解答つき精神看護ワークシート

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AWithin 3 months
2. BWithin 3 days
3. COnly after 1 year
4. DOnly after 2 years

妄想とは何ですか？

1. Aその人の文化で共有されておらず、証拠によって変わらない、固定した誤った信念
2. B一時的な記憶の喪失
3. C刺激のない知覚
4. D現実の問題に対する短時間の妥当な心配で、安心させると和らぐもの

In obsessive-compulsive disorder, what is an obsession?

1. AA false belief that is held firmly despite clear evidence that it is untrue
2. BA repeated action done to reduce anxiety, such as checking a lock
3. CA strong interest in a hobby that the person enjoys very much
4. DA recurrent, unwanted thought, urge or image that causes anxiety

患者のリチウム濃度を上昇させる可能性が最も高い薬はどれですか？

1. Aイブプロフェン
2. Bアモキシシリン
3. Cオメプラゾール
4. Dパラセタモール（アセトアミノフェン）

What is the key difference between factitious disorder and malingering?

1. AThere is no real difference between them, and both terms mean exactly the same thing
2. BIn factitious disorder, the symptoms are not produced on purpose at all
3. CIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
4. DMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all

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

A patient in a mental health unit asks to read his own health records. What is the correct general principle?

1. AOnly his family can request access to his records on his behalf
2. BPatients generally have a right of access, with limited exceptions to prevent serious harm
3. CPsychiatric patients are never allowed to see their records
4. DThe nurse should give him the records immediately without following any procedure

A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?

1. ACall security to remove her from the ward
2. BTell her loudly in front of everyone that she must stop
3. CCalmly cover her and guide her to her room or a quiet area
4. DAsk the other patients to ignore her and carry on