解答つき精神看護ワークシート

入院中の 6 歳の男児が、指しゃぶりをして、またおねしょをするようになりました。これはどの防衛機制ですか？

1. A昇華
2. B投影
3. C知性化
4. D退行

How is lithium mainly removed from the body?

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

Which advice is part of good sleep hygiene?

1. AHave a large meal and a strong coffee just before going to bed
2. BUse a phone or tablet in bed until you feel tired enough to sleep
3. CTake long naps in the afternoon to make up for any lost sleep at night
4. DGet up at the same time each day and avoid caffeine later in the day

抗精神病薬を服用している患者が、絶えず歩き回り、じっと座っていられないと言います。これを何と呼びますか？

1. A偽パーキンソニズム
2. Bカタトニア（緊張病）
3. Cアカシジア
4. D遅発性ジスキネジア

患者のリチウム濃度を測定するための採血は、いつ行うべきですか？

1. A違いはないので、1 日のうちいつでもよい
2. B最後の服用の 1 時間後
3. C朝の服用の直後
4. D最後の服用の約 12 時間後

Which pattern suggests premenstrual dysphoric disorder?

1. AMood symptoms that begin only after the menopause and last for several years
2. BLow mood throughout the whole month that is not linked to the menstrual cycle
3. CMild bloating the day before a period, without any mood changes
4. DMarked mood symptoms in the week before menstruation that improve within a few days after it starts

After witnessing a serious accident, a woman suddenly cannot move her legs. Full investigations are normal. Which nursing approach is most appropriate?

1. AFocus every conversation on the details of her leg weakness
2. BIgnore her requests for help completely until she agrees to try to walk again on her own
3. CTell her that the paralysis is fake and that she should stand up
4. DAccept that the symptom is real for her, help with mobility needs and gently explore recent stress

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

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