解答つき精神看護ワークシート

入院中の 6 歳の男児が、指しゃぶりをして、またおねしょをするようになりました。これはどの防衛機制ですか？

1. A昇華
2. B知性化
3. C退行
4. D投影

A patient's depression returns every winter and improves in spring. Which treatment is specific to this pattern?

1. ALithium carbonate
2. BBright light therapy
3. CElectroconvulsive therapy
4. DSeclusion in a quiet room

がんと診断されたばかりの患者が「検査結果は間違いに違いない。私は元気です」と言います。これはどの防衛機制ですか？

1. A置き換え
2. B昇華
3. C投影
4. D否認

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

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt suggests that the patient's choices are judged against the nurse's standards
2. BIt shows that the nurse is not listening at all
3. CIt is against the law in mental health settings
4. DIt always makes the patient angry and more likely to become aggressive towards staff

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 0.01～0.05 mmol/L
2. B約 2.0～3.0 mmol/L（急性躁病ではより高い濃度が必要）
3. C約 3.5～5.0 mmol/L
4. D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）

A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?

1. ASkip bathing for the rest of his stay
2. BGet more staff to hold him so the bath can be finished quickly
3. CAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative
4. DStop, try again later or in a different way, and explain each step calmly

A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?

1. ATell her that religion has no place in hospital care
2. BTry to persuade her to adopt the nurse's own beliefs
3. CRespect the request, join in if comfortable, and offer to call the chaplain
4. DIgnore the request politely and change the subject to the procedure itself