解答つき精神看護ワークシート

To which drug class does donepezil belong?

1. ADopamine antagonists
2. BBenzodiazepines
3. CSelective serotonin reuptake inhibitors
4. DCholinesterase inhibitors

A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?

1. AHistrionic
2. BDependent
3. CSchizoid
4. DAvoidant

What is agoraphobia?

1. AFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
2. BFear of one specific object or animal, such as spiders, dogs or snakes
3. CFear of being judged or embarrassed while speaking or eating in front of others
4. DFear of situations where escape might be difficult or help unavailable, such as crowds or public transport

A woman calls the emergency department after a sexual assault an hour ago. What advice helps to preserve forensic evidence?

1. AShower and wash her clothes before coming in, so she feels cleaner
2. BAvoid showering or changing clothes, and bring any clothing already removed in a paper bag
3. CPut all clothing in a sealed plastic bag
4. DWait a few days at home until she feels ready to talk before seeking any medical care or forensic examination

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are signs of an allergic reaction, so she should never take lithium again
2. BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
3. CThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
4. DThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away

患者のリチウム濃度を測定するための採血は、いつ行うべきですか？

1. A最後の服用の約 12 時間後
2. B違いはないので、1 日のうちいつでもよい
3. C最後の服用の 1 時間後
4. D朝の服用の直後

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe patient is reacting to the coming end of the relationship
2. BThe patient no longer needs the sessions and should be discharged at once
3. CThe patient has developed a new psychotic illness
4. DThe nurse has made an error and should cancel the discharge

看護師が最初に診るべき患者はどれですか？

1. A眠れるよう助けを求めている、うつ状態の患者
2. B声が窓から飛び降りろと言っていると話す、入院したばかりの患者
3. C朝の病棟回診の前に、退院計画について話し合いたい不安のある患者
4. D手に細かい振戦がある、リチウム服用中の患者