解答つき精神看護ワークシート

What is lanugo, which may be seen in severe anorexia nervosa?

1. AFine, soft hair that grows on the body as it tries to conserve heat
2. BThickening of the skin on the knuckles caused by repeated vomiting
3. CLoss of tooth enamel caused by repeated contact with stomach acid
4. DPainful swelling of the salivary glands in front of the ears caused by repeated vomiting

Which advice is part of good sleep hygiene?

1. AGet up at the same time each day and avoid caffeine later in the day
2. BHave a large meal and a strong coffee just before going to bed
3. CUse a phone or tablet in bed until you feel tired enough to sleep
4. DTake long naps in the afternoon to make up for any lost sleep at night

According to DSM-5, how long must symptoms last for a major depressive episode to be diagnosed?

1. AAt least 2 years
2. BAt least 2 days
3. CAt least 2 weeks
4. DAt least 6 months

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
2. B"What does the man in the corner look like?"
3. C"The man will go away if you ignore him."
4. D"I don't see anyone in the corner, but I know it seems real to you."

What should a patient starting zolpidem for insomnia be taught to report?

1. AFeeling sleepy about 30 minutes after taking it at bedtime
2. BDoing things while not fully awake, such as sleepwalking or driving, with no memory of it
3. CFeeling slightly more rested and alert the next morning than before starting the medicine
4. DSleeping through the night without waking up

電気けいれん療法（ECT）のあとに予想される、一時的な影響はどれですか？

1. A数か月間の言葉の喪失
2. B下肢の麻痺
3. C治療の前後の短期間の錯乱と記憶障害
4. D治療前のすべての長期記憶の永続的な喪失

A depressed patient says, "I don't enjoy anything any more, so there's no point in doing anything." Which intervention best reflects behavioural activation?

1. ATell him that his thoughts are irrational and he should stop thinking that way
2. BPlan small, scheduled activities with him and review how he felt afterwards
3. CEncourage him to rest in bed as much as possible until the medicine works
4. DWait until his mood improves before suggesting activities

躁病エピソードの患者が、デイルームで他の患者の話をさえぎり、声が大きくなってきています。最も適切な看護行為はどれですか？

1. Aエネルギーを使い切るために、競争的な集団ゲームを勧める
2. B集団の気をそらすために、音楽の音量を上げる
3. C患者が止めると同意するまで、全員の前でその行動について議論する
4. D落ち着いて刺激の少ない静かな場所へ誘導し、明確で簡単な制限を設定する