解答つき精神看護ワークシート

Which nurse response is an example of giving advice, a non-therapeutic technique?

1. A"If I were you, I would leave him."
2. B"What options have you thought about?"
3. C"How do you feel about leaving him?"
4. D"Tell me more about your relationship."

What is the main aim of motivational interviewing?

1. ATo frighten the person with the worst possible health consequences of their drinking
2. BTo confront the person firmly until they admit they have a problem
3. CTo help the person explore and resolve their mixed feelings about change
4. DTo tell the person exactly what they must do to recover

Which feature is typical of Korsakoff syndrome?

1. AA flapping tremor of the hands caused by liver failure
2. BPinpoint pupils and slow breathing
3. CFever, rigidity and a high creatine kinase
4. DSevere memory loss with confabulation

Which side effects are most common with quetiapine?

1. AHigh prolactin with breast enlargement in almost every patient
2. BInsomnia and severe weight loss
3. CSedation, dizziness when standing and weight gain
4. DA cough and swollen ankles

身体拘束の使用に当てはまる原則はどれですか？

1. A記録する必要はない
2. Bルール違反の罰として使える
3. C記録し、あとでチームが振り返るなら、忙しい勤務帯での職員の都合で使える
4. Dより制限の少ない手段が失敗したときの最後の手段で、綿密に観察し、安全になり次第ただちに解除する

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AScold her for breaking the ward rules and remove all her privileges
2. BIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
3. CGive her a lot of extra attention for the rest of the day
4. DTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AIgnore it, because weight changes in children are always normal
2. BStop the medicine immediately without telling the prescriber
3. CReport the finding, review his eating pattern and suggest giving the medicine after breakfast
4. DAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day

On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?

1. ACarrying out the full admission suicide risk assessment of a newly admitted patient
2. BEvaluating whether a PRN medicine given an hour ago has worked
3. CAccompanying a stable patient to the dining room and recording his food intake
4. DTeaching a patient about the side effects of lithium