解答つき精神看護ワークシート

What is a psychiatric advance directive (advance statement)?

1. AA contract in which the patient promises the team to take every prescribed medicine for life
2. BA note from the doctor that lists the patient's diagnoses
3. CA court order that allows a patient to be detained in hospital
4. DA document in which a person states their treatment wishes for a time when they may lack capacity

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. ADepersonalisation
2. BA delusion of control
3. CDerealisation
4. DA visual hallucination

患者が「明日の手術が怖い」と言いました。偽りの安心づけの例となる看護師の返答はどれですか？

1. A「心配しないで、きっとすべてうまくいきますよ。」
2. B「どんなお気持ちか、もっと聞かせてください。」
3. C「怖いのですね。」
4. D「明日のことで、いちばん心配なのはどんなことですか？」

A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?

1. AAvoidance
2. BChanges in arousal and reactivity
3. CDissociative amnesia for the trauma
4. DIntrusion symptoms

A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?

1. A"Let's talk about something more cheerful."
2. B"Tell me more about what that feeling is like for you."
3. C"Everyone feels that way sometimes."
4. D"You shouldn't say things like that."

Why is the nurse's body language important in therapeutic communication?

1. APatients often respond more to non-verbal messages than to the words used
2. BBody language matters only when patients cannot speak the same language
3. CPatients with mental illness cannot understand non-verbal signals
4. DIt is only important during the termination phase

A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?

1. A"If I get a sore throat or fever, I'll tell someone straight away."
2. B"I'll need regular blood tests for as long as I take clozapine."
3. C"The tests are done because clozapine can lower my white cells."
4. D"After a few months I can stop having blood tests."

During a panic attack, a patient breathes very fast and complains of light-headedness and tingling in her fingers and around her mouth. What should the nurse do?

1. AGive her oxygen at a high flow rate through a mask
2. BStay with her and coach her to breathe slowly and steadily
3. CAsk her to breathe into a paper bag for at least 10 minutes
4. DLeave her alone so that she can calm down without anyone watching