解答つき精神看護ワークシート

Which measure has good evidence for reducing suicide deaths?

1. AGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
2. BAsking the patient to sign a no-suicide contract
3. CAvoiding the topic of suicide completely with people at risk
4. DRestricting access to lethal means, such as firearms or large supplies of medicines

アルコール依存の患者にチアミン（ビタミン B1）を投与するのはなぜですか？

1. Aアルコールをまずく感じさせるため
2. Bアルコールへの渇望を減らすため
3. Cウェルニッケ脳症を予防または治療するため
4. D肝硬変を治療するため

リチウムは主に何の治療に用いられますか？

1. A第一選択薬としての統合失調症
2. B即効性の薬としてのパニック発作
3. Cアルコール離脱
4. D双極性障害

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. AAgranulocytosis
2. BHypothyroidism
3. CHyperthyroidism
4. DSerotonin syndrome

A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?

1. AErotomanic
2. BSomatic
3. CGrandiose
4. DNihilistic

A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?

1. AAvoidance
2. BIntrusion symptoms
3. CChanges in arousal and reactivity
4. DDissociative amnesia for the trauma

A nurse posts on social media about a "funny" patient on her ward, without giving his name. What is correct?

1. AIt is acceptable because his name was not used
2. BIt is only a problem if the patient finds the post himself
3. CIt breaches confidentiality, because he could still be identified
4. DIt is acceptable if the post is set to "friends only"

Six weeks after losing his job, a man feels low and worried and is sleeping a little less, but he still enjoys time with his children and does not meet the criteria for major depression. Which diagnosis fits best?

1. ABipolar II disorder
2. BPersistent depressive disorder
3. CMajor depressive disorder
4. DAdjustment disorder with depressed mood