解答つき精神看護ワークシート

A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?

1. AChanging the subject
2. BFocusing
3. CSummarising
4. DRestating

In a dark room, a patient mistakes a coat hanging on the door for a man standing there. What is this called?

1. AAn idea of reference
2. BA delusion
3. CAn illusion
4. DA hallucination

What is Russell's sign, seen in some patients with eating disorders?

1. AFine, downy hair growing on the face and back
2. BYellowing of the skin from eating a lot of carrots
3. CCalluses or scars on the back of the hand from inducing vomiting
4. DSwelling of the ankles and feet during the first days of refeeding in hospital

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

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey are the preferred long-term treatment for generalised anxiety disorder
2. BThey are safe to stop suddenly after many months of daily use
3. CThey take 4–6 weeks to have any effect on anxiety, like antidepressants
4. DThey give rapid relief but are generally used only short-term because of tolerance and dependence

維持療法における治療域として一般に挙げられる血清リチウム濃度の範囲はどれですか？

1. A約 2.0～3.0 mmol/L（急性躁病ではより高い濃度が必要）
2. B約 0.6～1.2 mmol/L（目標範囲はガイドラインによって異なる）
3. C約 3.5～5.0 mmol/L
4. D約 0.01～0.05 mmol/L

A 10-year-old eats only a few foods and refuses others because he fears choking after a frightening episode. He is losing weight but has no concerns about body shape. Which diagnosis fits best?

1. AAvoidant/restrictive food intake disorder (ARFID)
2. BAnorexia nervosa
3. CBulimia nervosa
4. DBinge-eating disorder with secret eating

After witnessing a serious accident, a woman suddenly cannot move her legs. Full investigations are normal. Which nursing approach is most appropriate?

1. AFocus every conversation on the details of her leg weakness
2. BAccept that the symptom is real for her, help with mobility needs and gently explore recent stress
3. CIgnore her requests for help completely until she agrees to try to walk again on her own
4. DTell her that the paralysis is fake and that she should stand up