解答つき精神看護ワークシート

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. ARestating
2. BChanging the subject
3. CSummarising
4. DFocusing

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. APersonalisation
2. BCatastrophising
3. CAll-or-nothing thinking
4. DEmotional reasoning

統合失調症の陽性症状はどれですか？

1. A意欲の欠如（意欲低下）
2. B幻聴
3. C感情の平板化
4. D会話の貧困（思考・会話の貧困）

「自殺しない約束（ノースーサイド契約）」が安全対策として推奨されないのはなぜですか？

1. A子どもにしか使えないため
2. Bどこでも違法であるため
3. C長くて複雑すぎて、ほとんどの患者は読めず、署名する患者が少ないため
4. D自殺を防ぐというエビデンスがなく、偽りの安心感を与えるおそれがあるため

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. APlace him in seclusion and then decide about medicine later
2. BHide the medicine in his drink without telling him
3. CGive an intramuscular injection at once without offering any choice
4. DOffer the oral medicine first, before considering an injection

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

1. AShuffling gait, mask-like face, rigidity and a resting tremor
2. BRestless pacing and an inability to sit still
3. CSudden muscle spasm of the neck with the eyes rolled upwards
4. DLip smacking, tongue thrusting and grimacing after years of treatment

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. BStay with him and inform the team at once, so he can be urgently assessed under mental health law
3. CAsk him to promise that he will not jump, and then let him go home on his own
4. DTell him to go home now and come back tomorrow morning when he feels calmer and safer

A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?

1. AIt is acceptable, because it will make the ward quieter and safer for the other patients
2. BIt is acceptable as long as the patient agrees afterwards
3. CIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
4. DIt is acceptable as long as the seclusion lasts for less than an hour