解答つき精神看護ワークシート

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

1. ADenial, anger and acceptance
2. BAlarm, resistance and exhaustion
3. COrientation, working and termination
4. DForming, storming and norming

精神状態の評価（精神状態検査）で、気分と感情（情動）の違いは何ですか？

1. A気分と感情はまったく同じ意味である
2. B気分は思考を、感情は記憶を表す
3. C気分は患者が感じていると報告するもの、感情は看護師が観察する情動表出である
4. D気分は看護師が患者に観察するもの、感情は患者が感じていると報告するものである

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

1. AEcholalia
2. BConfabulation
3. CEchopraxia
4. DNeologism

A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?

1. ATransference
2. BPositive reinforcement
3. CSplitting by the patient
4. DDiagnostic overshadowing

三環系抗うつ薬が過量服用で特に危険なのはなぜですか？

1. A軽い眠気しか起こさないため
2. B致死的な不整脈とけいれんを起こしうるため
3. C血圧をわずかに下げるだけで、治療がほとんど必要ないため
4. D過量服用では何の作用もないため

What is the CIWA-Ar scale used for?

1. ARating the severity of alcohol withdrawal to guide treatment
2. BMeasuring the risk of falls in hospital
3. CScreening for dementia in older adults
4. DMeasuring the depth of sedation in patients on a ventilator in intensive care

Which patient should the nurse check first?

1. AA patient with OCD who is late for breakfast because of a long washing ritual in the bathroom
2. BA patient given IM haloperidol and lorazepam 30 minutes ago who is hard to rouse, breathing 8/min
3. CA patient with depression who is asking for help to phone his mother
4. DA patient with schizophrenia who wants a cigarette break in the garden

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. ATreat it as a possible heart attack, with an urgent ECG and medical review
2. BLet him rest, because the pain will pass when the drug wears off
3. CGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
4. DReassure him that young people do not have heart problems