解答つき精神看護ワークシート

After hearing that he has a serious heart condition, a man talks calmly and in great technical detail about the statistics of heart disease, showing no emotion. Which defence mechanism is this?

1. AIntellectualisation
2. BReaction formation
3. CDisplacement
4. DRegression

Which measure has good evidence for reducing suicide deaths?

1. ARestricting access to lethal means, such as firearms or large supplies of medicines
2. BGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
3. CAvoiding the topic of suicide completely with people at risk
4. DAsking the patient to sign a no-suicide contract

A patient says, "This hospital is terrible, and my doctor doesn't know anything." The nurse replies, "Dr Lee is one of the best doctors here." Which non-therapeutic technique is this?

1. AOffering self
2. BReflecting
3. CSeeking clarification
4. DDefending

Which physical finding is common in bulimia nervosa?

1. ARaised blood pressure, a fast pulse and a high temperature
2. BA high serum potassium level
3. CSwelling of the salivary glands at the angle of the jaw
4. DVery low body weight with lanugo hair

A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?

1. A"You should find a new job where people like you."
2. B"I'm sure everybody likes you."
3. C"Why do you care what people at work think?"
4. D"What evidence do you have that nobody likes you?"

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. AArgue with him that what he sees is not real until he accepts it
2. BStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
3. CLeave him alone in a dark room so that he can sleep it off
4. DShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off

A patient who had been abstinent from alcohol for 6 months has started drinking again. He says, "I've failed completely. There's no point in trying." What is the most helpful response?

1. A"Yes, I'm afraid you've wasted all of your hard work over the last six months."
2. B"Relapse is common in recovery. Let's look at what led to it and what you learned."
3. C"You obviously weren't serious about stopping."
4. D"You'll have to start a completely new treatment from the beginning."

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AHaloperidol will make his hallucinations more frequent
2. BThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
3. CThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
4. DHaloperidol does not work in older patients at all