解答つき精神看護ワークシート

In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?

1. AAltruism
2. BCatharsis
3. CUniversality
4. DInstillation of hope

抑制と抑圧の違いは何ですか？

1. A抑制は意識的で、抑圧は無意識的である
2. Bどちらも常に意識的である
3. C抑制は無意識的で、抑圧は意識的である
4. Dどちらも精神病のサインである

A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?

1. ADependent
2. BSchizoid
3. CAvoidant
4. DHistrionic

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AChange the rules for this patient to avoid conflict
2. BLet each nurse decide on the day whether to apply the rules
3. CState the rule and the consequence clearly, and make sure all staff apply it consistently
4. DGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence

How does memantine work in Alzheimer's disease?

1. AIt inhibits the breakdown of acetylcholine
2. BIt blocks dopamine D₂ receptors
3. CIt increases serotonin by blocking its reuptake
4. DIt blocks NMDA glutamate receptors

Which preparation is usual before electroconvulsive therapy (ECT)?

1. ANo preparation, because the patient stays fully awake during ECT
2. BEating a large meal to prevent low blood sugar during the seizure
3. CStopping all regular medicines for 2 weeks before the first treatment
4. DFasting for several hours, because a brief general anaesthetic is given

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. ATell him to go home now and come back tomorrow morning when he feels calmer and safer
2. BStay with him and inform the team at once, so he can be urgently assessed under mental health law
3. CLet him leave, because voluntary patients can always go when they want
4. DAsk him to promise that he will not jump, and then let him go home on his own

A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?

1. A"The tests are done because clozapine can lower my white cells."
2. B"I'll need regular blood tests for as long as I take clozapine."
3. C"If I get a sore throat or fever, I'll tell someone straight away."
4. D"After a few months I can stop having blood tests."