解答つき精神看護ワークシート

What is systematic desensitisation?

1. AGradual exposure to a feared situation, step by step, while using relaxation
2. BSudden and prolonged exposure to the most feared situation at once
3. CTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
4. DA medicine that reduces anxiety within minutes of being taken

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. AA visual hallucination
2. BDepersonalisation
3. CDerealisation
4. DA delusion of control

When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?

1. AConcrete thinking
2. BThought blocking
3. CFlight of ideas
4. DTangential thinking

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. AEncouraging the patient to take part in activities
2. BRegular contact with the care team and other families
3. CCalm, supportive and warm communication
4. DFrequent criticism, hostility and emotional over-involvement

Which risk applies when antipsychotics are used in older people with dementia?

1. AA guaranteed cure of the dementia
2. BA lower risk of falls than with no medicine at all
3. CImproved memory within a few days
4. DAn increased risk of stroke and death

双極性障害でラモトリギンを服用している患者に、新たに発疹が出ました。看護師はどうすべきですか？

1. A用量を 2 倍にする
2. B発疹は常に無害なので、無視する
3. C重い皮膚反応の始まりかもしれないため、速やかに報告する
4. D発疹はよくあるので、保湿剤を塗り、薬は通常どおり続ける

On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?

1. AAccompanying a stable patient to the dining room and recording his food intake
2. BCarrying out the full admission suicide risk assessment of a newly admitted patient
3. CTeaching a patient about the side effects of lithium
4. DEvaluating whether a PRN medicine given an hour ago has worked

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抗うつ薬が完全に効いたことを意味するため
2. B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
3. C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
4. Dセロトニン症候群のサインであるため