解答つき精神看護ワークシート

無料で印刷できる精神看護のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

がんと診断されたばかりの患者が「検査結果は間違いに違いない。私は元気です」と言います。これはどの防衛機制ですか？

  1. A投影
  2. B昇華
  3. C否認
  4. D置き換え
2.やさしい

選択的セロトニン再取り込み阻害薬（SSRI）はどれですか？

  1. Aセルトラリン
  2. Bリチウム
  3. Cジアゼパム
  4. Dハロペリドール
3.やさしい

Which sequence describes the cycle of violence often seen in intimate partner abuse?

  1. ATension-building, then a calm phase that lasts for the rest of the relationship
  2. BTension-building, acute violence, then reconciliation (the "honeymoon" phase)
  3. CReconciliation, acute violence, then tension-building with no further violence
  4. DAcute violence, then permanent separation of the partners
4.ふつう

A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?

  1. ARespond with similar comments to build rapport
  2. BAvoid the patient for the rest of the shift
  3. CLaugh at the comments so he does not feel rejected
  4. DCalmly say that the comments are not acceptable and redirect him
5.ふつう

A patient who started a high-dose corticosteroid (prednisolone or prednisone) a week ago is now euphoric, sleeping little and talking very fast. What should the nurse suspect?

  1. ALithium toxicity
  2. BA normal reaction to feeling better from the treatment
  3. CAlcohol withdrawal
  4. DMood changes caused by the corticosteroid
6.ふつう

Which findings suggest recent cannabis use?

  1. ARed eyes, increased appetite, dry mouth and a fast heart rate
  2. BPinpoint pupils, slow breathing and drowsiness
  3. CSlow heart rate, constricted pupils, drooling and watery eyes
  4. DDilated pupils, high fever and severe muscle rigidity
7.むずかしい

For the last 3 years a man has had frequent periods of mildly raised mood and periods of low mood. None has been severe enough to count as hypomania or a major depressive episode. Which diagnosis fits best?

  1. ABipolar I disorder
  2. BMajor depressive disorder
  3. CBipolar II disorder
  4. DCyclothymic disorder
8.むずかしい

An 80-year-old patient taking a benzodiazepine for sleep fell at night on the way to the toilet. After checking her for injury, what is the most appropriate next step?

  1. AReport the fall, put falls precautions in place and ask for a review of her sleep medicine
  2. BDo nothing more, because falls are normal in older people
  3. CUse bed rails and a restraint every night to keep her safely in bed until the morning
  4. DGive an extra dose so that she sleeps through the night without getting up

解答

  1. 1. C · 否認
  2. 2. A · セルトラリン
  3. 3. B · Tension-building, acute violence, then reconciliation (the "honeymoon" phase)
  4. 4. D · Calmly say that the comments are not acceptable and redirect him
  5. 5. D · Mood changes caused by the corticosteroid
  6. 6. A · Red eyes, increased appetite, dry mouth and a fast heart rate
  7. 7. D · Cyclothymic disorder
  8. 8. A · Report the fall, put falls precautions in place and ask for a review of her sleep medicine

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