解答つき精神看護ワークシート

健康的で成熟した防衛機制とみなされるのはどれですか？

1. A否認：診断を何か月も受け入れない
2. B投影：自分の感情を他人のせいにする
3. C分裂（スプリッティング）：人をすべて良い、またはすべて悪いと見る
4. D昇華：攻撃的な感情をスポーツに向ける

When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?

1. AConcrete thinking
2. BTangential thinking
3. CFlight of ideas
4. DThought blocking

What is malingering?

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

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

1. AShe is not distressed and does not need any support
2. BA controlled response is a common reaction in the acute phase after assault
3. CHer calmness shows that the assault did not happen
4. DShe is probably exaggerating the seriousness of what happened, because she does not seem upset

A patient at risk of suicide is admitted. Which environmental check is most important?

1. AMake sure the patient has a television in the room
2. BRemove items that could be used for self-harm, such as belts, cords and sharp objects
3. CLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home
4. DPlace the patient in a room at the end of the corridor for privacy

「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子どもにしか使えないため
2. Bどこでも違法であるため
3. C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
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

During a panic attack, a patient breathes very fast and complains of light-headedness and tingling in her fingers and around her mouth. What should the nurse do?

1. AStay with her and coach her to breathe slowly and steadily
2. BAsk her to breathe into a paper bag for at least 10 minutes
3. CGive her oxygen at a high flow rate through a mask
4. DLeave her alone so that she can calm down without anyone watching

For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?

1. AAcute stress disorder after a recent trauma
2. BPanic disorder
3. CSpecific phobia
4. DGeneralised anxiety disorder