解答つき精神看護ワークシート

Which feature is typical of Korsakoff syndrome?

1. AFever, rigidity and a high creatine kinase
2. BSevere memory loss with confabulation
3. CA flapping tremor of the hands caused by liver failure
4. DPinpoint pupils and slow breathing

In a mental status examination, what does assessing orientation check?

1. AWhether the patient can interpret proverbs and explain their meaning
2. BWhether the patient knows the time, the place and who they are
3. CWhether the patient's mood matches the facial expression and tone of voice
4. DWhether the patient understands that they are ill and needs treatment for it

The nurse says to a withdrawn patient, "I'll sit with you for a while." Which technique is this?

1. APresenting reality
2. BPlacing the event in sequence
3. COffering self
4. DGiving advice

What should a patient taking chlorpromazine be taught about sun exposure?

1. ASunbathe for longer each day to improve mood
2. BSun exposure has no effect while taking this medicine
3. CAvoid going outside at all, even in winter, for the rest of his life
4. DUse sunscreen and protective clothing, because the skin may burn easily

What is the Abnormal Involuntary Movement Scale (AIMS) used for?

1. ATo rate the severity of depression
2. BTo assess the risk of a patient becoming violent
3. CTo measure the severity of alcohol withdrawal
4. DTo screen for and monitor tardive dyskinesia

How does aripiprazole differ from most other antipsychotics?

1. AIt needs weekly white blood cell counts for safety
2. BIt is a partial agonist at dopamine D₂ receptors
3. CIt has no effect on dopamine at all
4. DIt is a benzodiazepine with antipsychotic effects

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. AIt proves she has severe major depression with psychosis
2. BIt is a sign of schizophrenia that needs antipsychotic medicine
3. CBrief experiences like this can be part of normal grief
4. DIt means she has delirium and needs urgent tests

A woman taking carbamazepine for bipolar disorder uses an oral contraceptive pill. What should the nurse teach?

1. AThe two drugs do not interact in any way
2. BCarbamazepine increases the effect of the pill, so she can take it every other day
3. CShe should take the pill and the carbamazepine at exactly the same time each day so that both of them stay fully effective
4. DCarbamazepine can make the pill less effective, so she should discuss contraception with the prescriber