解答つき精神看護ワークシート

A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?

1. AEchopraxia
2. BNeologism
3. CEcholalia
4. DConfabulation

Which statement about nicotine replacement therapy is correct?

1. AIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
2. BIt must never be combined, for example a patch with gum
3. CIt contains tar and carbon monoxide in smaller amounts than cigarettes
4. DIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings

SSRI が抗うつ効果を十分に発揮するまでには、通常どのくらいかかりますか？

1. A約 1 日
2. B初回投与の約 1 時間後
3. C約 1 年
4. D数週間（多くは約 4～6 週間、またはそれ以上）

バルプロ酸を開始する患者で重要なモニタリングはどれですか？

1. A肝機能と膵炎の徴候、および妊娠のリスクに関する説明
2. B肺線維症のリスクがあるため、肺機能と定期的な胸部 X 線
3. C眼圧のみ
4. D聴力検査

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ARecord it immediately as a command hallucination
2. BAvoid asking about it, because culture is not relevant to mental health
3. CTell her that her beliefs are not real
4. DExplore the experience in her cultural context before calling it a symptom

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

1. AIt causes weight gain, so offer fewer snacks during the day
2. BIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
3. CGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
4. DGive it just before bedtime so that it works overnight

A caller says she is a patient's sister and asks how he is doing. The patient has not given consent to share information. What should the nurse do?

1. ANeither confirm nor deny that he is there, and offer to pass on a message
2. BTell her that he is on the ward but refuse to say anything else about his care or condition
3. CAsk her to prove she is his sister and then share the details
4. DGive a full update, because she is a close family member

A woman with PTSD after a sexual assault by a man becomes distressed when a male nurse is assigned to her. What is the most appropriate response?

1. ALeave her without a named nurse until she calms down
2. BAssign a female nurse where possible and explain her care plan to her
3. CTell her that she must learn to face her fears
4. DInsist that she accept the male nurse, as all staff are professional