解答つき精神看護ワークシート

クロザピンの最も重大な血液学的リスクはどれですか？

1. A鉄過剰
2. B赤血球増多症
3. C無顆粒球症（重度の好中球減少症）
4. D血小板増加

What is the difference between empathy and sympathy?

1. AEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
2. BEmpathy and sympathy mean exactly the same thing in nursing
3. CEmpathy is used only with children and teenagers; sympathy is used only with adult patients
4. DEmpathy is feeling sorry for a patient; sympathy is understanding their point of view

Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?

1. ANaloxone
2. BDisulfiram
3. CFlumazenil
4. DClonidine

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. AA relapse of her depression into a severe psychotic depression
2. BNeuroleptic malignant syndrome
3. CSerotonin syndrome
4. DAntidepressant discontinuation syndrome

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

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

Which postpartum presentation is a psychiatric emergency?

1. AConfusion, hallucinations and rapidly changing mood a few days after birth
2. BFeeling tearful at times but enjoying the baby and sleeping well when she can
3. CTiredness and worry about feeding the baby in the first week
4. DTearfulness and mood swings on the third day after birth

最後の飲酒から 2 日目に、患者に著明な振戦があり、壁に虫が見え、心拍数 124 回/分、血圧 170/100 mmHg、大量の発汗がみられます。優先すべきことは何ですか？

1. A虫は現実ではないと説明し、休ませておく
2. B症状を鎮めるために少量のアルコールを与え、ドアを閉めた静かな個室で寝てやり過ごさせる
3. C水分摂取を制限する
4. D振戦せん妄の可能性として扱い、緊急に医療的な助けを求め、処方に従ってベンゾジアゼピン系薬を投与し、安全を確保する

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. AStay with him and inform the team at once, so he can be urgently assessed under mental health law
2. BAsk him to promise that he will not jump, and then let him go home on his own
3. CTell him to go home now and come back tomorrow morning when he feels calmer and safer
4. DLet him leave, because voluntary patients can always go when they want