解答つき精神看護ワークシート

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

1. AVoicing doubt
2. BSummarising
3. CRestating
4. DGiving advice

Which question is open-ended?

1. A"Did you sleep well last night?"
2. B"Are you feeling sad today?"
3. C"What has been on your mind today?"
4. D"Have you taken your medicine yet?"

がんと診断されたばかりの患者が「検査結果は間違いに違いない。私は元気です」と言います。これはどの防衛機制ですか？

1. A置き換え
2. B否認
3. C投影
4. D昇華

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

1. A"You shouldn't talk to people like that."
2. B"If you speak to me like that, I'm leaving."
3. C"That's not true. I've helped you all day."
4. D"You sound very angry. Tell me what has happened."

A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?

1. ASomatic symptom disorder
2. BFactitious disorder
3. CIllness anxiety disorder
4. DConversion disorder

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

1. ARestless pacing and an inability to sit still
2. BShuffling gait, mask-like face, rigidity and a resting tremor
3. CSudden muscle spasm of the neck with the eyes rolled upwards
4. DLip smacking, tongue thrusting and grimacing after years of treatment

A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?

1. AHe should be told that his behaviour is unacceptable and that visits will be stopped
2. BHe has antisocial personality disorder that was not noticed before
3. CHis anger may be part of grief, displaced onto staff, so she should not take it personally
4. DHe does not care about his wife's death and is using it as an excuse to be rude

An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?

1. ABrief psychotic disorder in later life
2. BA neurocognitive disorder such as Alzheimer's disease
3. CNormal ageing with mild forgetfulness
4. DDelirium