Werkblad Psychiatrische verpleegkunde met antwoorden

Which pattern of decline is typical of vascular dementia?

1. AStepwise, with sudden worsening after each new vascular event
2. BRapid improvement after starting antipsychotic medicine
3. CVery gradual and steady from the start, without sudden changes
4. DComplete recovery within a few weeks

What is hoarding disorder?

1. APersistent difficulty throwing things away, so that clutter fills the living space
2. BFear of leaving the home because of crowds and public transport
3. CRepeated checking that all the doors and windows are locked before leaving the house each day
4. DCollecting a few favourite objects as a hobby that the person enjoys

Een student die voor een tentamen is gezakt, zegt: "De vragen waren oneerlijk, dus het maakt niet uit." Welk afweermechanisme is dit?

1. ARationalisatie
2. BConversie
3. CVerdringing
4. DIdentificatie

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. ARemove his name from the ward list and give his bed to a new patient who is waiting for admission
2. BStart the missing patient procedure at once, informing the team and, if required, the police
3. CDo nothing, because patients are allowed to leave whenever they want
4. DWait until the next day, because he will probably return on his own

A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?

1. AErotomanic
2. BNihilistic
3. CSomatic
4. DGrandiose

What should a patient starting zolpidem for insomnia be taught to report?

1. ADoing things while not fully awake, such as sleepwalking or driving, with no memory of it
2. BFeeling slightly more rested and alert the next morning than before starting the medicine
3. CFeeling sleepy about 30 minutes after taking it at bedtime
4. DSleeping through the night without waking up

Een patiënt die een jaar clozapine gebruikt, stopt met het roken van sigaretten. Waarom is dit belangrijk?

1. AHet maakt helemaal niets uit
2. BDe clozapinespiegels kunnen stijgen, wat het risico op bijwerkingen zoals sedatie en aanvallen vergroot
3. CDe clozapinespiegels dalen sterk, dus de dosis moet meestal worden verdubbeld om een psychotisch recidief te voorkomen
4. DClozapine werkt helemaal niet meer

The family of a patient with schizophrenia asks how they can tell if he is becoming unwell again. Which signs should the nurse teach them to watch for?

1. AMild dry mouth in the first week of a new medicine
2. BTalking more openly with his family about his feelings and his plans for the future
3. CA better appetite and more interest in his hobbies
4. DPoor sleep, withdrawal from others and increasing suspiciousness