Werkblad Psychiatrische verpleegkunde met antwoorden

Wat is bij een psychiatrisch onderzoek (mental status examination) het verschil tussen stemming en affect?

1. AStemming is wat de patiënt zegt te voelen; affect is de emotie die de verpleegkundige waarneemt
2. BStemming is wat de verpleegkundige bij de patiënt waarneemt; affect is wat de patiënt zegt te voelen
3. CStemming beschrijft het denken; affect beschrijft het geheugen
4. DStemming en affect betekenen precies hetzelfde

Asked how she slept, a patient describes her evening meal, a television programme and a phone call from her sister in great detail, and finally says that she slept badly. What is this called?

1. ATangentiality
2. BCircumstantiality
3. CThought blocking
4. DPerseveration

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo punish the patient for the behaviour that led to the restraint
2. BTo decide which staff member should be blamed for the incident
3. CTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
4. DTo review what happened, support those involved and learn how to prevent future restraint

Een patiënt gebruikt al vele maanden dagelijks een benzodiazepine. Waarom mag het niet abrupt worden gestopt?

1. AHet zou onmiddellijk gewichtstoename veroorzaken
2. BPlotselinge onthouding kan ernstige angst, slapeloosheid en aanvallen veroorzaken
3. CDe patiënt zou er allergisch voor worden
4. DEr is geen risico; benzodiazepinen kunnen op elk moment zonder afbouwen worden gestopt

Which side effects are most common with quetiapine?

1. ASedation, dizziness when standing and weight gain
2. BA cough and swollen ankles
3. CInsomnia and severe weight loss
4. DHigh prolactin with breast enlargement in almost every patient

Under the Mental Capacity Act 2005 (England and Wales), a person lacks capacity for a decision if they cannot do which of the following?

1. ARead and write in the language used by the staff
2. BRemember the decision for more than a year afterwards
3. CUnderstand, retain and weigh the information, or communicate their decision
4. DAgree with the decision that the doctor and the rest of the healthcare team recommend for them

A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?

1. ATake the statement seriously, assess her risk and explain that nursing assignments are decided by the team
2. BTell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
3. CAgree to assign Anna to her every day so that she stays safe
4. DIgnore the threat, because she is only trying to manipulate staff

A patient on suicide precautions asks for his razor to shave. What is the most appropriate response?

1. ALet another patient lend him a razor so that staff do not need to be involved and he can keep his privacy
2. BGive him the razor, because he has the right to his own belongings
3. CRefuse, and tell him he cannot shave at all while in hospital
4. DFollow policy, for example by supervising the shave or offering an electric razor