Werkblad Psychiatrische verpleegkunde met antwoorden

The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?

1. ALevel of consciousness
2. BImmediate memory
3. COrientation
4. DAbstract thinking

What is countertransference?

1. AThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
2. BThe transfer of a patient's care to another nurse at the end of a shift
3. CThe patient's feelings towards the nurse, based on earlier relationships
4. DThe patient repeating the nurse's words and gestures without understanding their meaning

Which sequence shows Tuckman's stages of group development?

1. ANorming, forming, storming, adjourning, performing
2. BForming, storming, norming, performing, adjourning
3. CStorming, forming, performing, norming, adjourning
4. DForming, performing, storming, norming, adjourning

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
2. B"What does the man in the corner look like?"
3. C"I don't see anyone in the corner, but I know it seems real to you."
4. D"The man will go away if you ignore him."

A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

1. AThe diazepam will block the pain-relieving effect of oxycodone
2. BThe combination will cause high blood pressure
3. CIncreased sedation and respiratory depression
4. DThere is no interaction between these two drugs

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. AArrange for only the senior doctor to see him from now on
2. BRespond respectfully but firmly, and keep the same expectations as for other patients
3. CTell him that he is not as important as he thinks he is
4. DAvoid him as much as possible, because he is rude and unpleasant to the nursing staff

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

1. AKeep a safe distance, call for help and avoid trying to take the chair alone
2. BShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge
3. CTurn her back and walk away slowly without saying anything
4. DGrab the chair from the patient quickly before he can use it

An older patient receiving haloperidol for agitation has an episode of fainting and palpitations. Which test does the nurse expect to be ordered first?

1. AAn ECG to look for a prolonged QT interval
2. BA serum lithium level
3. CA liver function test
4. DA white blood cell count with differential