解答つき精神看護ワークシート

In DSM-5, gambling disorder is grouped with which category of disorders?

1. ASubstance-related and addictive disorders
2. BAnxiety disorders and phobias
3. CPersonality disorders in Cluster B
4. DNeurocognitive disorders such as dementia

せん妄は、通常、認知症とどう違いますか？

1. A認知症は常に突然始まる
2. B同じ病態である
3. Cせん妄は突然始まって変動し、認知症は数か月から数年かけて徐々に進行する
4. Dせん妄は数年かけてゆっくり進行し、認知症は突然始まり、時間ごとに変動する

Which medicine may be used to treat moderate serotonin syndrome?

1. ACyproheptadine
2. BPhenelzine
3. CSertraline
4. DTramadol

Which setting is best for an initial assessment interview with a new patient?

1. AThe corridor, so that the interview can be done quickly
2. BA small office with the nurse sitting behind a high desk between herself and the door
3. CA quiet, private room with chairs at the same level and easy access to the door
4. DThe busy day room, so that the patient feels part of the ward

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. CFrequent criticism, hostility and emotional over-involvement
4. DCalm, supportive and warm communication

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. AOlder adults cannot be treated for depression
2. BMemory complaints in older adults are always caused by dementia
3. CDepression in older adults can look like dementia and is treatable
4. DLow mood after the loss of a partner is always normal grief and never needs any assessment

オピオイド依存の治療を受けている患者が、ブプレノルフィンの初回投与を受けようとしています。彼は 2 時間前にヘロインを使用しました。リスクは何ですか？

1. Aブプレノルフィンがヘロインに加わって、呼吸抑制を伴う危険なオピオイド過量摂取を起こす
2. Bリスクはなく、ただちに投与すべきである
3. C完全作動薬がまだ作用しているときに投与すると、ブプレノルフィンは急性の離脱症状（誘発離脱）を起こすことがある
4. Dブプレノルフィンはまったく効果がない

A patient tells the nurse, "You're the only one I can talk to. You're much better than the other nurses." What is the most appropriate response?

1. A"I'm glad our talks help. All the staff here are working with you, and it's important that you can talk to them too."
2. B"You shouldn't compare nurses. That's not fair to them, and it's rude."
3. C"Thank you. I'll make sure I'm always the one assigned to you from now on."
4. D"The other nurses are not as experienced as I am, so it makes sense that you prefer talking to me."