解答つき精神看護ワークシート

What is the main mechanism of action of antipsychotic medicines?

1. AStimulating GABA receptors in the brain
2. BIncreasing the release of dopamine
3. CBlocking the reuptake of serotonin only
4. DBlocking dopamine D₂ receptors

Which statement about nicotine replacement therapy is correct?

1. AIt contains tar and carbon monoxide in smaller amounts than cigarettes
2. BIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
3. CIt must never be combined, for example a patch with gum
4. DIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo decide which staff member should be blamed for the incident
2. BTo review what happened, support those involved and learn how to prevent future restraint
3. CTo punish the patient for the behaviour that led to the restraint
4. DTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
2. B"I don't see anyone in the corner, but I know it seems real to you."
3. C"What does the man in the corner look like?"
4. D"The man will go away if you ignore him."

患者が、職員が自分の食事に毒を入れていると言い張ります。最初の対応として最もよいのはどれですか？

1. A非難をやめるまで、食事は出さないと厳しく伝える
2. B信念について議論せずに恐怖を受けとめ、現実に基づいた話題に焦点を当てる
3. C彼が間違いを認めるまで、論理的に議論する
4. D信頼を得るために、彼に同意する

Which goal for a patient with depression is written in a SMART way?

1. A"The patient will be happier."
2. B"The patient will improve her mood and sleep and start exercising more at some point."
3. C"The patient will feel better soon."
4. D"The patient will walk with staff for 15 minutes once a day by Friday."

A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?

1. AAsk the other patients to ignore her and carry on
2. BTell her loudly in front of everyone that she must stop
3. CCall security to remove her from the ward
4. DCalmly cover her and guide her to her room or a quiet area

A patient with anorexia nervosa is admitted with a BMI of 14, dizziness and low potassium. Which goal is the priority in the first days?

1. AMedical stabilisation, with careful refeeding and correction of electrolytes
2. BImproving body image through group discussions
3. CGaining insight into family relationships through therapy
4. DPlanning her return to university and her studies after discharge