解答つき精神看護ワークシート

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. AA painful erection that does not go away
2. BDarkening of the skin on the hands and face
3. CA dry cough
4. DRinging in the ears

Which personality disorders belong to Cluster A, the "odd or eccentric" cluster?

1. AAntisocial, borderline, histrionic and narcissistic
2. BAvoidant, dependent and obsessive-compulsive
3. CBorderline, avoidant and paranoid
4. DParanoid, schizoid and schizotypal

Why are benzodiazepines used with caution in older adults?

1. AThey raise blood pressure to dangerous levels after a single dose
2. BThey increase the risk of confusion, falls and fractures
3. CThey cause rapid weight gain and diabetes in all older adults
4. DThey have no effect on the brain in older people

Which side effects should the nurse monitor for in a patient starting donepezil?

1. ADry mouth, constipation and urinary retention
2. BNausea, diarrhoea and a slow heart rate
3. CWeight gain and high blood glucose
4. DTremor, thirst and passing large amounts of urine

How does aripiprazole differ from most other antipsychotics?

1. AIt is a partial agonist at dopamine D₂ receptors
2. BIt is a benzodiazepine with antipsychotic effects
3. CIt needs weekly white blood cell counts for safety
4. DIt has no effect on dopamine at all

維持療法における治療域として一般に挙げられる血清リチウム濃度の範囲はどれですか？

1. A約 3.5～5.0 mmol/L
2. B約 0.6～1.2 mmol/L（目標範囲はガイドラインによって異なる）
3. C約 2.0～3.0 mmol/L（急性躁病ではより高い濃度が必要）
4. D約 0.01～0.05 mmol/L

患者が 10 日前に抗うつ薬を開始しました。以前より活力が出てきたと言いますが、まだ絶望感があります。これに綿密なモニタリングが必要なのはなぜですか？

1. A気分が改善する前に活力が戻ることがあり、自殺念慮を実行に移すリスクが高まるおそれがあるため
2. B抗うつ薬が完全に効いたことを意味するため
3. Cセロトニン症候群のサインであるため
4. D用量が少なすぎることを意味するので、ただちに抗うつ薬を中止して別の薬を始めるべきであるため

A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?

1. AIgnore the request politely and change the subject to the procedure itself
2. BTell her that religion has no place in hospital care
3. CRespect the request, join in if comfortable, and offer to call the chaplain
4. DTry to persuade her to adopt the nurse's own beliefs