Mental health nursing worksheet with answers

What is agoraphobia?

1. AFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
2. BFear of being judged or embarrassed while speaking or eating in front of others
3. CFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
4. DFear of one specific object or animal, such as spiders, dogs or snakes

In DSM-5, gambling disorder is grouped with which category of disorders?

1. AAnxiety disorders and phobias
2. BPersonality disorders in Cluster B
3. CSubstance-related and addictive disorders
4. DNeurocognitive disorders such as dementia

Which of these is a negative symptom of schizophrenia?

1. AHearing voices
2. BAvolition (lack of motivation)
3. CDisorganised behaviour
4. DPersecutory delusions

A patient with limited English needs a mental health assessment. Who should interpret?

1. AAnother patient on the ward who speaks the language
2. BThe patient's 12-year-old son
3. CA trained professional interpreter
4. DThe nurse, using an online translation app on her phone for the whole assessment

A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?

1. AWithin 5 minutes of the last drink
2. BAbout 2–3 weeks after the last drink
3. CAbout 6–24 hours after the last drink
4. DOnly after 7 days without alcohol

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

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

A patient taking venlafaxine has started a second serotonergic medicine. She is restless, sweating, has a fast pulse and twitching muscles. What should the nurse do first?

1. AGive the next dose of venlafaxine as planned
2. BEncourage her to walk or exercise in the garden to relieve the restlessness and muscle twitching
3. CHold the serotonergic medicines and inform the prescriber urgently
4. DGive paracetamol (acetaminophen) and check her again tomorrow

A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?

1. ADischarge the child quickly so that the parents do not become angry and stop bringing him for medical care
2. BTell the parents that the nurse knows they are abusing the child
3. CAccept the parents' explanation, because babies often fall
4. DReport the concerns through child protection procedures and ensure the child's safety