解答つき精神看護ワークシート

A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?

1. ARationalisation
2. BIdentification
3. CSuppression
4. DProjection

苦痛を抱えた患者との会話で、看護師が短い沈黙を用いることがあるのはなぜですか？

1. A患者が考える時間を得て、自分のペースで話を続けられるようにするため
2. B看護師が積極的な傾聴をしばらくやめ、次の質問を考えられるようにするため
3. C会話が終わったことを知らせるため
4. D看護師が同意していないことを患者に示すため

What is Russell's sign, seen in some patients with eating disorders?

1. AFine, downy hair growing on the face and back
2. BCalluses or scars on the back of the hand from inducing vomiting
3. CSwelling of the ankles and feet during the first days of refeeding in hospital
4. DYellowing of the skin from eating a lot of carrots

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. ALithium toxicity
2. BHypertensive crisis from tyramine
3. CSerotonin syndrome
4. DAgranulocytosis

朝食についての質問に、患者が「卵はニワトリから生まれて、ニワトリは農場にいて、おじさんが農場を持っていて、赤いトラクターを運転していて…」と答え、質問には答えません。これを何と呼びますか？

1. A迂遠（まわりくどさ）
2. B思考途絶
3. C脱線（話が本筋からそれること）
4. D言葉のサラダ

オピオイド離脱に典型的な徴候はどれですか？

1. A深い眠りと便秘
2. B最後の服用から 1 日以内の、高熱、鉛管様の筋強剛、錯乱
3. Cあくび、鼻水、散瞳、鳥肌、下痢
4. D縮瞳と遅い呼吸

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"After a few months I can stop having blood tests."
3. C"I'll need regular blood tests for as long as I take clozapine."
4. D"The tests are done because clozapine can lower my white cells."

A patient in a catatonic stupor has not eaten or drunk anything for 24 hours and does not respond to speech. What is the priority nursing concern?

1. AFluid and nutritional intake, and other physical needs
2. BEncouraging him to join group therapy
3. CTeaching him about his medicines
4. DExploring the meaning of his silence with open questions