Mental health nursing worksheet with answers

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. ASchizophrenia
2. BAttention-deficit hyperactivity disorder
3. CBorderline personality disorder
4. DAlzheimer's disease

What is the main goal of crisis intervention?

1. ATo admit every person in crisis to hospital for several months
2. BTo help the person return at least to their level of functioning before the crisis
3. CTo change the person's personality so that crises never happen again
4. DTo explore the person's childhood experiences in depth over many years

Why are benzodiazepines used with caution in older adults?

1. AThey have no effect on the brain in older people
2. BThey raise blood pressure to dangerous levels after a single dose
3. CThey increase the risk of confusion, falls and fractures
4. DThey cause rapid weight gain and diabetes in all older adults

A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?

1. ASpend short, regular periods with the patient without forcing conversation
2. BAsk a series of direct questions until he answers
3. CLeave the patient alone until he asks to talk
4. DTell the patient that talking is required to be discharged

How should a patient with anorexia nervosa be weighed in hospital?

1. AAt the same time, on the same scale, in a gown, after emptying the bladder
2. BIn her own clothes and shoes after breakfast, so that she feels more comfortable
3. COnly when she asks to be weighed, to respect her wishes
4. DAt a different time each day so that she cannot prepare for it

A patient says, "I'm worthless. Nobody cares about me." Which response is most therapeutic?

1. A"You shouldn't say such things."
2. B"Let's talk about something more cheerful."
3. C"You're feeling that no one cares about you. Tell me more."
4. D"That's not true; everyone here cares about you."

A patient with a known panic disorder says she has chest pain and difficulty breathing. What should the nurse do first?

1. AGive her a lecture on cognitive restructuring
2. BAsk her to breathe slowly into a paper bag and leave her alone until the panic has passed, as it always does in panic disorder
3. CTell her it is just another panic attack
4. DAssess her physically, including vital signs, and get an ECG according to policy, before assuming it is panic

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe patient no longer needs the sessions and should be discharged at once
2. BThe patient has developed a new psychotic illness
3. CThe patient is reacting to the coming end of the relationship
4. DThe nurse has made an error and should cancel the discharge