解答つき精神看護ワークシート

What is the main aim of motivational interviewing?

1. ATo help the person explore and resolve their mixed feelings about change
2. BTo tell the person exactly what they must do to recover
3. CTo frighten the person with the worst possible health consequences of their drinking
4. DTo confront the person firmly until they admit they have a problem

健康的で成熟した防衛機制とみなされるのはどれですか？

1. A投影：自分の感情を他人のせいにする
2. B否認：診断を何か月も受け入れない
3. C昇華：攻撃的な感情をスポーツに向ける
4. D分裂（スプリッティング）：人をすべて良い、またはすべて悪いと見る

In a mental status examination, what does assessing orientation check?

1. AWhether the patient knows the time, the place and who they are
2. BWhether the patient understands that they are ill and needs treatment for it
3. CWhether the patient can interpret proverbs and explain their meaning
4. DWhether the patient's mood matches the facial expression and tone of voice

Which effects of methadone should the nurse monitor for?

1. AHypertensive crisis after eating aged cheese
2. BAgranulocytosis and a sore throat
3. CHair loss, weight loss and a painful red rash on the face
4. DRespiratory depression, sedation and a prolonged QT interval

An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?

1. AIdentity versus role confusion
2. BIntegrity versus despair
3. CGenerativity versus stagnation
4. DIntimacy versus isolation

19 歳の患者が抗うつ薬を開始したばかりです。看護師が最初の数週間に特に綿密にモニタリングすべきことは何ですか？

1. A脱毛
2. B新たな、または悪化する自殺念慮や自殺行動
3. C急速な体重増加
4. D眼の色の変化

オピオイド依存の治療を受けている患者が、ブプレノルフィンの初回投与を受けようとしています。彼は 2 時間前にヘロインを使用しました。リスクは何ですか？

1. Aブプレノルフィンがヘロインに加わって、呼吸抑制を伴う危険なオピオイド過量摂取を起こす
2. Bリスクはなく、ただちに投与すべきである
3. C完全作動薬がまだ作用しているときに投与すると、ブプレノルフィンは急性の離脱症状（誘発離脱）を起こすことがある
4. Dブプレノルフィンはまったく効果がない

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AThat the child needs firm punishment for each tantrum instead
2. BThat the tantrums are caused by a physical illness
3. CAn extinction burst, which is expected before the behaviour decreases
4. DThat the plan has failed and should be stopped immediately