Werkblad Psychiatrische verpleegkunde met antwoorden

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. ARegression
2. BReaction formation
3. CIntellectualisation
4. DDisplacement

Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?

1. ASummarising
2. BExploring
3. CFocusing
4. DRestating

Which advice is part of good sleep hygiene?

1. AUse a phone or tablet in bed until you feel tired enough to sleep
2. BTake long naps in the afternoon to make up for any lost sleep at night
3. CHave a large meal and a strong coffee just before going to bed
4. DGet up at the same time each day and avoid caffeine later in the day

A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?

1. AGrandiose
2. BPersecutory
3. CErotomanic
4. DNihilistic

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I can take any cold and flu remedy from the pharmacy."
2. B"I'll tell any new doctor or dentist that I take an MAOI."
3. C"A sudden severe headache is a reason to get help straight away."
4. D"I'll avoid aged cheese and cured meats."

A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?

1. A"That's wonderful. When will you start?"
2. B"That sounds hard to believe."
3. C"Why do you want to buy the hospital?"
4. D"You know that isn't true at all."

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

Een patiënt met schizofrenie weigert zijn antipsychoticum, omdat hij zich er traag door voelt. Wat is de beste eerste reactie?

1. ADe medicatie in zijn eten verstoppen
2. BZijn redenen en bijwerkingen verkennen en het team inlichten zodat de behandeling kan worden herzien
3. CHem vertellen dat hij gefixeerd wordt en een injectie krijgt als hij de tabletten niet via de mond inneemt
4. D"Geweigerd" noteren en er nooit meer over praten