解答つき精神看護ワークシート

In DSM-5, gambling disorder is grouped with which category of disorders?

1. AAnxiety disorders and phobias
2. BPersonality disorders in Cluster B
3. CNeurocognitive disorders such as dementia
4. DSubstance-related and addictive disorders

健康的で成熟した防衛機制とみなされるのはどれですか？

1. A否認：診断を何か月も受け入れない
2. B昇華：攻撃的な感情をスポーツに向ける
3. C投影：自分の感情を他人のせいにする
4. D分裂（スプリッティング）：人をすべて良い、またはすべて悪いと見る

What is a psychiatric advance directive (advance statement)?

1. AA document in which a person states their treatment wishes for a time when they may lack capacity
2. BA note from the doctor that lists the patient's diagnoses
3. CA court order that allows a patient to be detained in hospital
4. DA contract in which the patient promises the team to take every prescribed medicine for life

How does conduct disorder differ from oppositional defiant disorder?

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

悪性症候群を示唆する所見の組み合わせはどれですか？

1. A高熱、重度の「鉛管様」筋強剛、錯乱、不安定な血圧、CK の上昇
2. B新しいセロトニン作動薬の数時間以内の、腱反射亢進、クローヌス、下痢、散瞳、激越
3. C体重増加と血糖上昇
4. D細かい振戦と口渇の増加

The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?

1. AGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
2. BGive it just before bedtime so that it works overnight
3. CIt causes weight gain, so offer fewer snacks during the day
4. DIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school

On the fourth day after giving birth, a mother is tearful and moody but is caring for her baby, eating and sleeping when she can. What is the most appropriate nursing response?

1. ATell her that antidepressants must be started at once
2. BArrange an emergency psychiatric admission today
3. CExplain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
4. DAdvise her to stop breastfeeding and let others feed the baby at night so that she can rest and recover

MAOI を服用中の患者が、パーティーから戻ると、後頭部の激しい頭痛、首のこわばり、動悸を訴えます。看護師が最初にすべきことは何ですか？

1. A頭痛のために濃いコーヒーを 1 杯与える
2. B横になって寝てやり過ごすよう助言する
3. C血圧を測定し、処方者に緊急に連絡する
4. D次の MAOI の服用を早めて与える