解答つき精神看護ワークシート

Which statement about self-disclosure by the nurse is correct?

1. AIt is never allowed in any situation
2. BIt is helpful when the nurse shares personal problems in detail
3. CIt should be used often to build friendship with the patient
4. DIt should be brief, rare and used only to help the patient

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AInvestigate the family alone at home before reporting
2. BReport the concern according to child protection procedures
3. CWait until there is clear proof before telling anyone
4. DConfront the parents and ask them directly whether they hurt the child

抗コリン性の副作用はどれですか？

1. A高熱と発疹
2. B口渇、便秘、尿閉、霧視
3. C下痢、発汗、流涙、唾液分泌の増加
4. D低血糖と体重減少

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. BOnly the time the restraint started and the name of the nurse in charge of the shift
3. CThe full names of the other patients who saw the incident
4. DThe nurse's personal opinion of the patient's character and attitude

患者のリチウム濃度を測定するための採血は、いつ行うべきですか？

1. A最後の服用の 1 時間後
2. B最後の服用の約 12 時間後
3. C朝の服用の直後
4. D違いはないので、1 日のうちいつでもよい

精神状態の評価で、「病識」では何を評価しますか？

1. A患者の時間と場所の見当識
2. B患者の話す速さ
3. C患者が自分に精神面の問題があり、助けが必要だと理解しているかどうか
4. D患者が、金銭、食事、セルフケアについて、安全な日常的決定を下せるかどうか

A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?

1. AIt is acceptable as long as the seclusion lasts for less than an hour
2. BIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
3. CIt is acceptable as long as the patient agrees afterwards
4. DIt is acceptable, because it will make the ward quieter and safer for the other patients

A resident with dementia accuses staff of stealing her purse, which she has misplaced. What is the most appropriate response?

1. ATell her that her memory is the problem and that the purse is not stolen
2. BInsist that nobody would steal from her
3. CIgnore the accusation and walk away until she forgets about it
4. DStay calm, acknowledge her worry and offer to help her look for it