Mental health nursing worksheet with answers

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. AEmotional reasoning
2. BCatastrophising
3. CMind reading
4. DPersonalisation

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. BFocusing
3. CRestating
4. DExploring

Which phrase uses person-first language that helps reduce stigma?

1. A"A mental case"
2. B"A schizophrenic patient"
3. C"A person with schizophrenia"
4. D"A psycho"

A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?

1. ASomatic
2. BGrandiose
3. CErotomanic
4. DNihilistic

Why is the nurse's body language important in therapeutic communication?

1. ABody language matters only when patients cannot speak the same language
2. BPatients with mental illness cannot understand non-verbal signals
3. CIt is only important during the termination phase
4. DPatients often respond more to non-verbal messages than to the words used

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

1. AStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
2. BAvoid all fluids so that there is less need to find a toilet
3. CExercise as hard as possible in the heat to burn off the extra weight
4. DDrink enough fluids and avoid overheating, because the medicine can affect temperature control

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

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

During a session, a patient says he intends to seriously harm a named neighbour. What is the correct general principle?

1. AThe nurse should personally go and warn the neighbour without telling the team
2. BThe threat should be ignored because patients often say things they don't mean
3. CThe risk to an identifiable person must be shared with the team and may need to be disclosed to protect that person, following the law and policy
4. DConfidentiality means nothing can be shared