Werkblad Psychiatrische verpleegkunde met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Wat is bij een psychiatrisch onderzoek (mental status examination) het verschil tussen stemming en affect?
AStemming is wat de verpleegkundige bij de patiënt waarneemt; affect is wat de patiënt zegt te voelen
BStemming en affect betekenen precies hetzelfde
CStemming is wat de patiënt zegt te voelen; affect is de emotie die de verpleegkundige waarneemt
DStemming beschrijft het denken; affect beschrijft het geheugen
2.Makkelijk
Which medicine may be used to treat moderate serotonin syndrome?
APhenelzine
BTramadol
CCyproheptadine
DSertraline
3.Makkelijk
A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?
AElectroconvulsive therapy
BBright light therapy
CLithium carbonate
DSeclusion in a quiet room
4.Gemiddeld
A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?
ALeave her alone until the episode has passed on its own
BAsk her to describe the traumatic event in as much detail as she can
CAsk her to name things she can see, hear and touch in the room right now
DAsk her to close her eyes and think back to the worst moment of the trauma
5.Gemiddeld
A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?
AThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
BA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
CThe patient can be left alone while asleep
DThe patient is checked every hour during the day only
6.Gemiddeld
An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?
ALow mood after the loss of a partner is always normal grief and never needs any assessment
BOlder adults cannot be treated for depression
CDepression in older adults can look like dementia and is treatable
DMemory complaints in older adults are always caused by dementia
7.Moeilijk
A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?
A"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."
B"Smoking is only allowed in the garden, and that rule is the same for everyone."
C"I'll let you if you promise not to tell anyone else about it."
D"Well, if the others let you, I suppose it's fine this once."
8.Moeilijk
Een patiënte met boulimia nervosa heeft een serumkalium van 2,8 mmol/L. Wat is de grootste zorg?
AVerhoogde eetlust
BEen risico op levensbedreigende hartritmestoornissen
CEen risico op gewichtstoename
DVerbeterde spierkracht
Antwoordenblad
1. C · Stemming is wat de patiënt zegt te voelen; affect is de emotie die de verpleegkundige waarneemt
2. C · Cyproheptadine
3. B · Bright light therapy
4. C · Ask her to name things she can see, hear and touch in the room right now
5. B · A staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
6. C · Depression in older adults can look like dementia and is treatable
7. B · "Smoking is only allowed in the garden, and that rule is the same for everyone."
8. B · Een risico op levensbedreigende hartritmestoornissen
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