Werkblad Psychiatrische verpleegkunde met antwoorden

Wat betekent het principe van het "minst beperkende alternatief" in de geestelijke gezondheidszorg?

1. AAlle patiënten moeten worden opgenomen op een gesloten afdeling
2. BPatiënten mogen nooit op enige wijze worden beperkt, ook niet bij een ernstig risico voor henzelf of anderen
3. CDe zorg moet de vrijheid van de patiënt zo min mogelijk beperken en tegelijk de patiënt en anderen veilig houden
4. DFixatie moet de eerste maatregel zijn

According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?

1. AWorking phase
2. BPre-interaction phase
3. COrientation phase
4. DTermination phase

A boy who is not good at sport works very hard to become the best student in his class. Which defence mechanism is this?

1. ACompensation
2. BRegression
3. CDisplacement
4. DUndoing

A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?

1. APut him in a busy bay with lots of noise and activity to keep him stimulated
2. BKeep to his usual routines where possible and prepare him for any changes
3. CChange his daily routine often, to help him get used to change
4. DAvoid his parents' advice, because staff know best how to care for him

What is the main advantage of a long-acting injectable antipsychotic?

1. AIt improves adherence because the patient does not need to take daily tablets
2. BIt has no side effects, unlike the oral forms of the same antipsychotic drugs
3. CIt cures schizophrenia after a fixed course of injections
4. DIt works faster than any oral antipsychotic in an acute crisis

An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?

1. AIt raises blood pressure to dangerous levels in older adults
2. BIt has no effects at all in people over 80, so it will not help her sleep
3. CIts anticholinergic effects can cause confusion, urine retention and falls
4. DIt is a strong opioid that causes severe dependence

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. ATell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
2. BStop answering her calls, because the symptoms are imaginary
3. CArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
4. DAsk the doctor to order new tests every time she reports a symptom

De lithiumspiegel van een patiënt is 1,8 mmol/L. Hij zegt zich prima te voelen op lichte misselijkheid na. Wat moet de verpleegkundige doen?

1. ADe dosis verhogen om een recidief te voorkomen
2. BDe volgende dosis achterhouden en de voorschrijver snel inlichten
3. CDe volgende dosis geven, omdat hij zich prima voelt
4. DDe test over 1 maand herhalen