解答つき精神看護ワークシート

A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?

1. AAntisocial
2. BSchizoid
3. CNarcissistic
4. DAvoidant

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

1. AOrientation, working and termination
2. BAlarm, resistance and exhaustion
3. CDenial, anger and acceptance
4. DForming, storming and norming

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. APersonalisation
2. BMind reading
3. CEmotional reasoning
4. DCatastrophising

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

1. ADrinking alcohol in the evening to fall asleep
2. BCognitive behavioural therapy for insomnia (CBT-I)
3. CLong-term daily benzodiazepines
4. DStaying in bed for longer each morning

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
2. BLet each nurse decide on the day whether to apply the rules
3. CChange the rules for this patient to avoid conflict
4. DState the rule and the consequence clearly, and make sure all staff apply it consistently

患者が数か月にわたって毎日ベンゾジアゼピン系薬を服用しています。急に中止してはいけないのはなぜですか？

1. A患者がその薬にアレルギーを起こすため
2. Bリスクはなく、ベンゾジアゼピン系薬は漸減せずにいつでも中止できるため
3. Cすぐに体重が増えるため
4. D急な離脱により、強い不安、不眠、けいれんが起こることがあるため

A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?

1. ADischarge the child quickly so that the parents do not become angry and stop bringing him for medical care
2. BTell the parents that the nurse knows they are abusing the child
3. CAccept the parents' explanation, because babies often fall
4. DReport the concerns through child protection procedures and ensure the child's safety

看護師が最初に診るべき患者はどれですか？

1. A眠れるよう助けを求めている、うつ状態の患者
2. B手に細かい振戦がある、リチウム服用中の患者
3. C声が窓から飛び降りろと言っていると話す、入院したばかりの患者
4. D朝の病棟回診の前に、退院計画について話し合いたい不安のある患者