解答つき精神看護ワークシート

What is Russell's sign, seen in some patients with eating disorders?

1. ACalluses or scars on the back of the hand from inducing vomiting
2. BYellowing of the skin from eating a lot of carrots
3. CFine, downy hair growing on the face and back
4. DSwelling of the ankles and feet during the first days of refeeding in hospital

Which side effects are typical of mirtazapine?

1. AHigh blood pressure and tremor
2. BSedation and increased appetite with weight gain
3. CPriapism and a dry cough
4. DInsomnia, agitation and weight loss

What is the main goal of crisis intervention?

1. ATo help the person return at least to their level of functioning before the crisis
2. BTo admit every person in crisis to hospital for several months
3. CTo change the person's personality so that crises never happen again
4. DTo explore the person's childhood experiences in depth over many years

In family systems theory, what is meant by the "identified patient"?

1. AThe patient whose identity has been checked against a wristband before treatment
2. BThe member whose symptoms are seen as the family's problem
3. CThe family member who pays for the treatment
4. DThe family member who has the most serious physical illness

維持療法における治療域として一般に挙げられる血清リチウム濃度の範囲はどれですか？

1. A約 3.5～5.0 mmol/L
2. B約 2.0～3.0 mmol/L（急性躁病ではより高い濃度が必要）
3. C約 0.01～0.05 mmol/L
4. D約 0.6～1.2 mmol/L（目標範囲はガイドラインによって異なる）

カルバマゼピンに関連する重篤な有害作用はどれですか？

1. A急激な体重減少
2. B主に美容上の問題である、多毛と歯肉増殖のみ
3. C無顆粒球症などの血液疾患と、重い皮膚反応
4. D難聴

ハロペリドールを開始して 5 日後に、患者に体温 40 °C、四肢の強剛、錯乱、血圧の変動、発汗がみられます。看護師が最初にすべきことは何ですか？

1. A落ち着かせるために、ハロペリドールをもう一度投与する
2. B抗精神病薬を保留し、緊急に医療的な助けを求める
3. C発熱にパラセタモールを与え、4 時間後に観察項目を再確認する
4. Dこわばりを減らすために、運動を勧める

A patient with depression and a family history of bipolar disorder started an antidepressant 2 weeks ago. He now sleeps 3 hours a night, talks rapidly and is spending large amounts of money. What should the nurse suspect?

1. ASerotonin syndrome caused by a high dose
2. BNormal relief and extra energy now that his depression has finally lifted after the treatment
3. CThe expected improvement in mood from the antidepressant
4. DA switch into mania or hypomania triggered by the antidepressant