解答つき精神看護ワークシート

Which group of features is typical of dementia with Lewy bodies?

1. AMemory loss only, with no other symptoms or changes in alertness for many years
2. BSudden step-by-step decline after small strokes
3. CFluctuating alertness, detailed visual hallucinations and parkinsonism
4. DEarly personality change and loss of social inhibition

幻覚とは何ですか？

1. A実在する刺激の誤った解釈
2. B話題が急速に移り変わること
3. C固定した誤った信念
4. D外部の刺激がないのに生じる知覚

What is the main focus of the recovery model in mental health care?

1. AProfessionals making all decisions for patients for their own good
2. BLong-term hospital care for everyone with serious mental illness
3. CComplete removal of all symptoms before the person can start to build a good and meaningful life
4. DHope, self-determination and living a meaningful life, even if some symptoms continue

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

1. AIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
2. BGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
3. CIt causes weight gain, so offer fewer snacks during the day
4. DGive it just before bedtime so that it works overnight

A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?

1. A"Everyone here knows you well, so don't worry."
2. B"You feel that people here don't really know you?"
3. C"Why do you think the doctor is wrong about you?"
4. D"The doctor is very experienced, so you should trust her."

A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?

1. ALow blood sodium
2. BRaised blood calcium
3. CLow thyroid hormone
4. DRaised prolactin

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. AWait until the next morning to see if she still feels the same once the argument has settled down
2. BAgree with the colleague and take no action at all
3. CCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
4. DTell the patient she is only seeking attention

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. ATreat it as a possible heart attack, with an urgent ECG and medical review
2. BReassure him that young people do not have heart problems
3. CGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
4. DLet him rest, because the pain will pass when the drug wears off