解答つき精神看護ワークシート

Haloperidol belongs to which group of antipsychotics?

1. AFirst-generation (typical) antipsychotics
2. BSecond-generation (atypical) antipsychotics
3. CSelective serotonin reuptake inhibitors used for psychosis
4. DBenzodiazepines with an added antipsychotic effect

A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?

1. AGiving approval
2. BPresenting reality
3. CVoicing doubt
4. DGiving recognition

幻覚とは何ですか？

1. A話題が急速に移り変わること
2. B実在する刺激の誤った解釈
3. C固定した誤った信念
4. D外部の刺激がないのに生じる知覚

A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?

1. APositive reinforcement
2. BSplitting by the patient
3. CDiagnostic overshadowing
4. DTransference

Which treatment is recommended first-line for chronic insomnia in adults?

1. ALong-term daily benzodiazepines
2. BDrinking alcohol in the evening to fall asleep
3. CStaying in bed for longer each morning
4. DCognitive behavioural therapy for insomnia (CBT-I)

A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?

1. AThe patient is checked every hour during the day only
2. BThe patient can be left alone while asleep
3. CA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
4. DThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free

A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?

1. A"After a few months I can stop having blood tests."
2. B"I'll need regular blood tests for as long as I take clozapine."
3. C"The tests are done because clozapine can lower my white cells."
4. D"If I get a sore throat or fever, I'll tell someone straight away."

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AHaloperidol does not work in older patients at all
2. BThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
3. CThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
4. DHaloperidol will make his hallucinations more frequent