Mental health nursing worksheet with answers

A person who has strong hostile feelings towards a neighbour is excessively friendly and generous to him. Which defence mechanism is this?

1. AReaction formation
2. BDisplacement
3. CDenial
4. DCompensation

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo review what happened, support those involved and learn how to prevent future restraint
2. BTo punish the patient for the behaviour that led to the restraint
3. CTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
4. DTo decide which staff member should be blamed for the incident

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. AIntellectualisation
2. BDisplacement
3. CRegression
4. DReaction formation

Which group of findings suggests serotonin syndrome?

1. ALow temperature and slow heart rate
2. BSlowly developing rigidity with low reflexes and high fever over several days after an antipsychotic
3. CAgitation, sweating, tremor, hyperreflexia and clonus starting within hours of a drug change
4. DWeight gain and dry mouth

A woman calls the emergency department after a sexual assault an hour ago. What advice helps to preserve forensic evidence?

1. APut all clothing in a sealed plastic bag
2. BAvoid showering or changing clothes, and bring any clothing already removed in a paper bag
3. CWait a few days at home until she feels ready to talk before seeking any medical care or forensic examination
4. DShower and wash her clothes before coming in, so she feels cleaner

A patient insists that the staff are poisoning his food. What is the best initial approach?

1. AAcknowledge his fear without arguing about the belief and focus on reality-based topics
2. BArgue logically until he admits he is wrong
3. CTell him firmly that he will not be given any food until he stops making the accusation
4. DAgree with him so he trusts you

A patient taking naltrexone for alcohol dependence is brought to the emergency department with a broken leg. Why should the nurse tell the team about the naltrexone?

1. ANaltrexone makes opioids much stronger, so smaller doses must be used
2. BNaltrexone causes broken bones to heal more slowly
3. CNaltrexone blocks opioid analgesics, so pain relief needs to be planned differently
4. DIt is not relevant, because naltrexone only affects the way the body responds to alcohol

The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?

1. ALong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere
2. BFamily-based treatment, in which the parents take an active role in restoring the child's eating
3. CLeaving the young person to decide on her own when to start eating more
4. DMedicine alone, because therapy is not effective in adolescents