解答つき精神看護ワークシート

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAphasia
2. BApraxia
3. CAmnesia
4. DAkathisia

In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?

1. A6 weeks
2. B2 weeks
3. C2 years
4. D2 months

Which measure has good evidence for reducing suicide deaths?

1. AAsking the patient to sign a no-suicide contract
2. BRestricting access to lethal means, such as firearms or large supplies of medicines
3. CAvoiding the topic of suicide completely with people at risk
4. DGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment

A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?

1. A"Why do you want to buy the hospital?"
2. B"You know that isn't true at all."
3. C"That sounds hard to believe."
4. D"That's wonderful. When will you start?"

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
2. BScold her for breaking the ward rules and remove all her privileges
3. CTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
4. DGive her a lot of extra attention for the rest of the day

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

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

ハロペリドールを開始して 5 日後に、患者に体温 40 °C、四肢の強剛、錯乱、血圧の変動、発汗がみられます。看護師が最初にすべきことは何ですか？

1. A発熱にパラセタモールを与え、4 時間後に観察項目を再確認する
2. B落ち着かせるために、ハロペリドールをもう一度投与する
3. Cこわばりを減らすために、運動を勧める
4. D抗精神病薬を保留し、緊急に医療的な助けを求める

A patient has had delusions and hallucinations for a year. For most of this time he has also had episodes of major depression, but for at least two weeks at a time his psychotic symptoms continued without any mood symptoms. Which diagnosis best fits this pattern?

1. ASchizoaffective disorder
2. BBrief psychotic disorder
3. CMajor depression with psychotic features
4. DDelusional disorder