解答つき精神看護ワークシート

統合失調症の陰性症状はどれですか？

1. Aまとまりのない行動
2. B意欲低下（意欲の欠如）
3. C被害妄想
4. D声が聞こえること

Which sequence describes the cycle of violence often seen in intimate partner abuse?

1. ATension-building, acute violence, then reconciliation (the "honeymoon" phase)
2. BAcute violence, then permanent separation of the partners
3. CTension-building, then a calm phase that lasts for the rest of the relationship
4. DReconciliation, acute violence, then tension-building with no further violence

What is the difference between empathy and sympathy?

1. AEmpathy is used only with children and teenagers; sympathy is used only with adult patients
2. BEmpathy and sympathy mean exactly the same thing in nursing
3. CEmpathy is feeling sorry for a patient; sympathy is understanding their point of view
4. DEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them

What is the key difference between factitious disorder and malingering?

1. AMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
2. BThere is no real difference between them, and both terms mean exactly the same thing
3. CIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
4. DIn factitious disorder, the symptoms are not produced on purpose at all

How does memantine work in Alzheimer's disease?

1. AIt blocks NMDA glutamate receptors
2. BIt blocks dopamine D₂ receptors
3. CIt inhibits the breakdown of acetylcholine
4. DIt increases serotonin by blocking its reuptake

患者が「私は価値がない。誰も私のことを気にかけていない」と言います。最も治療的な返答はどれですか？

1. A「誰も自分のことを気にかけてくれていないと感じているのですね。もっと聞かせてください。」
2. B「そんなことを言ってはいけません。」
3. C「それは違います。ここでは皆があなたのことを気にかけていますよ。」
4. D「もっと明るい話をしましょう。」

A patient who stopped drinking 24 hours ago has a generalised tonic-clonic seizure in bed. What is the nurse's first action?

1. AGive oral thiamine with a glass of water
2. BRestrain his arms and legs to stop the movements
3. CProtect the airway and keep him safe from injury
4. DPut something in his mouth to stop him biting his tongue

面接の間に、患者が、名前を挙げた隣人に重大な危害を加えるつもりだと言います。正しい一般原則はどれですか？

1. A守秘義務とは、何も共有できないという意味である
2. Bチームに知らせずに、看護師が自ら隣人に警告しに行くべきである
3. C特定できる人物へのリスクはチームと共有しなければならず、その人を守るため、法律と方針に従って開示が必要になることがある
4. D患者は本心でないことを言うことがよくあるので、脅しは無視すべきである