解答つき精神看護ワークシート

A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?

1. ASuppression
2. BIdentification
3. CRationalisation
4. DProjection

What is agoraphobia?

1. AFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
2. BFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
3. CFear of being judged or embarrassed while speaking or eating in front of others
4. DFear of one specific object or animal, such as spiders, dogs or snakes

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AAvoidant, dependent and obsessive-compulsive
2. BAntisocial, borderline, histrionic and narcissistic
3. CHistrionic, dependent and schizoid
4. DParanoid, schizoid and schizotypal

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I can take any cold and flu remedy from the pharmacy."
2. B"I'll avoid aged cheese and cured meats."
3. C"A sudden severe headache is a reason to get help straight away."
4. D"I'll tell any new doctor or dentist that I take an MAOI."

Which risk applies when antipsychotics are used in older people with dementia?

1. AAn increased risk of stroke and death
2. BImproved memory within a few days
3. CA guaranteed cure of the dementia
4. DA lower risk of falls than with no medicine at all

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. ARemove his name from the ward list and give his bed to a new patient who is waiting for admission
2. BDo nothing, because patients are allowed to leave whenever they want
3. CWait until the next day, because he will probably return on his own
4. DStart the missing patient procedure at once, informing the team and, if required, the police

躁病エピソードの患者が、デイルームで他の患者の話をさえぎり、声が大きくなってきています。最も適切な看護行為はどれですか？

1. A落ち着いて刺激の少ない静かな場所へ誘導し、明確で簡単な制限を設定する
2. B患者が止めると同意するまで、全員の前でその行動について議論する
3. C集団の気をそらすために、音楽の音量を上げる
4. Dエネルギーを使い切るために、競争的な集団ゲームを勧める

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