Werkblad Psychiatrische verpleegkunde met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?
APre-interaction phase
BTermination phase
CWorking phase
DOrientation phase
2.Makkelijk
Which group of features is typical of dementia with Lewy bodies?
AEarly personality change and loss of social inhibition
BSudden step-by-step decline after small strokes
CFluctuating alertness, detailed visual hallucinations and parkinsonism
DMemory loss only, with no other symptoms or changes in alertness for many years
3.Makkelijk
Which phrase uses person-first language that helps reduce stigma?
A"A mental case"
B"A schizophrenic patient"
C"A person with schizophrenia"
D"A psycho"
4.Gemiddeld
How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?
AIt is given as a daily tablet that contains tiny magnetic particles
BIt needs a general anaesthetic and causes a seizure, like ECT
CIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
DIt involves surgically implanting electrodes deep in the brain under anaesthetic
5.Gemiddeld
An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?
ADepression in older adults can look like dementia and is treatable
BLow mood after the loss of a partner is always normal grief and never needs any assessment
CMemory complaints in older adults are always caused by dementia
DOlder adults cannot be treated for depression
6.Gemiddeld
An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?
APlace him in seclusion and then decide about medicine later
BGive an intramuscular injection at once without offering any choice
COffer the oral medicine first, before considering an injection
DHide the medicine in his drink without telling him
7.Moeilijk
A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?
AAgree with the colleague and give him a PRN anxiolytic
BTell him to lie down in his room, rest and stop worrying so much about his health
CIgnore the complaint until he mentions it again
DAssess him physically, with vital signs and an ECG if indicated
8.Moeilijk
Een patiënt loopt heen en weer, heeft gebalde vuisten en schreeuwt tegen het personeel. Wat is de meest passende eerste benadering?
ARustige verbale de-escalatie gebruiken, een veilige afstand houden en zorgen dat jullie allebei een uitgang hebben
BJe rug toekeren en het gedrag negeren
CDe patiënt onmiddellijk fixeren
DDicht bij de patiënt gaan staan en je stem verheffen zodat je duidelijk de controle overneemt
Antwoordenblad
1. D · Orientation phase
2. C · Fluctuating alertness, detailed visual hallucinations and parkinsonism
3. C · "A person with schizophrenia"
4. C · It uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
5. A · Depression in older adults can look like dementia and is treatable
6. C · Offer the oral medicine first, before considering an injection
7. D · Assess him physically, with vital signs and an ECG if indicated
8. A · Rustige verbale de-escalatie gebruiken, een veilige afstand houden en zorgen dat jullie allebei een uitgang hebben
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