Mental health nursing worksheet with answers

A man who is attracted to a colleague accuses his wife of wanting to have an affair. Which defence mechanism is this?

1. ARegression
2. BSuppression
3. CProjection
4. DRationalisation

For which patients is clozapine mainly used?

1. APatients with mild anxiety who need a short-term sedative
2. BPatients having their very first episode of mild psychosis
3. CPatients with schizophrenia that has not responded to two other antipsychotics
4. DOlder patients with dementia who become agitated and restless in the evening

Which signs suggest acute cocaine intoxication?

1. ARed eyes, increased appetite, dry mouth and slowed reactions
2. BPinpoint pupils, slow breathing and drowsiness
3. CDilated pupils, a fast heart rate and high blood pressure
4. DSlurred speech, an unsteady gait and a strong smell of alcohol on the breath

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

1. AExercise as hard as possible in the heat to burn off the extra weight
2. BAvoid all fluids so that there is less need to find a toilet
3. CDrink enough fluids and avoid overheating, because the medicine can affect temperature control
4. DStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction

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

1. AA neologism
2. BCircumstantiality
3. CA clang association
4. DEcholalia

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. AHyperthyroidism
2. BHypothyroidism
3. CSerotonin syndrome
4. DAgranulocytosis

Which patient should the nurse check first?

1. AA patient with depression who is asking for help to phone his mother
2. BA patient given IM haloperidol and lorazepam 30 minutes ago who is hard to rouse, breathing 8/min
3. CA patient with OCD who is late for breakfast because of a long washing ritual in the bathroom
4. DA patient with schizophrenia who wants a cigarette break in the garden

A woman with PTSD after a sexual assault by a man becomes distressed when a male nurse is assigned to her. What is the most appropriate response?

1. ALeave her without a named nurse until she calms down
2. BAssign a female nurse where possible and explain her care plan to her
3. CTell her that she must learn to face her fears
4. DInsist that she accept the male nurse, as all staff are professional