解答つき精神看護ワークシート

無料で印刷できる精神看護のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

精神状態の評価（精神状態検査）で、気分と感情（情動）の違いは何ですか？

  1. A気分と感情はまったく同じ意味である
  2. B気分は看護師が患者に観察するもの、感情は患者が感じていると報告するものである
  3. C気分は思考を、感情は記憶を表す
  4. D気分は患者が感じていると報告するもの、感情は看護師が観察する情動表出である
2.やさしい

What is "sundowning" in a person with dementia?

  1. AIncreased confusion and agitation in the late afternoon and evening
  2. BSleeping all day and staying awake all night from the start of the illness
  3. CSensitivity of the skin to sunlight caused by dementia medicines
  4. DImproved memory and calmness as darkness falls each evening
3.やさしい

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退行
  2. B知性化
  3. C投影
  4. D昇華
4.ふつう

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

  1. AThese are signs of an allergic reaction, so she should never take lithium again
  2. BThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
  3. CThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
  4. DThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
5.ふつう

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"You should find a new job where people like you."
  3. C"What evidence do you have that nobody likes you?"
  4. D"Why do you care what people at work think?"
6.ふつう

Why is giving approval, such as saying "That's good" about a patient's decision, considered non-therapeutic?

  1. AIt always makes the patient angry and more likely to become aggressive towards staff
  2. BIt is against the law in mental health settings
  3. CIt shows that the nurse is not listening at all
  4. DIt suggests that the patient's choices are judged against the nurse's standards
7.むずかしい

A patient with dementia repeatedly walks towards the ward exit, saying he must go to work. What is the most appropriate action?

  1. AWalk with him, acknowledge his concern and gently redirect him to an activity
  2. BLock him in his room so that he cannot leave
  3. CTell him firmly that he has been retired for 20 years
  4. DUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit
8.むずかしい

患者が歩き回り、拳を握りしめ、職員に怒鳴っています。最初の対応として最も適切なのはどれですか？

  1. A状況を明確にコントロールするため、患者の近くに立ち、声を大きくする
  2. B背を向けて、その行動を無視する
  3. C直ちに患者を身体拘束する
  4. D落ち着いた言葉によるデエスカレーションを用い、安全な距離を保ち、双方に出口があることを確保する

解答

  1. 1. D · 気分は患者が感じていると報告するもの、感情は看護師が観察する情動表出である
  2. 2. A · Increased confusion and agitation in the late afternoon and evening
  3. 3. A · 退行
  4. 4. D · These are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
  5. 5. C · "What evidence do you have that nobody likes you?"
  6. 6. D · It suggests that the patient's choices are judged against the nurse's standards
  7. 7. A · Walk with him, acknowledge his concern and gently redirect him to an activity
  8. 8. D · 落ち着いた言葉によるデエスカレーションを用い、安全な距離を保ち、双方に出口があることを確保する

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