解答つき精神看護ワークシート

オピオイドの過量摂取がナロキソンで改善し、患者は目を覚ましています。それでも綿密に観察しなければならないのはなぜですか？

1. A目を覚ましたら、観察する必要はないため
2. Bナロキソンがオピオイドの作用時間を 2 倍にするため
3. Cナロキソン自体が、分解されるにつれて数時間後に呼吸の抑制を起こすため
4. Dナロキソンがオピオイドより先に切れて、呼吸が再び遅くなることがあるため

In a mental status examination, what does assessing orientation check?

1. AWhether the patient can interpret proverbs and explain their meaning
2. BWhether the patient knows the time, the place and who they are
3. CWhether the patient understands that they are ill and needs treatment for it
4. DWhether the patient's mood matches the facial expression and tone of voice

How does binge-eating disorder differ from bulimia nervosa?

1. AThe person always has a very low body weight and a fear of gaining weight
2. BBinges happen only once a year, so they are not a problem
3. CThe person never feels a loss of control while eating
4. DThere are no regular compensatory behaviours, such as vomiting or laxative use

Which treatment is recommended first-line for chronic insomnia in adults?

1. ALong-term daily benzodiazepines
2. BStaying in bed for longer each morning
3. CCognitive behavioural therapy for insomnia (CBT-I)
4. DDrinking alcohol in the evening to fall asleep

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. AAn MRI of the knee
2. BThyroid function tests
3. CSerum lithium level
4. DUrine drug screen only

A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?

1. ASocial anxiety disorder
2. BAgoraphobia
3. CGeneralised anxiety disorder
4. DObsessive-compulsive disorder

A woman arrives in the emergency department after a sexual assault and has a cut on her head that is bleeding. What is the priority?

1. AAssess and treat her physical injuries, then offer forensic examination with her consent
2. BCall the police and wait until they arrive before doing anything else, so that no evidence is lost by mistake
3. CCollect forensic evidence before treating any injuries
4. DAsk her for a detailed account of the assault before any care

A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?

1. ATense all your muscles at once and keep them tight for 10 minutes
2. BHold your breath for as long as possible while lying completely still on the floor
3. CTense each muscle group in turn for a few seconds, then let go and notice the difference
4. DDo the exercise only during a panic attack, never at other times