解答つき精神看護ワークシート

What is malingering?

1. AExcessive worry about having a serious illness despite repeated normal results and reassurance from doctors
2. BIntentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
3. CProducing symptoms on purpose to take on the role of a sick person, without any external gain
4. DPhysical symptoms caused by stress that the person does not produce on purpose

患者がパニック発作を起こしています。看護師はどうすべきですか？

1. A患者が発作を理解できるように、パニック障害の発症の仕組みを詳しく説明する
2. B患者のそばにいて、短く簡単な文で穏やかに話し、静かな場所を提供する
3. C落ち着くまで患者を 1 人にしておく
4. Dにぎやかな集団活動への参加を促す

A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?

1. ADependent
2. BSchizoid
3. CAvoidant
4. DHistrionic

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AChange the rules for this patient to avoid conflict
2. BState the rule and the consequence clearly, and make sure all staff apply it consistently
3. CGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
4. DLet each nurse decide on the day whether to apply the rules

What is the key difference between factitious disorder and malingering?

1. AMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
2. BIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
3. CThere is no real difference between them, and both terms mean exactly the same thing
4. DIn factitious disorder, the symptoms are not produced on purpose at all

躁病エピソードの患者が、忙しくて座って食事ができません。栄養を支える最もよい方法はどれですか？

1. A患者が食べ物を求めるまで待つ
2. B騒がしい食堂で、決まった食事時間に、3 品のたっぷりした食事を提供する
3. C動きながら食べられる、高カロリーの手づかみの食べ物や飲み物を提供する
4. D1 時間、テーブルに座っているよう強く求める

A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?

1. AThat she needs an antipsychotic to control her behaviour
2. BThat she is trying to manipulate the staff
3. CThat the behaviour is part of her disability and needs no assessment
4. DA physical cause such as dental pain, an ear infection or constipation

A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?

1. A"I'll let you if you promise not to tell anyone else about it."
2. B"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."
3. C"Well, if the others let you, I suppose it's fine this once."
4. D"Smoking is only allowed in the garden, and that rule is the same for everyone."