解答つき精神看護ワークシート

How does binge-eating disorder differ from bulimia nervosa?

1. AThe person never feels a loss of control while eating
2. BBinges happen only once a year, so they are not a problem
3. CThere are no regular compensatory behaviours, such as vomiting or laxative use
4. DThe person always has a very low body weight and a fear of gaining weight

Which medicine may be used to treat moderate serotonin syndrome?

1. APhenelzine
2. BCyproheptadine
3. CSertraline
4. DTramadol

患者がパニック発作を起こしています。看護師はどうすべきですか？

1. A落ち着くまで患者を 1 人にしておく
2. B患者のそばにいて、短く簡単な文で穏やかに話し、静かな場所を提供する
3. C患者が発作を理解できるように、パニック障害の発症の仕組みを詳しく説明する
4. Dにぎやかな集団活動への参加を促す

A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?

1. A"Tell me more about what that feeling is like for you."
2. B"Everyone feels that way sometimes."
3. C"You shouldn't say things like that."
4. D"Let's talk about something more cheerful."

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I'll avoid aged cheese and cured meats."
2. B"I'll tell any new doctor or dentist that I take an MAOI."
3. C"A sudden severe headache is a reason to get help straight away."
4. D"I can take any cold and flu remedy from the pharmacy."

抗精神病薬を服用している患者が、絶えず歩き回り、じっと座っていられないと言います。これを何と呼びますか？

1. A遅発性ジスキネジア
2. Bアカシジア
3. C偽パーキンソニズム
4. Dカタトニア（緊張病）

A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?

1. AIgnore the feeling, because feelings do not affect nursing care
2. BAvoid the patient and let other staff do all of his care
3. CTell the patient that he reminds her of her father
4. DRecognise this as countertransference and discuss it in clinical supervision

患者が、自殺を計画していることを誰にも話さないと約束してほしいと看護師に頼みます。最もよい返答はどれですか？

1. A考えておくと伝える
2. B話を続けて信頼してもらうために秘密を守ると約束し、記録にも書かず、チームにも伝えない
3. C彼女の安全が大切なので、この秘密は守れず、チームと共有する必要があると優しく説明する
4. D話題を変える