解答つき精神看護ワークシート

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

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

転移（転移感情）とは何ですか？

1. A患者が、自分の過去の人物に対する感情を、無意識に看護師に向けること
2. B無意識の不安が、麻痺などの身体症状に変わる防衛機制
3. C看護師の患者に対する感情
4. D患者を別の病棟に移すこと

精神保健ケアでの「最も制限の少ない代替手段」の原則は何を意味しますか？

1. A本人と他の人の安全を保ちつつ、患者の自由をできるだけ制限しないケアをすべきである
2. Bすべての患者を閉鎖病棟に入院させなければならない
3. C身体拘束は最初に用いる手段であるべきである
4. D本人や他の人に重大なリスクがあっても、患者をいかなる形でも制限してはならない

How should a patient take sublingual buprenorphine-naloxone tablets?

1. ASwallow the tablet whole with a large glass of water
2. BChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
3. CLet the tablet dissolve completely under the tongue without chewing or swallowing it
4. DCrush the tablet and mix it with a spoonful of soft food such as yoghurt

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. AProvide a quiet, low-stimulation environment and keep staff and patient safe
2. BTry to talk the patient down by discussing his feelings in detail
3. CPut him in a busy area so that staff can watch him more easily
4. DEncourage him to walk around the ward and join in activities to help burn off the drug

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眼圧のみ
2. B肝機能と膵炎の徴候、および妊娠のリスクに関する説明
3. C聴力検査
4. D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

A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?

1. AIt is acceptable as long as the seclusion lasts for less than an hour
2. BIt is acceptable as long as the patient agrees afterwards
3. CIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
4. DIt is acceptable, because it will make the ward quieter and safer for the other patients

A mother with suspected postpartum psychosis says her newborn baby is "evil" and "must be stopped". What is the priority?

1. AReassure her that all new mothers feel this way
2. BEncourage her to spend more time alone with the baby so that they can bond
3. CKeep the baby safe, never alone with her, and arrange urgent assessment
4. DPlan a routine follow-up appointment with the health visitor in 2 weeks