解答つき精神看護ワークシート

A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?

1. AAgnosia
2. BAphasia
3. CAtaxia
4. DApraxia

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否認：診断を何か月も受け入れない
2. B投影：自分の感情を他人のせいにする
3. C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
4. D昇華：攻撃的な感情をスポーツに向ける

幻覚とは何ですか？

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

Which communication approach is best with a patient who has paranoid personality disorder?

1. ABe clear, honest and business-like, and explain the reasons for actions
2. BAvoid explaining anything so that the patient does not become suspicious
3. CBe very warm and joke often to put the patient at ease
4. DTalk about the patient with colleagues in whispers within his sight

Which physical finding is common in bulimia nervosa?

1. AVery low body weight with lanugo hair
2. BRaised blood pressure, a fast pulse and a high temperature
3. CA high serum potassium level
4. DSwelling of the salivary glands at the angle of the jaw

What is the main difference between disulfiram and naltrexone in alcohol dependence?

1. ANaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
2. BDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
3. CBoth work in exactly the same way, so they are fully interchangeable
4. DDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk

強迫症の患者が、長時間の手洗いの儀式を行い、朝食を逃しました。最初の対応として最もよいのはどれですか？

1. A力ずくで儀式を止める
2. B浴室に鍵をかける
3. C儀式が無意味であることを指摘し、朝食の前にすぐやめるよう強く求める
4. D儀式の時間を認め、それに合わせて日課を組み、患者とともに徐々に制限していく

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. AReassure him that young people do not have heart problems
2. BTreat it as a possible heart attack, with an urgent ECG and medical review
3. CLet him rest, because the pain will pass when the drug wears off
4. DGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer