Mental health nursing worksheet with answers

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAmnesia
2. BAphasia
3. CAkathisia
4. DApraxia

Which defence mechanism is considered healthy and mature?

1. ASplitting: seeing people as all good or all bad
2. BSublimation: channelling aggressive feelings into a sport
3. CProjection: blaming others for one's own feelings
4. DDenial: refusing to accept a diagnosis for months

What is the CAGE questionnaire used for?

1. ARating the severity of a patient's depression
2. BMeasuring the severity of opioid withdrawal
3. CScreening for problem drinking
4. DAssessing cognitive function in older adults

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey give rapid relief but are generally used only short-term because of tolerance and dependence
2. BThey take 4–6 weeks to have any effect on anxiety, like antidepressants
3. CThey are the preferred long-term treatment for generalised anxiety disorder
4. DThey are safe to stop suddenly after many months of daily use

How should a patient take sublingual buprenorphine-naloxone tablets?

1. ASwallow the tablet whole with a large glass of water
2. BChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
3. CLet the tablet dissolve completely under the tongue without chewing or swallowing it
4. DCrush the tablet and mix it with a spoonful of soft food such as yoghurt

Which effects of methadone should the nurse monitor for?

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

A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?

1. ADelusional disorder
2. BSchizophreniform disorder
3. CBipolar I disorder
4. DSchizophrenia

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. AStop the fluoxetine at once and tell the prescriber at his next appointment
2. BDiscuss with the prescriber whether he can take it in the morning instead
3. CDrink a small glass of wine or beer before bed to help him fall asleep
4. DTake a double dose at night to make him sleepy