解答つき精神看護ワークシート

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. AA delusion of control
2. BDepersonalisation
3. CDerealisation
4. DA visual hallucination

A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?

1. APresenting reality
2. BChanging the subject
3. CGiving approval
4. DReflecting feelings

精神保健ケアでの「最も制限の少ない代替手段」の原則は何を意味しますか？

1. Aすべての患者を閉鎖病棟に入院させなければならない
2. B本人と他の人の安全を保ちつつ、患者の自由をできるだけ制限しないケアをすべきである
3. C身体拘束は最初に用いる手段であるべきである
4. D本人や他の人に重大なリスクがあっても、患者をいかなる形でも制限してはならない

Which nurse statement is most consistent with motivational interviewing?

1. A"I've decided that you need to stop drinking completely."
2. B"You're an alcoholic, and you need to admit it."
3. C"What would be different for you if you drank less?"
4. D"If you don't stop drinking now, you'll die."

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
2. BIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
3. CIt is safe in pregnancy and needs no special precautions
4. DIt must be taken with grapefruit juice to be absorbed

A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?

1. AGet up quickly to get the blood flowing to the brain
2. BDrink a cup of strong coffee before getting out of bed each morning
3. CStop the medicine if the dizziness happens more than once
4. DSit on the edge of the bed for a moment and then stand up slowly

最後の飲酒から 2 日目に、患者に著明な振戦があり、壁に虫が見え、心拍数 124 回/分、血圧 170/100 mmHg、大量の発汗がみられます。優先すべきことは何ですか？

1. A症状を鎮めるために少量のアルコールを与え、ドアを閉めた静かな個室で寝てやり過ごさせる
2. B水分摂取を制限する
3. C振戦せん妄の可能性として扱い、緊急に医療的な助けを求め、処方に従ってベンゾジアゼピン系薬を投与し、安全を確保する
4. D虫は現実ではないと説明し、休ませておく

A patient who used methamphetamine heavily for weeks stopped 2 days ago. He sleeps most of the day, is very low and says life is pointless. What is the priority?

1. AWake him often so that his sleep pattern returns to normal
2. BEncourage him to exercise hard to raise his energy
3. CAssess his suicide risk
4. DGive a stimulant to relieve the low mood