解答つき精神看護ワークシート

A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?

1. A"Everybody feels that way sometimes. You'll get over it."
2. B"Tell me what it has been like since she died."
3. C"It sounds very lonely without her."
4. D"Losing your wife must have been very hard for you."

What is "enabling" in the context of substance use?

1. AGiving the person information about the effects of the substance
2. BHelping the person to attend a treatment programme on time
3. CSetting firm limits on what behaviour the family will accept in the home from now on
4. DBehaviour by others that protects the person from the consequences of their use

In Freud's theory of personality, what is the role of the ego?

1. ATo store all forgotten memories from childhood
2. BTo balance the demands of the id, the superego and reality
3. CTo act as the moral conscience that creates guilt
4. DTo seek immediate pleasure regardless of the consequences

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. AStay in bed and watch television or use a phone until sleep finally comes
2. BDo vigorous exercise in the bedroom until tired enough to fall asleep straight away
3. CLook at the clock often to check how much sleep is being lost
4. DIf still awake after about 20 minutes, get up, do something calm and return when sleepy

Which physical finding is common in bulimia nervosa?

1. ASwelling of the salivary glands at the angle of the jaw
2. BA high serum potassium level
3. CVery low body weight with lanugo hair
4. DRaised blood pressure, a fast pulse and a high temperature

ウェルニッケ脳症の古典的な三徴はどれですか？

1. A発熱、発疹、項部硬直
2. B頭痛、嘔吐、霧視のみ
3. C振戦、筋強剛、動作の緩慢さ
4. D錯乱、運動失調、異常な眼球運動

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. AIt is a sign of schizophrenia that needs antipsychotic medicine
2. BBrief experiences like this can be part of normal grief
3. CIt proves she has severe major depression with psychosis
4. DIt means she has delirium and needs urgent tests

リチウムで安定している患者が、腰痛のために毎日イブプロフェンを飲み始めたと看護師に話しました。看護師はどうすべきですか？

1. Aリチウムの用量を 2 倍にするよう助言する
2. Bむくみのために利尿薬も飲むよう伝える
3. Cイブプロフェンは処方箋なしで買えて安全なので、問題ないと伝える
4. Dイブプロフェンはリチウムを中毒濃度に上げることがあるため、処方者に知らせる