解答つき精神看護ワークシート

幻覚とは何ですか？

1. A話題が急速に移り変わること
2. B固定した誤った信念
3. C外部の刺激がないのに生じる知覚
4. D実在する刺激の誤った解釈

A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?

1. ACatatonic excitement
2. BAkathisia
3. CPsychomotor agitation
4. DPsychomotor retardation

隣人に強い敵意を抱いている人が、彼に対して過剰に親切で気前よくふるまいます。これはどの防衛機制ですか？

1. A反動形成
2. B代償
3. C置き換え
4. D否認

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
2. BStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
3. CLeave him alone in a dark room so that he can sleep it off
4. DArgue with him that what he sees is not real until he accepts it

Which activity is most suitable for a patient in an acute manic episode?

1. AA long group discussion in the day room
2. BA competitive team game of volleyball
3. CA walk with a staff member
4. DA complicated board game such as chess with other patients

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

1. A"If you speak to me like that, I'm leaving."
2. B"That's not true. I've helped you all day."
3. C"You shouldn't talk to people like that."
4. D"You sound very angry. Tell me what has happened."

A young man spends hours a day checking his nose in mirrors and has asked for several operations, although others see nothing unusual about it. What is the most likely diagnosis?

1. ABody dysmorphic disorder
2. BAnorexia nervosa
3. CIllness anxiety disorder
4. DDelusional disorder, jealous type

患者のリチウム濃度が 1.8 mmol/L です。軽い吐き気以外は元気だと言っています。看護師はどうすべきですか？

1. A元気なので、次の服用をさせる
2. B次の服用を保留し、速やかに処方者に知らせる
3. C1 か月後に再検査する
4. D再発を防ぐために用量を増やす