解答つき精神看護ワークシート

A patient smiles and laughs while describing the death of her son. How is this affect described?

1. AEuthymic
2. BIncongruent
3. CCongruent
4. DRestricted but appropriate

Bupropion is used as an antidepressant in some countries, such as the US. What else is it commonly used for?

1. AReversing opioid overdose
2. BTreating alcohol withdrawal seizures
3. CTreating acute mania
4. DHelping people stop smoking

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 delusion of control
2. BA visual hallucination
3. CDepersonalisation
4. DDerealisation

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AArgue with him that what he sees is not real until he accepts it
2. BLeave him alone in a dark room so that he can sleep it off
3. CShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
4. DStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass

How should a nurse screen a patient for intimate partner violence?

1. AOnly ask patients who have visible injuries
2. BAsk in private, without the partner or family present
3. CAsk in front of the partner to see how he reacts
4. DAsk the partner instead of the patient

A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?

1. A"I'm sure everybody likes you."
2. B"What evidence do you have that nobody likes you?"
3. C"Why do you care what people at work think?"
4. D"You should find a new job where people like you."

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. AGive her a placebo tablet instead, without telling her, to see whether she really needs it
2. BAssess her anxiety each time, offer other coping strategies and give it if indicated
3. CRefuse to give it, because she might become dependent
4. DAlways give it as soon as she asks, without assessment

A woman arrives in the emergency department after a sexual assault and has a cut on her head that is bleeding. What is the priority?

1. ACollect forensic evidence before treating any injuries
2. BCall the police and wait until they arrive before doing anything else, so that no evidence is lost by mistake
3. CAssess and treat her physical injuries, then offer forensic examination with her consent
4. DAsk her for a detailed account of the assault before any care