Mental health nursing worksheet with answers

In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?

1. ACatharsis
2. BInstillation of hope
3. CUniversality
4. DAltruism

Which feature is typical of Korsakoff syndrome?

1. ASevere memory loss with confabulation
2. BPinpoint pupils and slow breathing
3. CA flapping tremor of the hands caused by liver failure
4. DFever, rigidity and a high creatine kinase

What is "enabling" in the context of substance use?

1. AHelping the person to attend a treatment programme on time
2. BBehaviour by others that protects the person from the consequences of their use
3. CSetting firm limits on what behaviour the family will accept in the home from now on
4. DGiving the person information about the effects of the substance

Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?

1. AIt can cause sudden withdrawal and seizures
2. BIt causes permanent memory loss after a single dose
3. CIt causes a dangerous rise in blood sugar
4. DIt makes the benzodiazepine effect much stronger

Which pattern suggests premenstrual dysphoric disorder?

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

What is the classic triad of Wernicke's encephalopathy?

1. AConfusion, ataxia and abnormal eye movements
2. BFever, rash and neck stiffness
3. CHeadache, vomiting and blurred vision only
4. DTremor, rigidity and slow movement

A patient taking sertraline is given tramadol for pain. A few hours later he is agitated, sweating, tremulous and has clonus in his ankles. What is the most likely problem?

1. ASerotonin syndrome
2. BNeuroleptic malignant syndrome
3. COpioid withdrawal
4. DAlcohol withdrawal

A patient with OCD asks the nurse many times an hour, "Are you sure the door is locked?" What is the most helpful approach in his care plan?

1. AAnswer once, then follow the agreed plan to limit repeated reassurance
2. BTell him firmly that if he asks about the door again, he will lose his privileges on the ward for the day
3. CLock and unlock the door in front of him each time he asks
4. DReassure him every time he asks, as often as he needs