解答つき精神看護ワークシート

試験に落ちた学生が「問題が不公平だったから、どうでもいい」と言います。これはどの防衛機制ですか？

1. A転換
2. B同一視
3. C合理化
4. D抑圧

Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?

1. AExploring
2. BRestating
3. CSummarising
4. DFocusing

Which group of features is typical of dementia with Lewy bodies?

1. AFluctuating alertness, detailed visual hallucinations and parkinsonism
2. BSudden step-by-step decline after small strokes
3. CMemory loss only, with no other symptoms or changes in alertness for many years
4. DEarly personality change and loss of social inhibition

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

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

In the termination phase of the nurse–patient relationship, which behaviour is common and should be expected?

1. AThe patient finally begins to share their problems for the first time
2. BThe patient may show anger, sadness or a return of earlier symptoms
3. CThe patient asks for the relationship to start again from the beginning
4. DThe patient always feels relieved and shows no feelings

カルバマゼピンに関連する重篤な有害作用はどれですか？

1. A急激な体重減少
2. B無顆粒球症などの血液疾患と、重い皮膚反応
3. C主に美容上の問題である、多毛と歯肉増殖のみ
4. D難聴

A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?

1. AThiamine prevents all alcohol withdrawal seizures
2. BWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
3. CThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
4. DThiamine quickly lowers the blood alcohol level

SSRI を開始して 2 週間後、患者が「これは効いていません。飲むのをやめます」と言います。最もよい返答はどれですか？

1. A2 週間後に効果のない抗うつ薬が後から効くことはまずないので、すぐに中止してよいと同意する
2. B用量を 2 倍にするよう伝える
3. C抗うつ薬は決して効かないと伝える
4. D完全に効くまで数週間かかることが多いと説明し、継続を促し、気分と安全をモニタリングする