解答つき精神看護ワークシート

躁病エピソードに典型的な所見はどれですか？

1. A高いエネルギーを伴う睡眠欲求の減少
2. B無価値感
3. C1 日 14 時間眠る
4. D話し方や動作の緩慢さ

A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?

1. AWaxy flexibility
2. BAkathisia
3. CTardive dyskinesia
4. DEchopraxia

患者が「明日の手術が怖い」と言いました。偽りの安心づけの例となる看護師の返答はどれですか？

1. A「明日のことで、いちばん心配なのはどんなことですか？」
2. B「どんなお気持ちか、もっと聞かせてください。」
3. C「心配しないで、きっとすべてうまくいきますよ。」
4. D「怖いのですね。」

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
2. B"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
3. C"That would be against the rules, so please stop asking about it."
4. D"Of course, as long as you don't tell the other patients."

Which physical finding is common in bulimia nervosa?

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

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
2. BChange the rules for this patient to avoid conflict
3. CLet each nurse decide on the day whether to apply the rules
4. DState the rule and the consequence clearly, and make sure all staff apply it consistently

A 15-year-old tells the school nurse she has been cutting herself and asks her not to tell her parents. What is the best response?

1. AExplain that safety information must be shared, and involve her in how this is done
2. BPromise never to tell anyone about it, so that she keeps trusting the school nurse
3. CPhone her parents at once without telling her
4. DTell her that cutting is a phase that many teenagers go through and it needs no help

For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?

1. APanic disorder
2. BSpecific phobia
3. CAcute stress disorder after a recent trauma
4. DGeneralised anxiety disorder