解答つき精神看護ワークシート

What is separation anxiety disorder in a child?

1. AA lack of interest in parents and other close carers, with no distress when they leave
2. BExcessive, developmentally inappropriate fear of being apart from attachment figures
3. CFear of social situations in which other children may laugh at them
4. DNormal crying when a baby meets a stranger for the first time

A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?

1. AChanging the subject
2. BSummarising
3. CRestating
4. DFocusing

An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?

1. APhysical abuse
2. BSelf-neglect by the father
3. CFinancial abuse
4. DSexual abuse

精神状態の評価で、「病識」では何を評価しますか？

1. A患者の時間と場所の見当識
2. B患者の話す速さ
3. C患者が、金銭、食事、セルフケアについて、安全な日常的決定を下せるかどうか
4. D患者が自分に精神面の問題があり、助けが必要だと理解しているかどうか

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. ATell him that he is not as important as he thinks he is
2. BAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
3. CRespond respectfully but firmly, and keep the same expectations as for other patients
4. DArrange for only the senior doctor to see him from now on

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

1. AIt is against the law in mental health settings
2. BIt always makes the patient angry and more likely to become aggressive towards staff
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

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. ATell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
2. BAsk the doctor to order new tests every time she reports a symptom
3. CStop answering her calls, because the symptoms are imaginary
4. DArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping

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