解答つき精神看護ワークシート

In Freud's theory of personality, what is the role of the ego?

1. ATo store all forgotten memories from childhood
2. BTo seek immediate pleasure regardless of the consequences
3. CTo act as the moral conscience that creates guilt
4. DTo balance the demands of the id, the superego and reality

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo agree how to avoid recording the incident in the patient's records so that the ward is not criticised
2. BTo review what happened, support those involved and learn how to prevent future restraint
3. CTo punish the patient for the behaviour that led to the restraint
4. DTo decide which staff member should be blamed for the incident

To which drug class does donepezil belong?

1. ABenzodiazepines
2. BCholinesterase inhibitors
3. CDopamine antagonists
4. DSelective serotonin reuptake inhibitors

What is the key difference between factitious disorder and malingering?

1. AIn factitious disorder, the symptoms are not produced on purpose at all
2. BMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
3. CThere is no real difference between them, and both terms mean exactly the same thing
4. DIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward

維持療法における治療域として一般に挙げられる血清リチウム濃度の範囲はどれですか？

1. A約 0.01～0.05 mmol/L
2. B約 2.0～3.0 mmol/L（急性躁病ではより高い濃度が必要）
3. C約 0.6～1.2 mmol/L（目標範囲はガイドラインによって異なる）
4. D約 3.5～5.0 mmol/L

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

1. AShe is not distressed and does not need any support
2. BShe is probably exaggerating the seriousness of what happened, because she does not seem upset
3. CHer calmness shows that the assault did not happen
4. DA controlled response is a common reaction in the acute phase after assault

A woman who takes lithium for bipolar disorder tells the nurse she would like to become pregnant. What is the best response?

1. A"Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."
2. B"Stop the lithium today so that it is out of your body before you get pregnant."
3. C"Lithium is completely safe in pregnancy, so there is no need to change anything at all."
4. D"You'll need to choose between treating your bipolar disorder and having a baby."

A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?

1. AGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine
2. BReport the concern immediately to the nurse in charge, following policy, to protect patients
3. CWait until the end of the shift, then talk privately with the colleague
4. DSay nothing, because it is not her responsibility