Mental health nursing worksheet with answers

Why is combining a benzodiazepine with alcohol dangerous?

1. AThe combination causes high blood pressure
2. BAlcohol speeds up the breakdown of the benzodiazepine so that it stops working
3. CThe combination causes serotonin syndrome
4. DBoth depress the central nervous system and can cause respiratory depression

Which group of features is typical of dementia with Lewy bodies?

1. AEarly personality change and loss of social inhibition
2. BMemory loss only, with no other symptoms or changes in alertness for many years
3. CFluctuating alertness, detailed visual hallucinations and parkinsonism
4. DSudden step-by-step decline after small strokes

In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?

1. APreparation
2. BMaintenance of change
3. CPrecontemplation
4. DContemplation

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
2. BState the rule and the consequence clearly, and make sure all staff apply it consistently
3. CLet each nurse decide on the day whether to apply the rules
4. DChange the rules for this patient to avoid conflict

A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?

1. AThe patient will avoid contact with others until she feels more confident
2. BThe patient will let staff make all her decisions while in hospital
3. CThe patient will make small everyday decisions on her own
4. DThe patient will move in with a relative who can make decisions for her

A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?

1. A"Let's talk about something more cheerful."
2. B"You shouldn't say things like that."
3. C"Everyone feels that way sometimes."
4. D"Tell me more about what that feeling is like for you."

A young man spends hours a day checking his nose in mirrors and has asked for several operations, although others see nothing unusual about it. What is the most likely diagnosis?

1. ABody dysmorphic disorder
2. BIllness anxiety disorder
3. CAnorexia nervosa
4. DDelusional disorder, jealous type

Which patient should the nurse see first?

1. AA patient on lithium with a fine hand tremor
2. BA depressed patient who asks for help getting to sleep
3. CA newly admitted patient who says voices are telling him to jump out of the window
4. DAn anxious patient who wants to discuss discharge plans before the morning ward round