解答つき基礎看護学ワークシート

What is a wheeze?

1. AA crackling sound heard over the heart
2. BA high-pitched whistling sound caused by narrowed airways
3. CA harsh sound heard only when breathing in through the nose
4. DA low rattling sound caused by fluid in the throat

In Kübler-Ross's model of grief, which stage is often described first?

1. ABargaining
2. BDepression
3. CDenial
4. DAcceptance

看護の申し送りの主な目的は何ですか？

1. Aスタッフの勤務表について話し合うこと
2. B勤務を早く終えること
3. C患者の請求の詳細を記録すること
4. Dケアが安全に続くように正確な情報を伝えること

Which nursing record entry is the best example of objective documentation?

1. A"Had a good appetite today and enjoyed lunch."
2. B"Seemed to enjoy the meal."
3. C"Ate well, as usual."
4. D"Ate half of lunch; drank 200 mL of water."

A patient with capacity wants to leave hospital against medical advice. What should the nurse do?

1. AExplain the risks, inform the doctor and document the discussion
2. BLock the ward door to keep the patient in until the doctor arrives
3. CLet them go without telling anyone
4. DHide the patient's clothes so they cannot leave

Why should enteric-coated tablets not be crushed?

1. ACrushing makes the tablet taste so bitter that patients refuse it
2. BCrushing makes the dose roughly twice as strong as the whole tablet
3. CCrushing makes the drug inactive in water
4. DCrushing removes the coating that protects the stomach or drug

A patient opens their eyes only to pain, makes incomprehensible sounds and withdraws from a painful stimulus. What is the Glasgow Coma Scale score?

1. A9
2. B8
3. C11
4. D6

A colleague suggests giving a patient who "asks for pain relief too often" a saline injection to check whether the pain is real. What is correct?

1. AIt is a good way to test whether the patient's pain is real
2. BIt is deceptive; the pain should be assessed and treated
3. CIt is acceptable, provided the patient is not told about it
4. DIt is acceptable if the doctor agrees