解答つき精神看護ワークシート

患者がパニック発作を起こしています。看護師はどうすべきですか？

1. A患者のそばにいて、短く簡単な文で穏やかに話し、静かな場所を提供する
2. Bにぎやかな集団活動への参加を促す
3. C落ち着くまで患者を 1 人にしておく
4. D患者が発作を理解できるように、パニック障害の発症の仕組みを詳しく説明する

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. ADerealisation
2. BA delusion of control
3. CA visual hallucination
4. DDepersonalisation

Which feature is typical of Korsakoff syndrome?

1. AFever, rigidity and a high creatine kinase
2. BSevere memory loss with confabulation
3. CPinpoint pupils and slow breathing
4. DA flapping tremor of the hands caused by liver failure

A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?

1. A"You seem worried about what being here means. Can you tell me more?"
2. B"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
3. C"Yes, but you're in the right place now."
4. D"Of course not. Only crazy people would ask that."

セロトニン症候群を示唆する所見の組み合わせはどれですか？

1. A低体温と徐脈
2. B体重増加と口渇
3. C薬の変更から数時間以内に始まる、激越、発汗、振戦、腱反射亢進、クローヌス
4. D抗精神病薬のあと、数日かけてゆっくり進行する、反射の低下を伴う筋強剛と高熱

Which nurse statement is most consistent with motivational interviewing?

1. A"What would be different for you if you drank less?"
2. B"You're an alcoholic, and you need to admit it."
3. C"If you don't stop drinking now, you'll die."
4. D"I've decided that you need to stop drinking completely."

看護師が最初に診るべき患者はどれですか？

1. A声が窓から飛び降りろと言っていると話す、入院したばかりの患者
2. B朝の病棟回診の前に、退院計画について話し合いたい不安のある患者
3. C眠れるよう助けを求めている、うつ状態の患者
4. D手に細かい振戦がある、リチウム服用中の患者

An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?

1. AAllow him to stay at home until he wants to go back
2. BSupport a gradual, planned return to school with a consistent goodbye routine
3. CTell him that he is being silly and must go
4. DLet a parent stay with him in class every day for the rest of the year