Werkblad Psychiatrische verpleegkunde met antwoorden

A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?

1. AOffering self
2. BSeeking clarification
3. CDefending
4. DReflecting

A patient believes that the newsreader on television is sending him personal messages. What is this called?

1. AAn idea of reference
2. BAn illusion
3. CA somatic delusion
4. DThought insertion

For which patients is clozapine mainly used?

1. APatients with schizophrenia that has not responded to two other antipsychotics
2. BPatients with mild anxiety who need a short-term sedative
3. COlder patients with dementia who become agitated and restless in the evening
4. DPatients having their very first episode of mild psychosis

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. ATry to talk the patient down by discussing his feelings in detail
2. BEncourage him to walk around the ward and join in activities to help burn off the drug
3. CPut him in a busy area so that staff can watch him more easily
4. DProvide a quiet, low-stimulation environment and keep staff and patient safe

What is the key difference between factitious disorder and malingering?

1. AThere is no real difference between them, and both terms mean exactly the same thing
2. BIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
3. CMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
4. DIn factitious disorder, the symptoms are not produced on purpose at all

Wat moet een patiënt die disulfiram gebruikt leren?

1. AKleine hoeveelheden bier zijn veilig
2. BHet werkt alleen als er alcohol bij wordt gedronken, dus dagelijks een klein beetje wijn is nodig
3. CHet geneest alcoholafhankelijkheid na één dosis
4. DAlle alcohol vermijden, inclusief verborgen bronnen zoals sommige mondspoelmiddelen en sauzen

Een patiënte met een bekende paniekstoornis zegt pijn op de borst te hebben en moeite met ademen. Wat moet de verpleegkundige als eerste doen?

1. AHaar vragen langzaam in een papieren zak te ademen en haar alleen laten tot de paniek voorbij is, zoals dat bij paniekstoornis altijd gebeurt
2. BHaar een uitleg geven over cognitieve herstructurering
3. CHaar lichamelijk beoordelen, inclusief vitale functies, en volgens beleid een ECG laten maken, voordat wordt aangenomen dat het paniek is
4. DHaar vertellen dat het gewoon weer een paniekaanval is

A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?

1. ALet him stay in bed, because negative symptoms cannot change
2. BWait until he asks to join activities before involving him
3. CTell him firmly that he will lose his ward privileges unless he gets up and showers at once
4. DAgree a simple daily routine with small, achievable activities and give positive feedback