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. ADefending
2. BOffering self
3. CSeeking clarification
4. DReflecting

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

1. ANeologism
2. BConfabulation
3. CEcholalia
4. DEchopraxia

Which advice is part of good sleep hygiene?

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

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

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AState the rule and the consequence clearly, and make sure all staff apply it consistently
2. BChange the rules for this patient to avoid conflict
3. CLet each nurse decide on the day whether to apply the rules
4. DGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence

Een patiënt die lamotrigine gebruikt voor een bipolaire stoornis krijgt een nieuwe huiduitslag. Wat moet de verpleegkundige doen?

1. AEen hydraterende crème aanbrengen en het middel gewoon doorgebruiken omdat huiduitslag vaak voorkomt
2. BHet negeren, omdat huiduitslag altijd onschuldig is
3. CDe dosis verdubbelen
4. DHet snel melden, omdat het het begin van een ernstige huidreactie kan zijn

A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?

1. AHis usual methadone should continue, and additional analgesia is usually needed for acute pain
2. BHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given
3. CHis methadone should be stopped while he is in hospital
4. DHe should get no opioids at all, because of his history

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AStop the medicine immediately without telling the prescriber
2. BReport the finding, review his eating pattern and suggest giving the medicine after breakfast
3. CAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
4. DIgnore it, because weight changes in children are always normal