解答つき精神看護ワークシート

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. AA delusion of control
2. BDepersonalisation
3. CDerealisation
4. DA visual hallucination

A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?

1. AGiving approval
2. BChanging the subject
3. CReflecting feelings
4. DPresenting reality

What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar II is always more severe than bipolar I
2. BBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
3. CBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
4. DBipolar I involves only depression; bipolar II involves only mania

What is the PHQ-9 used for?

1. AMonitoring involuntary movements caused by antipsychotics
2. BAssessing the severity of alcohol withdrawal
3. CScreening for alcohol problems
4. DScreening for depression and measuring its severity

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt shows that the nurse is not listening at all
2. BIt is against the law in mental health settings
3. CIt always makes the patient angry and more likely to become aggressive towards staff
4. DIt suggests that the patient's choices are judged against the nurse's standards

A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?

1. AAvoid the patient for the rest of the shift
2. BLaugh at the comments so he does not feel rejected
3. CCalmly say that the comments are not acceptable and redirect him
4. DRespond with similar comments to build rapport

On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?

1. AAccompanying a stable patient to the dining room and recording his food intake
2. BEvaluating whether a PRN medicine given an hour ago has worked
3. CCarrying out the full admission suicide risk assessment of a newly admitted patient
4. DTeaching a patient about the side effects of lithium

For the last 3 years a man has had frequent periods of mildly raised mood and periods of low mood. None has been severe enough to count as hypomania or a major depressive episode. Which diagnosis fits best?

1. ACyclothymic disorder
2. BBipolar I disorder
3. CMajor depressive disorder
4. DBipolar II disorder