解答つき精神看護ワークシート

Which phrase uses person-first language that helps reduce stigma?

1. A"A psycho"
2. B"A schizophrenic patient"
3. C"A person with schizophrenia"
4. D"A mental case"

妄想とは何ですか？

1. A刺激のない知覚
2. B現実の問題に対する短時間の妥当な心配で、安心させると和らぐもの
3. C一時的な記憶の喪失
4. Dその人の文化で共有されておらず、証拠によって変わらない、固定した誤った信念

A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?

1. AApraxia
2. BAphasia
3. CAgnosia
4. DAtaxia

A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?

1. ASpend short, regular periods with the patient without forcing conversation
2. BAsk a series of direct questions until he answers
3. CLeave the patient alone until he asks to talk
4. DTell the patient that talking is required to be discharged

Which risk applies when antipsychotics are used in older people with dementia?

1. AImproved memory within a few days
2. BA lower risk of falls than with no medicine at all
3. CA guaranteed cure of the dementia
4. DAn increased risk of stroke and death

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt needs a general anaesthetic and causes a seizure, like ECT
2. BIt is given as a daily tablet that contains tiny magnetic particles
3. CIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
4. DIt involves surgically implanting electrodes deep in the brain under anaesthetic

A nurse suspects that a patient is hiding his tablets in his cheek and later spitting them out. What is the best approach?

1. ACheck his mouth after each dose, as policy allows, and explore why he does not want it
2. BCrush all his tablets into his food without telling him
3. CAccuse him in front of other patients so that he is embarrassed and stops
4. DStop giving him his medicine at all, because he is not taking it anyway, and record that he refused

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. ATell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
2. BArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
3. CStop answering her calls, because the symptoms are imaginary
4. DAsk the doctor to order new tests every time she reports a symptom