解答つき精神看護ワークシート

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo punish the patient for the behaviour that led to the restraint
2. BTo review what happened, support those involved and learn how to prevent future restraint
3. CTo decide which staff member should be blamed for the incident
4. DTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised

Which pattern of decline is typical of vascular dementia?

1. ARapid improvement after starting antipsychotic medicine
2. BVery gradual and steady from the start, without sudden changes
3. CStepwise, with sudden worsening after each new vascular event
4. DComplete recovery within a few weeks

アルコール離脱の主な治療薬の種類はどれですか？

1. Aベンゾジアゼピン系薬
2. B第一選択としての抗精神病薬
3. Cオピオイド
4. DSSRI

「自殺しない約束（ノースーサイド契約）」が安全対策として推奨されないのはなぜですか？

1. A長くて複雑すぎて、ほとんどの患者は読めず、署名する患者が少ないため
2. B子どもにしか使えないため
3. Cどこでも違法であるため
4. D自殺を防ぐというエビデンスがなく、偽りの安心感を与えるおそれがあるため

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt is safe in pregnancy and needs no special precautions
2. BIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
3. CIt must be taken with grapefruit juice to be absorbed
4. DIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day

Which effects of methadone should the nurse monitor for?

1. AHypertensive crisis after eating aged cheese
2. BAgranulocytosis and a sore throat
3. CHair loss, weight loss and a painful red rash on the face
4. DRespiratory depression, sedation and a prolonged QT interval

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

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

A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?

1. ATell him to lie down in his room, rest and stop worrying so much about his health
2. BIgnore the complaint until he mentions it again
3. CAssess him physically, with vital signs and an ECG if indicated
4. DAgree with the colleague and give him a PRN anxiolytic