解答つき精神看護ワークシート

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

1. AAlarm, resistance and exhaustion
2. BDenial, anger and acceptance
3. COrientation, working and termination
4. DForming, storming and norming

In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?

1. ACatharsis
2. BUniversality
3. CAltruism
4. DInstillation of hope

What is the main focus of the recovery model in mental health care?

1. AHope, self-determination and living a meaningful life, even if some symptoms continue
2. BComplete removal of all symptoms before the person can start to build a good and meaningful life
3. CProfessionals making all decisions for patients for their own good
4. DLong-term hospital care for everyone with serious mental illness

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 0.6～1.2 mmol/L（目標範囲はガイドラインによって異なる）
3. C約 3.5～5.0 mmol/L
4. D約 2.0～3.0 mmol/L（急性躁病ではより高い濃度が必要）

「自殺しない約束（ノースーサイド契約）」が安全対策として推奨されないのはなぜですか？

1. A子どもにしか使えないため
2. B自殺を防ぐというエビデンスがなく、偽りの安心感を与えるおそれがあるため
3. C長くて複雑すぎて、ほとんどの患者は読めず、署名する患者が少ないため
4. Dどこでも違法であるため

患者のリチウム濃度を測定するための採血は、いつ行うべきですか？

1. A最後の服用の 1 時間後
2. B朝の服用の直後
3. C違いはないので、1 日のうちいつでもよい
4. D最後の服用の約 12 時間後

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

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

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