Werkblad Psychiatrische verpleegkunde met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?
ADantrolene
BFluoxetine
CLithium
DHaloperidol
2.Makkelijk
A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?
ATardive dyskinesia
BAkathisia
CWaxy flexibility
DEchopraxia
3.Makkelijk
Which group of features is typical of dementia with Lewy bodies?
ASudden step-by-step decline after small strokes
BEarly personality change and loss of social inhibition
CMemory loss only, with no other symptoms or changes in alertness for many years
DFluctuating alertness, detailed visual hallucinations and parkinsonism
4.Gemiddeld
Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?
AChange the rules for this patient to avoid conflict
BState the rule and the consequence clearly, and make sure all staff apply it consistently
CLet each nurse decide on the day whether to apply the rules
DGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
5.Gemiddeld
Welke tekenen zijn typisch voor opioïdontwenning?
AHoge koorts, loodpijprigiditeit en verwardheid binnen een dag na de laatste dosis
BDiepe slaap en obstipatie
CSpeldenknoppupillen en een trage ademhaling
DGeeuwen, een lopende neus, wijde pupillen, kippenvel en diarree
6.Gemiddeld
A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?
ALow thyroid hormone
BLow blood sodium
CRaised blood calcium
DRaised prolactin
7.Moeilijk
A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?
ATreat it as a possible heart attack, with an urgent ECG and medical review
BLet him rest, because the pain will pass when the drug wears off
CReassure him that young people do not have heart problems
DGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
8.Moeilijk
A woman with PTSD after a sexual assault by a man becomes distressed when a male nurse is assigned to her. What is the most appropriate response?
ALeave her without a named nurse until she calms down
BInsist that she accept the male nurse, as all staff are professional
CAssign a female nurse where possible and explain her care plan to her
DTell her that she must learn to face her fears
Antwoordenblad
1. A · Dantrolene
2. C · Waxy flexibility
3. D · Fluctuating alertness, detailed visual hallucinations and parkinsonism
4. B · State the rule and the consequence clearly, and make sure all staff apply it consistently
5. D · Geeuwen, een lopende neus, wijde pupillen, kippenvel en diarree
6. D · Raised prolactin
7. A · Treat it as a possible heart attack, with an urgent ECG and medical review
8. C · Assign a female nurse where possible and explain her care plan to her
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