Mental health nursing worksheet with answers

Free printable Mental health nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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1.Easy

After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?

  1. AProjection
  2. BUndoing
  3. CSublimation
  4. DDenial
2.Easy

What is trichotillomania?

  1. AA fungal infection of the scalp that is common in people with OCD
  2. BRepeatedly pulling out one's own hair, leading to hair loss
  3. CA fear of hair, combs and hairdressers
  4. DHair loss caused by lithium treatment
3.Easy

Which of these is a negative symptom of schizophrenia?

  1. ADisorganised behaviour
  2. BAvolition (lack of motivation)
  3. CHearing voices
  4. DPersecutory delusions
4.Medium

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

  1. AIt has no effects at all in people over 80, so it will not help her sleep
  2. BIt is a strong opioid that causes severe dependence
  3. CIt raises blood pressure to dangerous levels in older adults
  4. DIts anticholinergic effects can cause confusion, urine retention and falls
5.Medium

Which monitoring is important for a patient starting valproate?

  1. AEye pressure only
  2. BLiver function and signs of pancreatitis, and counselling about pregnancy risks
  3. CLung function and regular chest X-rays, because of the risk of pulmonary fibrosis
  4. DHearing tests
6.Medium

What is the main difference between disulfiram and naltrexone in alcohol dependence?

  1. ADisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
  2. BNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
  3. CDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
  4. DBoth work in exactly the same way, so they are fully interchangeable
7.Hard

A man is found in a city far from home. He cannot remember who he is or how he got there, but his speech and thinking are otherwise normal. Tests show no head injury or intoxication. What is most likely?

  1. ADissociative amnesia with dissociative fugue
  2. BA manic episode with poor judgement and impulsive travel
  3. CAlzheimer's disease
  4. DDelirium
8.Hard

A patient started an antidepressant 10 days ago. He says he now has more energy, but he still feels hopeless. Why does this need careful monitoring?

  1. AIt is a sign of serotonin syndrome
  2. BIt means the dose is too low, so the antidepressant should be stopped and a different one started straight away
  3. CEnergy may return before mood improves, which can increase the risk that he acts on suicidal thoughts
  4. DIt means the antidepressant has fully worked

Answer key

  1. 1. B · Undoing
  2. 2. B · Repeatedly pulling out one's own hair, leading to hair loss
  3. 3. B · Avolition (lack of motivation)
  4. 4. D · Its anticholinergic effects can cause confusion, urine retention and falls
  5. 5. B · Liver function and signs of pancreatitis, and counselling about pregnancy risks
  6. 6. C · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
  7. 7. A · Dissociative amnesia with dissociative fugue
  8. 8. C · Energy may return before mood improves, which can increase the risk that he acts on suicidal thoughts

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