解答つき精神看護ワークシート

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. AA visual hallucination
2. BA delusion of control
3. CDerealisation
4. DDepersonalisation

Why are benzodiazepines used with caution in older adults?

1. AThey have no effect on the brain in older people
2. BThey raise blood pressure to dangerous levels after a single dose
3. CThey cause rapid weight gain and diabetes in all older adults
4. DThey increase the risk of confusion, falls and fractures

A boy who is not good at sport works very hard to become the best student in his class. Which defence mechanism is this?

1. ADisplacement
2. BCompensation
3. CUndoing
4. DRegression

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ARecord it immediately as a command hallucination
2. BTell her that her beliefs are not real
3. CExplore the experience in her cultural context before calling it a symptom
4. DAvoid asking about it, because culture is not relevant to mental health

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

1. AAvoid all fluids so that there is less need to find a toilet
2. BExercise as hard as possible in the heat to burn off the extra weight
3. CStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
4. DDrink enough fluids and avoid overheating, because the medicine can affect temperature control

A patient at risk of suicide is admitted. Which environmental check is most important?

1. AMake sure the patient has a television in the room
2. BLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home
3. CRemove items that could be used for self-harm, such as belts, cords and sharp objects
4. DPlace the patient in a room at the end of the corridor for privacy

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

1. AShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge
2. BTurn her back and walk away slowly without saying anything
3. CKeep a safe distance, call for help and avoid trying to take the chair alone
4. DGrab the chair from the patient quickly before he can use it

A 10-year-old eats only a few foods and refuses others because he fears choking after a frightening episode. He is losing weight but has no concerns about body shape. Which diagnosis fits best?

1. AAvoidant/restrictive food intake disorder (ARFID)
2. BBinge-eating disorder with secret eating
3. CBulimia nervosa
4. DAnorexia nervosa