解答つき精神看護ワークシート

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

1. ALow white blood cell count
2. BWeight gain and raised blood glucose
3. CExtrapyramidal side effects such as dystonia and pseudoparkinsonism
4. DRaised prolactin and breast enlargement

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. ASchizophrenia
2. BAlzheimer's disease
3. CAttention-deficit hyperactivity disorder
4. DBorderline personality disorder

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAphasia
2. BApraxia
3. CAmnesia
4. DAkathisia

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. AGive her a lot of extra attention for the rest of the day
2. BIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
3. CTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
4. DScold her for breaking the ward rules and remove all her privileges

リチウムを服用している患者に、塩分と水分についてどのような助言をすべきですか？

1. A毎日塩の錠剤を服用する
2. B厳格な減塩食を守り、特に暑い天候のときは、できるだけ水分を控える
3. Cできるだけ水を飲まない
4. D塩分摂取を一定の正常な量に保ち、特に暑い天候のときや病気のときは、十分に水分をとる

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. ALook at the clock often to check how much sleep is being lost
2. BStay in bed and watch television or use a phone until sleep finally comes
3. CDo vigorous exercise in the bedroom until tired enough to fall asleep straight away
4. DIf still awake after about 20 minutes, get up, do something calm and return when sleepy

患者が、自宅にたくさんの錠剤をためてあり、今週末にすべて飲むつもりだと言います。優先すべき対応はどれですか？

1. A綿密な観察下に置き、直ちに安全を確保して、チームに緊急に知らせる
2. B週末が過ぎれば状況はよくなると伝える
3. C1 か月後に定期的な診察を手配する
4. D自分を傷つけないという誓約書に署名してもらい、予定どおり週末は帰宅させる

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AIgnore it, because weight changes in children are always normal
2. BReport the finding, review his eating pattern and suggest giving the medicine after breakfast
3. CStop the medicine immediately without telling the prescriber
4. DAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day