解答つき精神看護ワークシート

躁病エピソードに典型的な所見はどれですか？

1. A話し方や動作の緩慢さ
2. B高いエネルギーを伴う睡眠欲求の減少
3. C無価値感
4. D1 日 14 時間眠る

What is a safety plan in suicide prevention?

1. AA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
2. BA plan that the nurse writes alone and keeps from the patient
3. CA hospital rule that all patients must stay in their rooms after dark
4. DA legal document in which the patient promises never to harm themselves

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. AInvoluntary swearing in almost every sentence as the main and only symptom
2. BSeveral motor tics and at least one vocal tic for over a year, starting before 18
3. CSeizures with loss of consciousness during sleep
4. DA single motor tic that lasts for 2 weeks in an adult

Which setting is best for an initial assessment interview with a new patient?

1. AA small office with the nurse sitting behind a high desk between herself and the door
2. BThe busy day room, so that the patient feels part of the ward
3. CA quiet, private room with chairs at the same level and easy access to the door
4. DThe corridor, so that the interview can be done quickly

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. ADepression in older adults can look like dementia and is treatable
2. BMemory complaints in older adults are always caused by dementia
3. COlder adults cannot be treated for depression
4. DLow mood after the loss of a partner is always normal grief and never needs any assessment

A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?

1. ANihilistic
2. BGrandiose
3. CErotomanic
4. DSomatic

During a ward community meeting, several patients complain that the ward is too noisy at night. What reflects a therapeutic milieu?

1. AEnd the meeting so the complaint is not discussed further
2. BDiscuss the problem openly and involve patients in finding a solution
3. CAsk the patients to write their complaints down and then do nothing
4. DTell the patients that the rules cannot be changed

ECT の直後、患者は回復室で眠そうにしています。看護の優先事項は何ですか？

1. Aすぐにたっぷり朝食を与える
2. B気道を確保し、患者を横向きにして、バイタルサインをモニタリングする
3. C永続的な障害がないか確かめるため、長期記憶を詳しくテストする
4. D患者に 1 人で病棟まで歩いて戻るよう頼む