解答つき精神看護ワークシート

In behaviour therapy, what is positive reinforcement?

1. AAdding a reward after a behaviour so that the behaviour becomes more likely
2. BRemoving a reward so that a behaviour becomes less likely
3. CAdding an unpleasant consequence so that a behaviour stops
4. DIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff

A patient smiles and laughs while describing the death of her son. How is this affect described?

1. ACongruent
2. BRestricted but appropriate
3. CIncongruent
4. DEuthymic

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. ACircumstantiality
2. BThought blocking
3. CPerseveration
4. DTangentiality

A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?

1. AThe patient will make small everyday decisions on her own
2. BThe patient will move in with a relative who can make decisions for her
3. CThe patient will avoid contact with others until she feels more confident
4. DThe patient will let staff make all her decisions while in hospital

A woman was assaulted 10 days ago. She has nightmares, avoids the area and feels detached. According to DSM-5, which diagnosis fits the timing best?

1. AGeneralised anxiety disorder
2. BPost-traumatic stress disorder
3. CAcute stress disorder
4. DAdjustment disorder with anxiety

Which information is essential when documenting the use of physical restraint?

1. AThe reason for it, alternatives tried, start and end times, and the observations made
2. BThe full names of the other patients who saw the incident
3. COnly the time the restraint started and the name of the nurse in charge of the shift
4. DThe nurse's personal opinion of the patient's character and attitude

A patient in a catatonic stupor has not eaten or drunk anything for 24 hours and does not respond to speech. What is the priority nursing concern?

1. AExploring the meaning of his silence with open questions
2. BTeaching him about his medicines
3. CEncouraging him to join group therapy
4. DFluid and nutritional intake, and other physical needs

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. AAsk the doctor to order new tests every time she reports a symptom
2. BTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
3. CStop answering her calls, because the symptoms are imaginary
4. DArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping