Werkblad Psychiatrische verpleegkunde met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?

  1. ASchizoid
  2. BAntisocial
  3. CNarcissistic
  4. DAvoidant
2.Makkelijk

Which question is open-ended?

  1. A"Have you taken your medicine yet?"
  2. B"Did you sleep well last night?"
  3. C"Are you feeling sad today?"
  4. D"What has been on your mind today?"
3.Makkelijk

Which sequence describes the cycle of violence often seen in intimate partner abuse?

  1. AReconciliation, acute violence, then tension-building with no further violence
  2. BTension-building, then a calm phase that lasts for the rest of the relationship
  3. CTension-building, acute violence, then reconciliation (the "honeymoon" phase)
  4. DAcute violence, then permanent separation of the partners
4.Gemiddeld

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

  1. A"A sudden severe headache is a reason to get help straight away."
  2. B"I'll avoid aged cheese and cured meats."
  3. C"I'll tell any new doctor or dentist that I take an MAOI."
  4. D"I can take any cold and flu remedy from the pharmacy."
5.Gemiddeld

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

  1. ATry to talk the patient down by discussing his feelings in detail
  2. BEncourage him to walk around the ward and join in activities to help burn off the drug
  3. CProvide a quiet, low-stimulation environment and keep staff and patient safe
  4. DPut him in a busy area so that staff can watch him more easily
6.Gemiddeld

A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?

  1. ANihilistic
  2. BSomatic
  3. CErotomanic
  4. DGrandiose
7.Moeilijk

A patient tells the nurse, "You're the only one I can talk to. You're much better than the other nurses." What is the most appropriate response?

  1. A"Thank you. I'll make sure I'm always the one assigned to you from now on."
  2. B"The other nurses are not as experienced as I am, so it makes sense that you prefer talking to me."
  3. C"You shouldn't compare nurses. That's not fair to them, and it's rude."
  4. D"I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
8.Moeilijk

Een patiënt is 10 dagen geleden met een antidepressivum begonnen. Hij zegt nu meer energie te hebben, maar voelt zich nog steeds hopeloos. Waarom vraagt dit om zorgvuldige bewaking?

  1. ADe energie kan terugkomen vóór de stemming verbetert, wat het risico kan vergroten dat hij naar suïcidale gedachten handelt
  2. BHet betekent dat de dosis te laag is, dus het antidepressivum moet worden gestopt en meteen een ander worden gestart
  3. CHet betekent dat het antidepressivum volledig heeft gewerkt
  4. DHet is een teken van serotoninesyndroom

Antwoordenblad

  1. 1. D · Avoidant
  2. 2. D · "What has been on your mind today?"
  3. 3. C · Tension-building, acute violence, then reconciliation (the "honeymoon" phase)
  4. 4. D · "I can take any cold and flu remedy from the pharmacy."
  5. 5. C · Provide a quiet, low-stimulation environment and keep staff and patient safe
  6. 6. D · Grandiose
  7. 7. D · "I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
  8. 8. A · De energie kan terugkomen vóór de stemming verbetert, wat het risico kan vergroten dat hij naar suïcidale gedachten handelt

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