Werkblad Psychiatrische verpleegkunde met antwoorden

Haloperidol belongs to which group of antipsychotics?

1. ASecond-generation (atypical) antipsychotics
2. BBenzodiazepines with an added antipsychotic effect
3. CSelective serotonin reuptake inhibitors used for psychosis
4. DFirst-generation (typical) antipsychotics

What is trichotillomania?

1. AA fungal infection of the scalp that is common in people with OCD
2. BHair loss caused by lithium treatment
3. CA fear of hair, combs and hairdressers
4. DRepeatedly pulling out one's own hair, leading to hair loss

What is anticipatory grief?

1. AGrief that never ends and stops the person from functioning
2. BGrief that begins before an expected loss, such as during a terminal illness
3. CGrief that is hidden from others because the loss is not openly recognised or socially accepted
4. DGrief that appears for the first time many years after a loss

How may depression present differently in adolescents than in adults?

1. AWith increased energy and less need for sleep
2. BAlways with psychotic symptoms
3. CWith a high fever and a rash
4. DWith irritability rather than obvious sadness

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

1. ARestless pacing and an inability to sit still
2. BShuffling gait, mask-like face, rigidity and a resting tremor
3. CLip smacking, tongue thrusting and grimacing after years of treatment
4. DSudden muscle spasm of the neck with the eyes rolled upwards

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. AOlder adults cannot be treated for depression
2. BLow mood after the loss of a partner is always normal grief and never needs any assessment
3. CDepression in older adults can look like dementia and is treatable
4. DMemory complaints in older adults are always caused by dementia

A nurse is teaching a patient who has started haloperidol for schizophrenia. Which statement shows a need for further teaching?

1. A"I can stop taking it as soon as the voices go away."
2. B"I'll avoid alcohol while I'm taking this medicine."
3. C"I should get up slowly if I feel dizzy."
4. D"I should tell the nurse if my neck or jaw muscles feel stiff."

Which patient has the highest risk of suicide?

1. AA 30-year-old woman with mild anxiety who has a supportive family
2. BA 45-year-old man with well-controlled hypertension who works full time
3. CA 72-year-old widowed man with alcohol dependence who has a gun at home and a plan
4. DA 20-year-old student with exam stress who has no thoughts of suicide and good friends