Mental health nursing worksheet with answers

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

1. ADenial, anger and acceptance
2. BOrientation, working and termination
3. CAlarm, resistance and exhaustion
4. DForming, storming and norming

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AOnly after 2 years
2. BWithin 3 days
3. COnly after 1 year
4. DWithin 3 months

Which drug class is the main treatment for alcohol withdrawal?

1. ASSRIs
2. BBenzodiazepines
3. COpioids
4. DAntipsychotics as first-line treatment

A patient on lamotrigine for bipolar disorder develops a new rash. What should the nurse do?

1. AApply a moisturiser, and continue the drug as normal because rashes are common
2. BIgnore it, because rashes are always harmless
3. CReport it promptly, because it may be the start of a serious skin reaction
4. DDouble the dose

How should a patient take sublingual buprenorphine-naloxone tablets?

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

Which communication approach is best with a patient who has paranoid personality disorder?

1. ABe clear, honest and business-like, and explain the reasons for actions
2. BBe very warm and joke often to put the patient at ease
3. CAvoid explaining anything so that the patient does not become suspicious
4. DTalk about the patient with colleagues in whispers within his sight

A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?

1. AHold your breath for as long as possible while lying completely still on the floor
2. BTense each muscle group in turn for a few seconds, then let go and notice the difference
3. CTense all your muscles at once and keep them tight for 10 minutes
4. DDo the exercise only during a panic attack, never at other times

A patient with bulimia nervosa has a serum potassium of 2.8 mmol/L. What is the main concern?

1. AIncreased appetite
2. BImproved muscle strength
3. CA risk of life-threatening cardiac arrhythmias
4. DA risk of weight gain