解答つき精神看護ワークシート

Which early feature is most typical of frontotemporal dementia?

1. AStepwise decline after a series of small strokes
2. BChanges in personality and behaviour, such as loss of inhibition
3. CVisual hallucinations of people and animals
4. DSevere memory loss as the very first symptom, with no change in behaviour

A boy who is not good at sport works very hard to become the best student in his class. Which defence mechanism is this?

1. ARegression
2. BCompensation
3. CDisplacement
4. DUndoing

クロザピンの最も重大な血液学的リスクはどれですか？

1. A血小板増加
2. B赤血球増多症
3. C鉄過剰
4. D無顆粒球症（重度の好中球減少症）

精神状態の評価で、「病識」では何を評価しますか？

1. A患者の話す速さ
2. B患者が自分に精神面の問題があり、助けが必要だと理解しているかどうか
3. C患者が、金銭、食事、セルフケアについて、安全な日常的決定を下せるかどうか
4. D患者の時間と場所の見当識

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. ASerotonin syndrome
2. BHypothyroidism
3. CHyperthyroidism
4. DAgranulocytosis

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. AEncourage him to walk around the ward and join in activities to help burn off the drug
2. BProvide a quiet, low-stimulation environment and keep staff and patient safe
3. CTry to talk the patient down by discussing his feelings in detail
4. DPut him in a busy area so that staff can watch him more easily

A patient taking venlafaxine has started a second serotonergic medicine. She is restless, sweating, has a fast pulse and twitching muscles. What should the nurse do first?

1. AGive the next dose of venlafaxine as planned
2. BEncourage her to walk or exercise in the garden to relieve the restlessness and muscle twitching
3. CGive paracetamol (acetaminophen) and check her again tomorrow
4. DHold the serotonergic medicines and inform the prescriber urgently

A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?

1. AOffer non-judgemental information and explore how drinking affects his life
2. BRefer him straight to a residential detox programme
3. CHelp him set a quit date for next week
4. DDiscuss detailed strategies to prevent a relapse after he has stopped drinking