解答つき精神看護ワークシート

アルコール依存の患者にチアミン（ビタミン B1）を投与するのはなぜですか？

1. A肝硬変を治療するため
2. Bアルコールへの渇望を減らすため
3. Cアルコールをまずく感じさせるため
4. Dウェルニッケ脳症を予防または治療するため

What is hoarding disorder?

1. ARepeated checking that all the doors and windows are locked before leaving the house each day
2. BPersistent difficulty throwing things away, so that clutter fills the living space
3. CCollecting a few favourite objects as a hobby that the person enjoys
4. DFear of leaving the home because of crowds and public transport

In a dark room, a patient mistakes a coat hanging on the door for a man standing there. What is this called?

1. AAn idea of reference
2. BAn illusion
3. CA delusion
4. DA hallucination

Which side effects should the nurse monitor for in a patient starting donepezil?

1. AWeight gain and high blood glucose
2. BDry mouth, constipation and urinary retention
3. CTremor, thirst and passing large amounts of urine
4. DNausea, diarrhoea and a slow heart rate

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

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

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. ARegular contact with the care team and other families
2. BEncouraging the patient to take part in activities
3. CCalm, supportive and warm communication
4. DFrequent criticism, hostility and emotional over-involvement

患者が反応がない状態で見つかり、呼吸数は 6 回/分、縮瞳があります。看護師が最初にすべきことは何ですか？

1. A応援を呼び、気道を確保して呼吸を補助し、処方またはプロトコルに従ってナロキソンを投与する
2. B大きなコップ 1 杯の水を与える
3. C回復体位にし、誰にも連絡せずに自然に目が覚めるのを待つ
4. Dフルマゼニルを投与する

An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?

1. ATell him that he is being silly and must go
2. BSupport a gradual, planned return to school with a consistent goodbye routine
3. CLet a parent stay with him in class every day for the rest of the year
4. DAllow him to stay at home until he wants to go back