解答つき精神看護ワークシート

What is systematic desensitisation?

1. AA medicine that reduces anxiety within minutes of being taken
2. BGradual exposure to a feared situation, step by step, while using relaxation
3. CSudden and prolonged exposure to the most feared situation at once
4. DTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again

What is "sundowning" in a person with dementia?

1. ASensitivity of the skin to sunlight caused by dementia medicines
2. BImproved memory and calmness as darkness falls each evening
3. CSleeping all day and staying awake all night from the start of the illness
4. DIncreased confusion and agitation in the late afternoon and evening

What is hoarding disorder?

1. ACollecting a few favourite objects as a hobby that the person enjoys
2. BRepeated checking that all the doors and windows are locked before leaving the house each day
3. CFear of leaving the home because of crowds and public transport
4. DPersistent difficulty throwing things away, so that clutter fills the living space

Which question is the best way to ask a patient about suicidal thoughts?

1. A"Things aren't that bad, are they?"
2. B"You wouldn't hurt yourself, would you?"
3. C"You're not thinking of doing anything silly, are you?"
4. D"Are you having thoughts of killing yourself?"

What is the CIWA-Ar scale used for?

1. AScreening for dementia in older adults
2. BRating the severity of alcohol withdrawal to guide treatment
3. CMeasuring the depth of sedation in patients on a ventilator in intensive care
4. DMeasuring the risk of falls in hospital

Which effects of methadone should the nurse monitor for?

1. ARespiratory depression, sedation and a prolonged QT interval
2. BAgranulocytosis and a sore throat
3. CHypertensive crisis after eating aged cheese
4. DHair loss, weight loss and a painful red rash on the face

A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?

1. AAsking the assistant to help a patient with personal hygiene
2. BAsking the assistant to take routine vital signs of a stable patient
3. CAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
4. DAsking the assistant to sit with a calm patient during a group art activity and report any concerns

During a ward community meeting, several patients complain that the ward is too noisy at night. What reflects a therapeutic milieu?

1. AAsk the patients to write their complaints down and then do nothing
2. BDiscuss the problem openly and involve patients in finding a solution
3. CTell the patients that the rules cannot be changed
4. DEnd the meeting so the complaint is not discussed further