解答つき精神看護ワークシート

リチウム中毒の初期症状はどれですか？

1. Aかゆみと発疹
2. B体重増加と口渇のみ
3. C高血圧、顔面紅潮、激しい頭痛
4. D悪心、嘔吐、下痢、粗大な振戦

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. ARaised prolactin and breast enlargement
2. BLow white blood cell count
3. CExtrapyramidal side effects such as dystonia and pseudoparkinsonism
4. DWeight gain and raised blood glucose

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. ACatastrophising
2. BAll-or-nothing thinking
3. CEmotional reasoning
4. DPersonalisation

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination is completely safe because they act on different systems
2. BThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
3. CIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction
4. DIbuprofen will make the sertraline work faster

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AIn the first weeks after discharge
2. BOnly while the patient is asleep in hospital
3. CThere is no change in risk after discharge
4. DOnly after one year at home

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt is given as a daily tablet that contains tiny magnetic particles
2. BIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
3. CIt involves surgically implanting electrodes deep in the brain under anaesthetic
4. DIt needs a general anaesthetic and causes a seizure, like ECT

何週間も重いうつ状態にあった患者が、突然明るく穏やかになり、腕時計を別の患者にあげました。最も適切な対応はどれですか？

1. A気分が明らかに改善していると考え、観察のレベルを下げる
2. B自殺念慮と計画について直接尋ね、チームに知らせる
3. C明日の退院を計画する
4. D気前のよさをほめ、ほかには何も言わない

The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?

1. ADischarge him to live alone in a flat, without any support from his family or the team
2. BTell the parents that they caused his illness
3. CAdvise the parents to stop all contact with their son
4. DFamily psychoeducation and help to communicate with less criticism