解答つき精神看護ワークシート

According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?

1. ATermination phase
2. BPre-interaction phase
3. COrientation phase
4. DWorking phase

苦痛を抱えた患者との会話で、看護師が短い沈黙を用いることがあるのはなぜですか？

1. A看護師が同意していないことを患者に示すため
2. B会話が終わったことを知らせるため
3. C看護師が積極的な傾聴をしばらくやめ、次の質問を考えられるようにするため
4. D患者が考える時間を得て、自分のペースで話を続けられるようにするため

アルコール依存の患者にチアミン（ビタミン B1）を投与するのはなぜですか？

1. Aウェルニッケ脳症を予防または治療するため
2. Bアルコールへの渇望を減らすため
3. C肝硬変を治療するため
4. Dアルコールをまずく感じさせるため

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
2. BLeave him alone in a dark room so that he can sleep it off
3. CArgue with him that what he sees is not real until he accepts it
4. DStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass

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. CTremor, thirst and passing large amounts of urine
4. DWeight gain and high blood glucose

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey give rapid relief but are generally used only short-term because of tolerance and dependence
2. BThey are the preferred long-term treatment for generalised anxiety disorder
3. CThey take 4–6 weeks to have any effect on anxiety, like antidepressants
4. DThey are safe to stop suddenly after many months of daily use

A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?

1. ALet him stay in bed, because negative symptoms cannot change
2. BTell him firmly that he will lose his ward privileges unless he gets up and showers at once
3. CAgree a simple daily routine with small, achievable activities and give positive feedback
4. DWait until he asks to join activities before involving him

重度の神経性やせ症の患者が、栄養再開の 3 日目に、足首の腫れ、低リン血症、不整脈を呈しています。最も考えられるのはどれですか？

1. A正常な体重増加
2. B食べ物に対するアレルギー反応
3. C再栄養症候群（リフィーディング症候群）
4. Dセロトニン症候群