解答つき精神看護ワークシート

How is lithium mainly removed from the body?

1. ABy the liver, in the bile
2. BThrough the skin, in sweat only
3. CBy the kidneys, in the urine
4. DThrough the lungs, in the breath

The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?

1. AOrientation
2. BAbstract thinking
3. CImmediate memory
4. DLevel of consciousness

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AParanoid, schizoid and schizotypal
2. BAntisocial, borderline, histrionic and narcissistic
3. CHistrionic, dependent and schizoid
4. DAvoidant, dependent and obsessive-compulsive

オピオイド離脱に典型的な徴候はどれですか？

1. A縮瞳と遅い呼吸
2. B最後の服用から 1 日以内の、高熱、鉛管様の筋強剛、錯乱
3. Cあくび、鼻水、散瞳、鳥肌、下痢
4. D深い眠りと便秘

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. ARecognise it as a common side effect, report it and suggest a towel on the pillow
2. BTell him that it means the clozapine dose is too low and needs to be increased
3. CExplain that it is a sign of an allergic reaction to the medicine
4. DStop the clozapine immediately, because this is a sign of agranulocytosis

朝食についての質問に、患者が「卵はニワトリから生まれて、ニワトリは農場にいて、おじさんが農場を持っていて、赤いトラクターを運転していて…」と答え、質問には答えません。これを何と呼びますか？

1. A迂遠（まわりくどさ）
2. B思考途絶
3. C脱線（話が本筋からそれること）
4. D言葉のサラダ

A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?

1. ASay nothing, because it is not her responsibility
2. BWait until the end of the shift, then talk privately with the colleague
3. CReport the concern immediately to the nurse in charge, following policy, to protect patients
4. DGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine

While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?

1. ARecognise that anxiety spreads between people, and calm herself first
2. BIgnore her own reaction, because the nurse's feelings do not matter in patient care
3. CLeave the patient immediately and not return
4. DMatch the patient's level of anxiety to show empathy