解答つき精神看護ワークシート

In obsessive-compulsive disorder, what is an obsession?

1. AA repeated action done to reduce anxiety, such as checking a lock
2. BA recurrent, unwanted thought, urge or image that causes anxiety
3. CA strong interest in a hobby that the person enjoys very much
4. DA false belief that is held firmly despite clear evidence that it is untrue

Which type of hallucination is most common in schizophrenia?

1. AOlfactory
2. BVisual
3. CTactile
4. DAuditory

In Freud's theory of personality, what is the role of the ego?

1. ATo act as the moral conscience that creates guilt
2. BTo balance the demands of the id, the superego and reality
3. CTo seek immediate pleasure regardless of the consequences
4. DTo store all forgotten memories from childhood

What is the main difference between disulfiram and naltrexone in alcohol dependence?

1. ANaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
2. BBoth work in exactly the same way, so they are fully interchangeable
3. CDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
4. DDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk

A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?

1. AGrandiose
2. BNihilistic
3. CSomatic
4. DErotomanic

A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?

1. ALeave her alone until the episode has passed on its own
2. BAsk her to close her eyes and think back to the worst moment of the trauma
3. CAsk her to describe the traumatic event in as much detail as she can
4. DAsk her to name things she can see, hear and touch in the room right now

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. AAlways give it as soon as she asks, without assessment
2. BGive her a placebo tablet instead, without telling her, to see whether she really needs it
3. CRefuse to give it, because she might become dependent
4. DAssess her anxiety each time, offer other coping strategies and give it if indicated

A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?

1. AAsking the assistant to sit with a calm patient during a group art activity and report any concerns
2. BAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
3. CAsking the assistant to help a patient with personal hygiene
4. DAsking the assistant to take routine vital signs of a stable patient