Mental health nursing worksheet with answers

A 6-year-old in hospital starts sucking his thumb and wetting the bed again. Which defence mechanism is this?

1. AProjection
2. BRegression
3. CSublimation
4. DIntellectualisation

After being criticised by her manager, a woman goes home and shouts at her children. Which defence mechanism is this?

1. ADisplacement
2. BUndoing
3. CDenial
4. DReaction formation

Which nurse response is an example of giving advice, a non-therapeutic technique?

1. A"Tell me more about your relationship."
2. B"How do you feel about leaving him?"
3. C"What options have you thought about?"
4. D"If I were you, I would leave him."

Which information is essential when documenting the use of physical restraint?

1. AThe full names of the other patients who saw the incident
2. BThe reason for it, alternatives tried, start and end times, and the observations made
3. CThe nurse's personal opinion of the patient's character and attitude
4. DOnly the time the restraint started and the name of the nurse in charge of the shift

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt is given as a daily tablet that contains tiny magnetic particles
2. BIt involves surgically implanting electrodes deep in the brain under anaesthetic
3. CIt needs a general anaesthetic and causes a seizure, like ECT
4. DIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure

What is the classic triad of Wernicke's encephalopathy?

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

In the second session of a new therapy group, members argue about rules and one member challenges the leader's authority. How should the leader interpret this?

1. AThe leader should avoid all conflict by making every decision alone
2. BThe group has failed and should be ended before anyone is upset
3. CThe member who challenged the leader should be removed
4. DIt is a normal stage of group development, to be handled openly and calmly

During a panic attack, a patient breathes very fast and complains of light-headedness and tingling in her fingers and around her mouth. What should the nurse do?

1. ALeave her alone so that she can calm down without anyone watching
2. BAsk her to breathe into a paper bag for at least 10 minutes
3. CGive her oxygen at a high flow rate through a mask
4. DStay with her and coach her to breathe slowly and steadily