解答つき精神看護ワークシート

患者に自殺念慮について直接尋ねると、自殺のリスクは高まりますか？

1. Aはい。その考えを患者の頭に植えつけてしまう
2. Bはい。十分な評価をしたあとに、精神科医だけが行うべきである
3. Cいいえ。直接尋ねることは安全で、リスクの評価に役立つ
4. D青年に対してだけ安全である

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo punish the patient for the behaviour that led to the restraint
2. BTo review what happened, support those involved and learn how to prevent future restraint
3. CTo decide which staff member should be blamed for the incident
4. DTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised

Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?

1. AClonidine
2. BFlumazenil
3. CNaloxone
4. DDisulfiram

Which communication approach is best with a patient who has paranoid personality disorder?

1. AAvoid explaining anything so that the patient does not become suspicious
2. BBe clear, honest and business-like, and explain the reasons for actions
3. CBe very warm and joke often to put the patient at ease
4. DTalk about the patient with colleagues in whispers within his sight

バルプロ酸を開始する患者で重要なモニタリングはどれですか？

1. A聴力検査
2. B眼圧のみ
3. C肺線維症のリスクがあるため、肺機能と定期的な胸部 X 線
4. D肝機能と膵炎の徴候、および妊娠のリスクに関する説明

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. AAllow the patient to choose to skip meals if she says she feels full or unwell
2. BSupervise the meal and observe the patient for an agreed period afterwards
3. CLet the patient eat alone in her room for privacy
4. DTalk with the patient at length about calories during the meal

A school nurse is teaching about inhalant use such as sniffing glue or aerosols. Which risk should be stressed?

1. AInhalants are only dangerous if they are mixed with alcohol
2. BThere is no physical risk, because the substances are legal
3. CSudden death from a heart arrhythmia, even on the first use
4. DInhalants cause only a mild headache and nothing else

A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?

1. ASchizophreniform disorder
2. BSchizophrenia
3. CDelusional disorder
4. DBipolar I disorder