解答つき精神看護ワークシート

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

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

1. ASchizophrenia
2. BBorderline personality disorder
3. CAlzheimer's disease
4. DAttention-deficit hyperactivity disorder

At which level of anxiety is a person most able to learn and solve problems?

1. AModerate anxiety
2. BPanic
3. CMild anxiety
4. DSevere anxiety

Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?

1. AIt makes the benzodiazepine effect much stronger
2. BIt causes a dangerous rise in blood sugar
3. CIt causes permanent memory loss after a single dose
4. DIt can cause sudden withdrawal and seizures

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
2. BThese are signs of an allergic reaction, so she should never take lithium again
3. CThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
4. DThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away

Which information is essential when documenting the use of physical restraint?

1. AThe full names of the other patients who saw the incident
2. BOnly the time the restraint started and the name of the nurse in charge of the shift
3. CThe nurse's personal opinion of the patient's character and attitude
4. DThe reason for it, alternatives tried, start and end times, and the observations made

A woman who takes lithium for bipolar disorder tells the nurse she would like to become pregnant. What is the best response?

1. A"Stop the lithium today so that it is out of your body before you get pregnant."
2. B"You'll need to choose between treating your bipolar disorder and having a baby."
3. C"Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."
4. D"Lithium is completely safe in pregnancy, so there is no need to change anything at all."

A caller says she is a patient's sister and asks how he is doing. The patient has not given consent to share information. What should the nurse do?

1. AAsk her to prove she is his sister and then share the details
2. BTell her that he is on the ward but refuse to say anything else about his care or condition
3. CNeither confirm nor deny that he is there, and offer to pass on a message
4. DGive a full update, because she is a close family member