Mental health nursing worksheet with answers

To which drug class does methylphenidate belong?

1. ABenzodiazepines
2. BAntipsychotics
3. CMood stabilisers
4. DCentral nervous system stimulants

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

1. AOnly after 2 years
2. BOnly after 1 year
3. CWithin 3 days
4. DWithin 3 months

What does the principle of the "least restrictive alternative" mean in mental health care?

1. AAll patients must be admitted to a locked ward
2. BRestraint should be the first measure used
3. CPatients may never be restricted in any way, even when there is a serious risk to themselves or others
4. DCare should restrict the patient's freedom as little as possible while keeping them and others safe

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AIn the first weeks after discharge
2. BOnly after one year at home
3. CThere is no change in risk after discharge
4. DOnly while the patient is asleep in hospital

A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?

1. AChange his daily routine often, to help him get used to change
2. BPut him in a busy bay with lots of noise and activity to keep him stimulated
3. CAvoid his parents' advice, because staff know best how to care for him
4. DKeep to his usual routines where possible and prepare him for any changes

How does obsessive-compulsive personality disorder differ from obsessive-compulsive disorder?

1. AIt is a lasting pattern of perfectionism and control without true obsessions and compulsions
2. BIt always involves repeated hand washing and checking rituals
3. CPeople with it always feel that their behaviour is senseless and unwanted
4. DIt starts suddenly in later life after a stressful event and goes away on its own within a few months

A nurse suspects that a patient is hiding his tablets in his cheek and later spitting them out. What is the best approach?

1. AStop giving him his medicine at all, because he is not taking it anyway, and record that he refused
2. BCrush all his tablets into his food without telling him
3. CCheck his mouth after each dose, as policy allows, and explore why he does not want it
4. DAccuse him in front of other patients so that he is embarrassed and stops

A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?

1. ATry to persuade her to adopt the nurse's own beliefs
2. BIgnore the request politely and change the subject to the procedure itself
3. CTell her that religion has no place in hospital care
4. DRespect the request, join in if comfortable, and offer to call the chaplain