Mental health nursing worksheet with answers

A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?

1. ASuppression
2. BRationalisation
3. CIdentification
4. DProjection

In DSM-5, gambling disorder is grouped with which category of disorders?

1. ANeurocognitive disorders such as dementia
2. BPersonality disorders in Cluster B
3. CSubstance-related and addictive disorders
4. DAnxiety disorders and phobias

For which patients is clozapine mainly used?

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

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. CYoung children often do not yet see death as permanent, so simple, honest words help
4. DThe child is in denial and needs psychiatric treatment

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt always makes the patient angry and more likely to become aggressive towards staff
2. BIt suggests that the patient's choices are judged against the nurse's standards
3. CIt is against the law in mental health settings
4. DIt shows that the nurse is not listening at all

Which pattern suggests premenstrual dysphoric disorder?

1. ALow mood throughout the whole month that is not linked to the menstrual cycle
2. BMarked mood symptoms in the week before menstruation that improve within a few days after it starts
3. CMood symptoms that begin only after the menopause and last for several years
4. DMild bloating the day before a period, without any mood changes

A patient says she has saved a large supply of tablets at home and plans to take them all this weekend. What is the priority action?

1. AAsk her to sign a written promise not to harm herself, then let her go home for the weekend as planned
2. BKeep her under close observation, ensure her immediate safety and inform the team urgently
3. CTell her things will look better after the weekend
4. DArrange a routine follow-up appointment in a month

A patient asks, "Do you think I should divorce my husband?" Which response best supports the patient's autonomy?

1. A"Yes, I think you'd be happier without him."
2. B"No, divorce would only make things worse for you."
3. C"You should ask your doctor what to do about it."
4. D"What are your thoughts about the options you have?"