解答つき精神看護ワークシート

無料で印刷できる精神看護のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

精神科看護における守秘義務について、正しい記述はどれですか？

  1. A守秘義務に例外はまったくない
  2. B情報は、尋ねてきた誰とでも共有できる
  3. C患者の情報は守秘されるが、患者や他の人への重大な危害のおそれなどの例外がある
  4. D守秘されるのは身体の健康に関する情報だけで、精神の健康に関する情報は、求められれば親族と共有してよい
2.やさしい

In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?

  1. APreparation
  2. BMaintenance of change
  3. CContemplation
  4. DPrecontemplation
3.やさしい

転移（転移感情）とは何ですか？

  1. A無意識の不安が、麻痺などの身体症状に変わる防衛機制
  2. B看護師の患者に対する感情
  3. C患者が、自分の過去の人物に対する感情を、無意識に看護師に向けること
  4. D患者を別の病棟に移すこと
4.ふつう

A patient with limited English needs a mental health assessment. Who should interpret?

  1. AThe nurse, using an online translation app on her phone for the whole assessment
  2. BThe patient's 12-year-old son
  3. CA trained professional interpreter
  4. DAnother patient on the ward who speaks the language
5.ふつう

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

抗精神病薬を服用している患者が、絶えず歩き回り、じっと座っていられないと言います。これを何と呼びますか？

  1. A偽パーキンソニズム
  2. Bアカシジア
  3. C遅発性ジスキネジア
  4. Dカタトニア（緊張病）
7.むずかしい

A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?

  1. AAgree to assign Anna to her every day so that she stays safe
  2. BTake the statement seriously, assess her risk and explain that nursing assignments are decided by the team
  3. CTell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
  4. DIgnore the threat, because she is only trying to manipulate staff
8.むずかしい

A community nurse visits an older woman with hoarding disorder whose home is so cluttered that the exits are blocked. What is the most appropriate approach?

  1. AArrange for the whole house to be cleared while she is out
  2. BWork with her to clear the exits first, then agree a gradual plan together
  3. CIgnore the clutter, because it is her own home
  4. DTell her that she will be evicted unless everything is thrown away today

解答

  1. 1. C · 患者の情報は守秘されるが、患者や他の人への重大な危害のおそれなどの例外がある
  2. 2. D · Precontemplation
  3. 3. C · 患者が、自分の過去の人物に対する感情を、無意識に看護師に向けること
  4. 4. C · A trained professional interpreter
  5. 5. C · A controlled response is a common reaction in the acute phase after assault
  6. 6. B · アカシジア
  7. 7. B · Take the statement seriously, assess her risk and explain that nursing assignments are decided by the team
  8. 8. B · Work with her to clear the exits first, then agree a gradual plan together

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