Mental health nursing worksheet with answers

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. ASeizures with loss of consciousness during sleep
2. BA single motor tic that lasts for 2 weeks in an adult
3. CSeveral motor tics and at least one vocal tic for over a year, starting before 18
4. DInvoluntary swearing in almost every sentence as the main and only symptom

A patient speaks rapidly, jumping from one topic to another, with each idea loosely linked to the previous one. What is this called?

1. APerseveration
2. BFlight of ideas
3. CThought blocking
4. DPoverty of speech

A patient says that other people can hear his thoughts as if they were spoken aloud. What is this called?

1. AThought blocking
2. BThought broadcasting
3. CFlight of ideas
4. DEcholalia

Why are tricyclic antidepressants particularly dangerous in overdose?

1. AThey cause only mild drowsiness
2. BThey lower blood pressure only slightly and rarely need treatment
3. CThey have no effects in overdose
4. DThey can cause fatal cardiac arrhythmias and seizures

A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?

1. AThe child should not be told anything about the death until she is older
2. BThe child does not care about her grandmother and has not been affected by the death
3. CThe child is in denial and needs psychiatric treatment
4. DYoung children often do not yet see death as permanent, so simple, honest words help

A patient in a manic episode is too busy to sit down to eat. What is the best way to support nutrition?

1. AWait until the patient asks for food
2. BOffer a large, three-course meal in the busy dining room at the usual set mealtimes
3. CInsist that the patient sits at the table for 1 hour
4. DOffer high-calorie finger foods and drinks that can be eaten on the move

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

1. AShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge
2. BGrab the chair from the patient quickly before he can use it
3. CKeep a safe distance, call for help and avoid trying to take the chair alone
4. DTurn her back and walk away slowly without saying anything

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

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