解答つき精神看護ワークシート

上司に批判された女性が、帰宅して子どもたちに怒鳴りました。これはどの防衛機制ですか？

1. A反動形成
2. B否認
3. C置き換え
4. D打ち消し

A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?

1. AOffering self
2. BReflecting feelings
3. CSeeking clarification
4. DGiving recognition

What is malingering?

1. APhysical symptoms caused by stress that the person does not produce on purpose
2. BExcessive worry about having a serious illness despite repeated normal results and reassurance from doctors
3. CIntentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
4. DProducing symptoms on purpose to take on the role of a sick person, without any external gain

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

1. AIt always makes the patient angry and more likely to become aggressive towards staff
2. BIt is against the law in mental health settings
3. CIt suggests that the patient's choices are judged against the nurse's standards
4. DIt shows that the nurse is not listening at all

How does conduct disorder differ from oppositional defiant disorder?

1. AOppositional defiant disorder includes serious physical aggression towards animals
2. BConduct disorder involves violating others' rights, such as cruelty, theft or fire setting
3. CThe two disorders are exactly the same and differ only in the age at which they are diagnosed
4. DConduct disorder involves only arguing with adults and losing one's temper

A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?

1. A"Everyone feels that way sometimes."
2. B"Let's talk about something more cheerful."
3. C"You shouldn't say things like that."
4. D"Tell me more about what that feeling is like for you."

A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?

1. AWater intoxication from psychogenic polydipsia
2. BDehydration caused by anticholinergic side effects
3. CA worsening of his psychosis that needs a higher dose of antipsychotic
4. DNeuroleptic malignant syndrome from his antipsychotic medicine

何週間も重いうつ状態にあった患者が、突然明るく穏やかになり、腕時計を別の患者にあげました。最も適切な対応はどれですか？

1. A気前のよさをほめ、ほかには何も言わない
2. B自殺念慮と計画について直接尋ね、チームに知らせる
3. C明日の退院を計画する
4. D気分が明らかに改善していると考え、観察のレベルを下げる