解答つき精神看護ワークシート

What is conversion disorder (functional neurological symptom disorder)?

1. AA belief that one has a serious illness without having any symptoms
2. BA condition in which the person has two or more distinct identities, with gaps in memory between them
3. CNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
4. DDeliberately faking symptoms to get money or avoid work

An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?

1. APhysical abuse
2. BSexual abuse
3. CSelf-neglect by the father
4. DFinancial abuse

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

患者のリチウム濃度を測定するための採血は、いつ行うべきですか？

1. A最後の服用の約 12 時間後
2. B朝の服用の直後
3. C違いはないので、1 日のうちいつでもよい
4. D最後の服用の 1 時間後

A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?

1. AThe patient can be left alone while asleep
2. BThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
3. CThe patient is checked every hour during the day only
4. DA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. AArrange for only the senior doctor to see him from now on
2. BRespond respectfully but firmly, and keep the same expectations as for other patients
3. CTell him that he is not as important as he thinks he is
4. DAvoid him as much as possible, because he is rude and unpleasant to the nursing staff

患者が、声が同室者を傷つけろと言っていると話します。看護師が最初にすべきことは何ですか？

1. A声は現実ではないと伝えて立ち去る
2. B統合失調症では命令幻聴がよくあり、患者が実行することはまれなので、無視する
3. C理由を誰にも告げずに、同室者を移動させる
4. D声が何を言っているか、従わなければならないと感じているかをさらに尋ね、他の人の安全を確保する

躁病エピソードの患者が、デイルームで他の患者の話をさえぎり、声が大きくなってきています。最も適切な看護行為はどれですか？

1. A落ち着いて刺激の少ない静かな場所へ誘導し、明確で簡単な制限を設定する
2. B集団の気をそらすために、音楽の音量を上げる
3. C患者が止めると同意するまで、全員の前でその行動について議論する
4. Dエネルギーを使い切るために、競争的な集団ゲームを勧める