?

1. ATell him to double the dose
2. BExplain that it often takes several weeks to work fully, encourage him to continue and monitor his mood and safety
3. CTell him antidepressants never work
4. DAgree that he should stop it at once, because an antidepressant that has not helped after two weeks is unlikely ever to work

A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?

1. A"After a few months I can stop having blood tests."
2. B"The tests are done because clozapine can lower my white cells."
3. C"If I get a sore throat or fever, I'll tell someone straight away."
4. D"I'll need regular blood tests for as long as I take clozapine."