解答つき精神看護ワークシート

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否認
2. B昇華
3. C投影
4. D置き換え

A patient says that other people can hear his thoughts as if they were spoken aloud. What is this called?

1. AEcholalia
2. BThought blocking
3. CThought broadcasting
4. DFlight of ideas

Which question is open-ended?

1. A"Are you feeling sad today?"
2. B"What has been on your mind today?"
3. C"Did you sleep well last night?"
4. D"Have you taken your medicine yet?"

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. AOlder adults cannot be treated for depression
2. BMemory complaints in older adults are always caused by dementia
3. CLow mood after the loss of a partner is always normal grief and never needs any assessment
4. DDepression in older adults can look like dementia and is treatable

統合失調症の患者が「声が、私は邪悪だと言っています」と言います。最もよい返答はどれですか？

1. A「その声は現実ではありませんから、無視してください。」
2. B「私にはその声は聞こえませんが、あなたがつらい思いをしているのはわかります。声はあなたに何と言っているのですか？」
3. C「今は声の話はやめましょう。代わりに、ご家族やこれからの予定について聞かせてください。」
4. D「声が聞こえるなら、あなたはとても重い病気に違いありません。」

悪性症候群を示唆する所見の組み合わせはどれですか？

1. A体重増加と血糖上昇
2. B新しいセロトニン作動薬の数時間以内の、腱反射亢進、クローヌス、下痢、散瞳、激越
3. C細かい振戦と口渇の増加
4. D高熱、重度の「鉛管様」筋強剛、錯乱、不安定な血圧、CK の上昇

While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?

1. ARecognise that anxiety spreads between people, and calm herself first
2. BMatch the patient's level of anxiety to show empathy
3. CLeave the patient immediately and not return
4. DIgnore her own reaction, because the nurse's feelings do not matter in patient care

A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?

1. AIgnore the feeling, because feelings do not affect nursing care
2. BAvoid the patient and let other staff do all of his care
3. CTell the patient that he reminds her of her father
4. DRecognise this as countertransference and discuss it in clinical supervision