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. ASeeking clarification
2. BOffering self
3. CDefending
4. DReflecting

What is a psychiatric advance directive (advance statement)?

1. AA document in which a person states their treatment wishes for a time when they may lack capacity
2. BA court order that allows a patient to be detained in hospital
3. CA note from the doctor that lists the patient's diagnoses
4. DA contract in which the patient promises the team to take every prescribed medicine for life

Verhoogt het rechtstreeks vragen naar suïcidale gedachten het risico op suïcide van een patiënt?

1. ANee; rechtstreeks vragen is veilig en helpt het risico in te schatten
2. BJa; het zet het idee in zijn hoofd
3. CJa; het mag alleen door een psychiater na een volledige beoordeling
4. DHet is alleen veilig bij adolescenten

Welke combinatie van bevindingen wijst op het maligne neurolepticasyndroom?

1. AHyperreflexie, clonus, diarree, wijde pupillen en agitatie binnen uren na een nieuw serotonerg geneesmiddel
2. BFijne tremor en toegenomen dorst
3. CHoge koorts, ernstige "loodpijp"-spierrigiditeit, verwardheid, instabiele bloeddruk en een verhoogd CK
4. DGewichtstoename en verhoogde bloedglucose

Which nurse statement is most consistent with motivational interviewing?

1. A"You're an alcoholic, and you need to admit it."
2. B"I've decided that you need to stop drinking completely."
3. C"If you don't stop drinking now, you'll die."
4. D"What would be different for you if you drank less?"

Which feature helps distinguish normal grief from major depression?

1. AIn grief, the person feels worthless and hopeless all the time
2. BIn grief, painful feelings come in waves and self-esteem is usually kept
3. CGrief always lasts less than 2 weeks
4. DIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died

A man is found in a city far from home. He cannot remember who he is or how he got there, but his speech and thinking are otherwise normal. Tests show no head injury or intoxication. What is most likely?

1. ADissociative amnesia with dissociative fugue
2. BDelirium
3. CAlzheimer's disease
4. DA manic episode with poor judgement and impulsive travel

A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?

1. AWater intoxication from psychogenic polydipsia
2. BA worsening of his psychosis that needs a higher dose of antipsychotic
3. CDehydration caused by anticholinergic side effects
4. DNeuroleptic malignant syndrome from his antipsychotic medicine