解答つき精神看護ワークシート

What is hoarding disorder?

1. ARepeated checking that all the doors and windows are locked before leaving the house each day
2. BCollecting a few favourite objects as a hobby that the person enjoys
3. CFear of leaving the home because of crowds and public transport
4. DPersistent difficulty throwing things away, so that clutter fills the living space

Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?

1. AHair loss
2. BSevere constipation
3. CExcessive hunger
4. DSexual dysfunction

In behaviour therapy, what is negative reinforcement?

1. ATaking away something unpleasant after a behaviour, which makes it more likely
2. BAdding a reward after a behaviour so that it happens more often
3. CIgnoring a behaviour so that it slowly disappears over time
4. DPunishing a behaviour with an unpleasant consequence so that it becomes less likely

Which side effects should the nurse monitor for in a patient starting donepezil?

1. ATremor, thirst and passing large amounts of urine
2. BNausea, diarrhoea and a slow heart rate
3. CDry mouth, constipation and urinary retention
4. DWeight gain and high blood glucose

A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?

1. ATell him that he is not as important as he thinks he is
2. BRespond respectfully but firmly, and keep the same expectations as for other patients
3. CAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
4. DArrange for only the senior doctor to see him from now on

精神状態の評価で、「病識」では何を評価しますか？

1. A患者が、金銭、食事、セルフケアについて、安全な日常的決定を下せるかどうか
2. B患者が自分に精神面の問題があり、助けが必要だと理解しているかどうか
3. C患者の時間と場所の見当識
4. D患者の話す速さ

A patient with schizophrenia reports chest pain. A colleague says, "He's always complaining. It's just anxiety." What should the nurse do?

1. AAssess him physically, with vital signs and an ECG if indicated
2. BIgnore the complaint until he mentions it again
3. CTell him to lie down in his room, rest and stop worrying so much about his health
4. DAgree with the colleague and give him a PRN anxiolytic

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AAn extinction burst, which is expected before the behaviour decreases
2. BThat the tantrums are caused by a physical illness
3. CThat the child needs firm punishment for each tantrum instead
4. DThat the plan has failed and should be stopped immediately