解答つき精神看護ワークシート

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. ACatastrophising
2. BPersonalisation
3. CAll-or-nothing thinking
4. DEmotional reasoning

How does naltrexone help people with alcohol dependence?

1. AIt blocks opioid receptors and reduces the craving and pleasure from drinking
2. BIt causes vomiting and flushing if the person drinks alcohol
3. CIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
4. DIt replaces alcohol in the brain and prevents withdrawal seizures

Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?

1. AExploring
2. BRestating
3. CFocusing
4. DSummarising

将来の自殺の最も強い予測因子の 1 つはどれですか？

1. A以前の自殺企図
2. B安定した仕事があること
3. C強い宗教的信仰があること
4. D結婚していること

Which finding in a patient with anorexia nervosa is most concerning?

1. AA resting heart rate of 38/min
2. BConstipation for the past few days
3. CFeeling cold in a warm room
4. DDry skin and brittle hair

「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

Verbal de-escalation has failed, and a patient picks up a chair and threatens to throw it at the nurse. What should the nurse do first?

1. ATurn her back and walk away slowly without saying anything
2. BKeep a safe distance, call for help and avoid trying to take the chair alone
3. CGrab the chair from the patient quickly before he can use it
4. DShout loudly at the patient to put the chair down at once, so that he knows the nurse is in charge

患者が、自殺を計画していることを誰にも話さないと約束してほしいと看護師に頼みます。最もよい返答はどれですか？

1. A考えておくと伝える
2. B話題を変える
3. C話を続けて信頼してもらうために秘密を守ると約束し、記録にも書かず、チームにも伝えない
4. D彼女の安全が大切なので、この秘密は守れず、チームと共有する必要があると優しく説明する