Mental health nursing worksheet with answers

What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar II is always more severe than bipolar I
2. BBipolar I involves only depression; bipolar II involves only mania
3. CBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
4. DBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania

Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?

1. ADisulfiram
2. BFlumazenil
3. CClonidine
4. DNaloxone

For which patients is clozapine mainly used?

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

Why is the nurse's body language important in therapeutic communication?

1. APatients often respond more to non-verbal messages than to the words used
2. BPatients with mental illness cannot understand non-verbal signals
3. CIt is only important during the termination phase
4. DBody language matters only when patients cannot speak the same language

When should blood be taken to measure a patient's lithium level?

1. AAbout 12 hours after the last dose
2. BImmediately after the morning dose
3. CAt any time of day, since it makes no difference
4. D1 hour after the last dose

Which side effects are most common with quetiapine?

1. AHigh prolactin with breast enlargement in almost every patient
2. BSedation, dizziness when standing and weight gain
3. CInsomnia and severe weight loss
4. DA cough and swollen ankles

A patient on clozapine has a temperature of 38.5 °C and a sore throat. What is the priority?

1. ATell the patient it is probably a common cold, encourage fluids and continue the clozapine as usual
2. BGive paracetamol and continue the clozapine as usual
3. CReport it urgently so a full blood count with neutrophils can be checked before the next dose
4. DWait until the next routine blood test

A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?

1. ATell the parents that the nurse knows they are abusing the child
2. BAccept the parents' explanation, because babies often fall
3. CReport the concerns through child protection procedures and ensure the child's safety
4. DDischarge the child quickly so that the parents do not become angry and stop bringing him for medical care