解答つき精神看護ワークシート

The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?

1. AOrientation
2. BPerception
3. CRecent memory
4. DJudgement

ペプロウによると、看護師と患者の関係の主な段階はどれですか？

1. A入院、治療、退院
2. Bアセスメント、診断、評価
3. C方向づけ期、作業期、終結期
4. D否認、怒り、受容

What is lanugo, which may be seen in severe anorexia nervosa?

1. AThickening of the skin on the knuckles caused by repeated vomiting
2. BPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
3. CFine, soft hair that grows on the body as it tries to conserve heat
4. DLoss of tooth enamel caused by repeated contact with stomach acid

Which treatment is recommended first-line for chronic insomnia in adults?

1. ADrinking alcohol in the evening to fall asleep
2. BCognitive behavioural therapy for insomnia (CBT-I)
3. CStaying in bed for longer each morning
4. DLong-term daily benzodiazepines

精神状態の評価で、思考内容に記録される所見はどれですか？

1. A連合弛緩
2. B観念奔逸
3. C談話心迫
4. D強迫観念と妄想

境界性パーソナリティ障害の患者が、ある看護師を「私をわかってくれる唯一の人」とほめ、ほかの看護師を役立たずと呼びます。チームの対応として最もよいのはどれですか？

1. Aチーム全体で、一貫したルールと対応で合意する
2. Bほかの看護師も役立たずだと患者に伝える
3. C患者を避ける
4. D気に入られた看護師に、この患者についてのすべての決定を任せる

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe nurse has made an error and should cancel the discharge
2. BThe patient is reacting to the coming end of the relationship
3. CThe patient has developed a new psychotic illness
4. DThe patient no longer needs the sessions and should be discharged at once

A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?

1. AOffer non-judgemental information and explore how drinking affects his life
2. BDiscuss detailed strategies to prevent a relapse after he has stopped drinking
3. CRefer him straight to a residential detox programme
4. DHelp him set a quit date for next week