解答つき精神看護ワークシート

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. AReaction formation
2. BRegression
3. CDisplacement
4. DIntellectualisation

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

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

At which level of anxiety is a person most able to learn and solve problems?

1. APanic
2. BModerate anxiety
3. CMild anxiety
4. DSevere anxiety

Which item is part of a safety plan for a person experiencing domestic violence?

1. AKeeping all important documents in the shared house
2. BAvoiding contact with friends and support services so as not to provoke him
3. CTelling the abuser about plans to leave so that he can prepare
4. DKeeping an emergency bag with documents, money and keys somewhere safe

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
2. BTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
3. CGive her a lot of extra attention for the rest of the day
4. DScold her for breaking the ward rules and remove all her privileges

In family systems theory, what is meant by the "identified patient"?

1. AThe member whose symptoms are seen as the family's problem
2. BThe patient whose identity has been checked against a wristband before treatment
3. CThe family member who has the most serious physical illness
4. DThe family member who pays for the treatment

Six weeks after losing his job, a man feels low and worried and is sleeping a little less, but he still enjoys time with his children and does not meet the criteria for major depression. Which diagnosis fits best?

1. AAdjustment disorder with depressed mood
2. BBipolar II disorder
3. CMajor depressive disorder
4. DPersistent depressive disorder

A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?

1. AAgree with the colleague and give him a PRN anxiolytic
2. BTell him to lie down in his room, rest and stop worrying so much about his health
3. CIgnore the complaint until he mentions it again
4. DAssess him physically, with vital signs and an ECG if indicated