解答つき精神看護ワークシート

無料で印刷できる精神看護のワークシート:やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

A patient says that other people can hear his thoughts as if they were spoken aloud. What is this called?

  1. AEcholalia
  2. BFlight of ideas
  3. CThought broadcasting
  4. DThought blocking
2.やさしい

Haloperidol belongs to which group of antipsychotics?

  1. ABenzodiazepines with an added antipsychotic effect
  2. BSecond-generation (atypical) antipsychotics
  3. CFirst-generation (typical) antipsychotics
  4. DSelective serotonin reuptake inhibitors used for psychosis
3.やさしい

モノアミン酸化酵素阻害薬(MAOI)を服用している患者が避けるべき食品はどれですか?

  1. A新鮮な野菜
  2. Bカルシウムを含むため、新鮮な牛乳とプレーンヨーグルト
  3. C米とパスタ
  4. D熟成チーズや加工肉など、チラミンを多く含む食品
4.ふつう

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

  1. AHer calmness shows that the assault did not happen
  2. BA controlled response is a common reaction in the acute phase after assault
  3. CShe is not distressed and does not need any support
  4. DShe is probably exaggerating the seriousness of what happened, because she does not seem upset
5.ふつう

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

  1. AA relapse of her depression into a severe psychotic depression
  2. BAntidepressant discontinuation syndrome
  3. CNeuroleptic malignant syndrome
  4. DSerotonin syndrome
6.ふつう

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

  1. AIt causes weight gain, so offer fewer snacks during the day
  2. BIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
  3. CGive it just before bedtime so that it works overnight
  4. DGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
7.むずかしい

An 82-year-old started amitriptyline last week. Which finding is most concerning?

  1. AA slightly dry mouth
  2. BMild constipation that responds to extra fluids and fibre in the diet
  3. CNew confusion and difficulty passing urine
  4. DFeeling a little drowsy in the evening
8.むずかしい

患者が 10 日前に抗うつ薬を開始しました。以前より活力が出てきたと言いますが、まだ絶望感があります。これに綿密なモニタリングが必要なのはなぜですか?

  1. Aセロトニン症候群のサインであるため
  2. B抗うつ薬が完全に効いたことを意味するため
  3. C気分が改善する前に活力が戻ることがあり、自殺念慮を実行に移すリスクが高まるおそれがあるため
  4. D用量が少なすぎることを意味するので、ただちに抗うつ薬を中止して別の薬を始めるべきであるため

解答

  1. 1. C · Thought broadcasting
  2. 2. C · First-generation (typical) antipsychotics
  3. 3. D · 熟成チーズや加工肉など、チラミンを多く含む食品
  4. 4. B · A controlled response is a common reaction in the acute phase after assault
  5. 5. B · Antidepressant discontinuation syndrome
  6. 6. D · Give it in the morning, and watch for poor appetite, weight loss and trouble sleeping
  7. 7. C · New confusion and difficulty passing urine
  8. 8. C · 気分が改善する前に活力が戻ることがあり、自殺念慮を実行に移すリスクが高まるおそれがあるため

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