解答つき精神看護ワークシート

A patient believes that the newsreader on television is sending him personal messages. What is this called?

1. AAn illusion
2. BAn idea of reference
3. CThought insertion
4. DA somatic delusion

Which signs suggest acute cocaine intoxication?

1. APinpoint pupils, slow breathing and drowsiness
2. BSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
3. CRed eyes, increased appetite, dry mouth and slowed reactions
4. DDilated pupils, a fast heart rate and high blood pressure

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

1. ASchizoid
2. BAvoidant
3. CHistrionic
4. DParanoid

How may depression present differently in adolescents than in adults?

1. AWith irritability rather than obvious sadness
2. BWith a high fever and a rash
3. CAlways with psychotic symptoms
4. DWith increased energy and less need for sleep

うつ病の患者で、自殺の意図の可能性を示す警告サインとなる行動はどれですか？

1. A家族旅行の計画を立てる
2. B好きな音楽について話す
3. C退院後の就職の応募について手伝いを求める
4. D大切な持ち物を人にあげ、突然穏やかになったように見える

A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?

1. AErotomanic
2. BNihilistic
3. CPersecutory
4. DGrandiose

看護師が最初に診るべき患者はどれですか？

1. A眠れるよう助けを求めている、うつ状態の患者
2. B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
3. C手に細かい振戦がある、リチウム服用中の患者
4. D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

A nurse teaches a family member how to use a naloxone kit. Which statement shows a need for further teaching?

1. A"I'll stay with him, because the overdose can come back."
2. B"Once I've given the naloxone, I don't need to call an ambulance."
3. C"If he doesn't respond, I may need to give a second dose."
4. D"I'll check his breathing and put him in the recovery position if he is breathing but still not awake."