解答つき精神看護ワークシート

Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?

1. AFocusing
2. BRestating
3. CExploring
4. DSummarising

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. ASchizophrenia
2. BAttention-deficit hyperactivity disorder
3. CAlzheimer's disease
4. DBorderline personality disorder

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

1. ASummarising
2. BRestating
3. CGiving advice
4. DVoicing doubt

Which side effects should the nurse monitor for in a patient starting donepezil?

1. ANausea, diarrhoea and a slow heart rate
2. BDry mouth, constipation and urinary retention
3. CWeight gain and high blood glucose
4. DTremor, thirst and passing large amounts of urine

A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?

1. AThe child does not care about her grandmother and has not been affected by the death
2. BThe child should not be told anything about the death until she is older
3. CThe child is in denial and needs psychiatric treatment
4. DYoung children often do not yet see death as permanent, so simple, honest words help

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

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

A patient who believes he is a famous religious leader becomes upset when other patients laugh at him. What is the most appropriate nursing action?

1. AAsk him to prove his identity in front of the group, so that the laughing stops
2. BEncourage the other patients to explain why the belief is wrong
3. CAgree that he is the religious leader so that he feels respected
4. DProtect him from ridicule, avoid arguing and focus on real activities

A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?

1. AIgnore the complaint until he mentions it again
2. BTell him to lie down in his room, rest and stop worrying so much about his health
3. CAgree with the colleague and give him a PRN anxiolytic
4. DAssess him physically, with vital signs and an ECG if indicated