解答つき精神看護ワークシート

Which medicine is commonly used to treat antipsychotic-induced akathisia?

1. APropranolol
2. BLithium
3. CBupropion
4. DHaloperidol

A patient smiles and laughs while describing the death of her son. How is this affect described?

1. AIncongruent
2. BCongruent
3. CEuthymic
4. DRestricted but appropriate

Which statement about self-disclosure by the nurse is correct?

1. AIt should be used often to build friendship with the patient
2. BIt should be brief, rare and used only to help the patient
3. CIt is never allowed in any situation
4. DIt is helpful when the nurse shares personal problems in detail

双極性障害でラモトリギンを服用している患者に、新たに発疹が出ました。看護師はどうすべきですか？

1. A発疹は常に無害なので、無視する
2. B用量を 2 倍にする
3. C発疹はよくあるので、保湿剤を塗り、薬は通常どおり続ける
4. D重い皮膚反応の始まりかもしれないため、速やかに報告する

Why is the nurse's body language important in therapeutic communication?

1. ABody language matters only when patients cannot speak the same language
2. BPatients often respond more to non-verbal messages than to the words used
3. CIt is only important during the termination phase
4. DPatients with mental illness cannot understand non-verbal signals

What should a patient starting zolpidem for insomnia be taught to report?

1. ASleeping through the night without waking up
2. BFeeling slightly more rested and alert the next morning than before starting the medicine
3. CDoing things while not fully awake, such as sleepwalking or driving, with no memory of it
4. DFeeling sleepy about 30 minutes after taking it at bedtime

リチウムで安定している患者が、腰痛のために毎日イブプロフェンを飲み始めたと看護師に話しました。看護師はどうすべきですか？

1. Aリチウムの用量を 2 倍にするよう助言する
2. Bイブプロフェンは処方箋なしで買えて安全なので、問題ないと伝える
3. Cイブプロフェンはリチウムを中毒濃度に上げることがあるため、処方者に知らせる
4. Dむくみのために利尿薬も飲むよう伝える

A child has been admitted several times with unexplained fevers that only happen when her mother is present. Staff see the mother tampering with the child's IV line. What is the priority action?

1. ADiscuss the matter with the mother alone and ask her to stop
2. BDischarge the child home with the mother as soon as possible
3. CEnsure the child's safety and follow child protection procedures
4. DDocument the event carefully in the notes and wait to see whether it happens again before telling anyone else