Mental health nursing worksheet with answers

Free printable Mental health nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

Which side effects are typical of mirtazapine?

  1. AInsomnia, agitation and weight loss
  2. BPriapism and a dry cough
  3. CHigh blood pressure and tremor
  4. DSedation and increased appetite with weight gain
2.Easy

Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?

  1. ANaloxone
  2. BFlumazenil
  3. CDisulfiram
  4. DClonidine
3.Easy

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

  1. ADerealisation
  2. BA visual hallucination
  3. CDepersonalisation
  4. DA delusion of control
4.Medium

A patient answers a question about breakfast: "Eggs come from chickens, chickens live on farms, my uncle had a farm, he drove a red tractor…" and never answers. What is this called?

  1. ATangentiality
  2. BThought blocking
  3. CWord salad
  4. DCircumstantiality
5.Medium

A patient uses the word "glimpotrance" and explains that it means the force that controls his thoughts. What is this?

  1. AA clang association
  2. BEcholalia
  3. CCircumstantiality
  4. DA neologism
6.Medium

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

  1. A"That's not true. I've helped you all day."
  2. B"You sound very angry. Tell me what has happened."
  3. C"If you speak to me like that, I'm leaving."
  4. D"You shouldn't talk to people like that."
7.Hard

On the second day after his last drink, a patient has a marked tremor, sees insects on the walls, a heart rate of 124/min, a blood pressure of 170/100 mmHg and heavy sweating. What is the priority?

  1. ARestrict his fluid intake
  2. BGive him a small amount of alcohol to settle the symptoms, then let him sleep it off in a quiet side room with the door closed
  3. CExplain that the insects are not real and leave him to rest
  4. DTreat it as possible delirium tremens: get urgent medical help, give benzodiazepines as prescribed and keep him safe
8.Hard

A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?

  1. AReassure him every time he asks, as often as he needs
  2. BTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day
  3. CAnswer once, then follow the agreed plan to limit repeated reassurance
  4. DLock and unlock the door in front of him each time he asks

Answer key

  1. 1. D · Sedation and increased appetite with weight gain
  2. 2. D · Clonidine
  3. 3. C · Depersonalisation
  4. 4. A · Tangentiality
  5. 5. D · A neologism
  6. 6. B · "You sound very angry. Tell me what has happened."
  7. 7. D · Treat it as possible delirium tremens: get urgent medical help, give benzodiazepines as prescribed and keep him safe
  8. 8. C · Answer once, then follow the agreed plan to limit repeated reassurance

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