解答つき精神看護ワークシート

What is trichotillomania?

1. ARepeatedly pulling out one's own hair, leading to hair loss
2. BHair loss caused by lithium treatment
3. CA fear of hair, combs and hairdressers
4. DA fungal infection of the scalp that is common in people with OCD

What is the main goal of crisis intervention?

1. ATo help the person return at least to their level of functioning before the crisis
2. BTo admit every person in crisis to hospital for several months
3. CTo explore the person's childhood experiences in depth over many years
4. DTo change the person's personality so that crises never happen again

For which patients is clozapine mainly used?

1. AOlder patients with dementia who become agitated and restless in the evening
2. BPatients with mild anxiety who need a short-term sedative
3. CPatients having their very first episode of mild psychosis
4. DPatients with schizophrenia that has not responded to two other antipsychotics

How does conduct disorder differ from oppositional defiant disorder?

1. AConduct disorder involves only arguing with adults and losing one's temper
2. BThe two disorders are exactly the same and differ only in the age at which they are diagnosed
3. CConduct disorder involves violating others' rights, such as cruelty, theft or fire setting
4. DOppositional defiant disorder includes serious physical aggression towards animals

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
2. B"The man will go away if you ignore him."
3. C"What does the man in the corner look like?"
4. D"I don't see anyone in the corner, but I know it seems real to you."

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

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

A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?

1. ATense all your muscles at once and keep them tight for 10 minutes
2. BHold your breath for as long as possible while lying completely still on the floor
3. CDo the exercise only during a panic attack, never at other times
4. DTense each muscle group in turn for a few seconds, then let go and notice the difference

A patient who was admitted after a serious suicide attempt says, "I'm angry they saved me. Next time I'll do it properly." What should the nurse do?

1. AChange the subject to something more positive, such as his family and his plans for after discharge
2. BReduce observation because he is talking openly about his feelings
3. CTell him that he should be grateful to be alive and think about how his family would feel
4. DMaintain close observation, report the statement and reassess the risk with the team