Mental health nursing worksheet with answers

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. AA dry cough
2. BA painful erection that does not go away
3. CDarkening of the skin on the hands and face
4. DRinging in the ears

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

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

What is the main aim of motivational interviewing?

1. ATo confront the person firmly until they admit they have a problem
2. BTo tell the person exactly what they must do to recover
3. CTo help the person explore and resolve their mixed feelings about change
4. DTo frighten the person with the worst possible health consequences of their drinking

What should a patient taking disulfiram be taught?

1. ASmall amounts of beer are safe
2. BIt cures alcohol dependence after one dose
3. CIt works only if alcohol is drunk with it, so a small amount of wine is needed daily
4. DAvoid all alcohol, including hidden sources such as some mouthwashes and sauces

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AThere is no change in risk after discharge
2. BIn the first weeks after discharge
3. COnly while the patient is asleep in hospital
4. DOnly after one year at home

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
2. BIbuprofen will make the sertraline work faster
3. CThe combination is completely safe because they act on different systems
4. DIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction

A patient finds clothes in her wardrobe she does not remember buying, has gaps in her memory and is called by different names by people she does not know. Which condition is most likely?

1. ADissociative identity disorder
2. BBorderline personality disorder
3. CSchizophrenia
4. DBipolar I disorder

Two weeks after starting an SSRI, a patient says, "This isn't working. I'll stop taking it." What is the best response?

1. AExplain that it often takes several weeks to work fully, encourage him to continue and monitor his mood and safety
2. BAgree that he should stop it at once, because an antidepressant that has not helped after two weeks is unlikely ever to work
3. CTell him antidepressants never work
4. DTell him to double the dose