Mental health nursing worksheet with answers

According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?

1. ATermination phase
2. BPre-interaction phase
3. COrientation phase
4. DWorking phase

Why might a nurse use a short silence during a conversation with a distressed patient?

1. AIt shows the patient that the nurse disagrees
2. BIt signals that the conversation is over
3. CIt means the nurse can briefly stop listening actively and plan the next question
4. DIt gives the patient time to think and to continue at their own pace

Why is thiamine (vitamin B1) given to patients with alcohol dependence?

1. ATo prevent or treat Wernicke's encephalopathy
2. BTo reduce cravings for alcohol
3. CTo treat liver cirrhosis
4. DTo make alcohol taste unpleasant

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
2. BLeave him alone in a dark room so that he can sleep it off
3. CArgue with him that what he sees is not real until he accepts it
4. DStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass

Which side effects should the nurse monitor for in a patient starting donepezil?

1. ANausea, diarrhoea and a slow heart rate
2. BDry mouth, constipation and urinary retention
3. CTremor, thirst and passing large amounts of urine
4. DWeight gain and high blood glucose

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 are the preferred long-term treatment for generalised anxiety disorder
3. CThey take 4–6 weeks to have any effect on anxiety, like antidepressants
4. DThey are safe to stop suddenly after many months of daily use

A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?

1. ALet him stay in bed, because negative symptoms cannot change
2. BTell him firmly that he will lose his ward privileges unless he gets up and showers at once
3. CAgree a simple daily routine with small, achievable activities and give positive feedback
4. DWait until he asks to join activities before involving him

On the third day of refeeding, a patient with severe anorexia nervosa develops swollen ankles, a low phosphate and an irregular pulse. What is most likely?

1. ANormal weight gain
2. BAn allergic reaction to the food
3. CRefeeding syndrome
4. DSerotonin syndrome