解答つき精神看護ワークシート

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

1. ARestricted but appropriate
2. BEuthymic
3. CIncongruent
4. DCongruent

「どうしてそんなことをしたのですか？」のような「なぜ」の質問を、看護師が通常避けるのはなぜですか？

1. A常に法律に反するため
2. Bアセスメントが短くなるため
3. C自由度が高すぎるため
4. D患者が責められていると感じ、防衛的になることがあるため

幻覚とは何ですか？

1. A外部の刺激がないのに生じる知覚
2. B固定した誤った信念
3. C実在する刺激の誤った解釈
4. D話題が急速に移り変わること

A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?

1. ADrink a cup of strong coffee before getting out of bed each morning
2. BStop the medicine if the dizziness happens more than once
3. CSit on the edge of the bed for a moment and then stand up slowly
4. DGet up quickly to get the blood flowing to the brain

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

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

A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?

1. AAbout 6–24 hours after the last drink
2. BAbout 2–3 weeks after the last drink
3. COnly after 7 days without alcohol
4. DWithin 5 minutes of the last drink

The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?

1. ATell the parents that they caused his illness
2. BDischarge him to live alone in a flat, without any support from his family or the team
3. CAdvise the parents to stop all contact with their son
4. DFamily psychoeducation and help to communicate with less criticism

A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?

1. ATell the patient that he reminds her of her father
2. BAvoid the patient and let other staff do all of his care
3. CIgnore the feeling, because feelings do not affect nursing care
4. DRecognise this as countertransference and discuss it in clinical supervision