Werkblad Psychiatrische verpleegkunde met antwoorden

Which signs suggest acute cocaine intoxication?

1. ASlurred speech, an unsteady gait and a strong smell of alcohol on the breath
2. BDilated pupils, a fast heart rate and high blood pressure
3. CPinpoint pupils, slow breathing and drowsiness
4. DRed eyes, increased appetite, dry mouth and slowed reactions

Why are benzodiazepines used with caution in older adults?

1. AThey cause rapid weight gain and diabetes in all older adults
2. BThey have no effect on the brain in older people
3. CThey raise blood pressure to dangerous levels after a single dose
4. DThey increase the risk of confusion, falls and fractures

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. ALithium
2. BDantrolene
3. CHaloperidol
4. DFluoxetine

Welke bijwerking van clozapine kan levensbedreigend zijn en wordt vaak over het hoofd gezien?

1. AErnstige obstipatie die leidt tot darmobstructie
2. BMeer speeksel
3. CLichte gewichtstoename
4. DSlaperigheid

The wife of a man with alcohol dependence organises her life around his drinking, hides it from others and neglects her own needs. What does this pattern suggest?

1. ADelirium tremens
2. BEnabling by the healthcare team
3. CLearned helplessness in the patient
4. DCodependency

Welke combinatie van bevindingen wijst op het maligne neurolepticasyndroom?

1. AHoge koorts, ernstige "loodpijp"-spierrigiditeit, verwardheid, instabiele bloeddruk en een verhoogd CK
2. BGewichtstoename en verhoogde bloedglucose
3. CFijne tremor en toegenomen dorst
4. DHyperreflexie, clonus, diarree, wijde pupillen en agitatie binnen uren na een nieuw serotonerg geneesmiddel

A child has been admitted several times with unexplained fevers that only happen when her mother is present. Staff see the mother tampering with the child's IV line. What is the priority action?

1. ADischarge the child home with the mother as soon as possible
2. BDocument the event carefully in the notes and wait to see whether it happens again before telling anyone else
3. CEnsure the child's safety and follow child protection procedures
4. DDiscuss the matter with the mother alone and ask her to stop

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AAn extinction burst, which is expected before the behaviour decreases
2. BThat the child needs firm punishment for each tantrum instead
3. CThat the plan has failed and should be stopped immediately
4. DThat the tantrums are caused by a physical illness