Werkblad Psychiatrische verpleegkunde met antwoorden

What is a psychiatric advance directive (advance statement)?

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

Iemand met sterke vijandige gevoelens jegens een buurman is overdreven vriendelijk en gul tegenover hem. Welk afweermechanisme is dit?

1. AReactieformatie
2. BVerplaatsing
3. COntkenning
4. DCompensatie

Een patiënt praat snel en springt van het ene onderwerp naar het andere, waarbij elke gedachte losjes aansluit op de vorige. Hoe heet dit?

1. AGedachteblokkade
2. BSpraakarmoede
3. CPerseveratie
4. DGedachtevlucht

Which question is the best way to ask a patient about suicidal thoughts?

1. A"Things aren't that bad, are they?"
2. B"You're not thinking of doing anything silly, are you?"
3. C"You wouldn't hurt yourself, would you?"
4. D"Are you having thoughts of killing yourself?"

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?"

What is the key difference between factitious disorder and malingering?

1. AIn factitious disorder, the symptoms are not produced on purpose at all
2. BIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
3. CMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
4. DThere is no real difference between them, and both terms mean exactly the same thing

An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?

1. AA sign that she needs a higher dose of amitriptyline
2. BThe normal effects of ageing
3. CThe combined anticholinergic effects of her medicines
4. DSudden-onset Alzheimer's disease

A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?

1. ATense each muscle group in turn for a few seconds, then let go and notice the difference
2. BDo the exercise only during a panic attack, never at other times
3. CHold your breath for as long as possible while lying completely still on the floor
4. DTense all your muscles at once and keep them tight for 10 minutes