解答つき精神看護ワークシート

The nurse says to a withdrawn patient, "I'll sit with you for a while." Which technique is this?

1. AGiving advice
2. BPresenting reality
3. COffering self
4. DPlacing the event in sequence

What is trichotillomania?

1. AA fear of hair, combs and hairdressers
2. BRepeatedly pulling out one's own hair, leading to hair loss
3. CHair loss caused by lithium treatment
4. DA fungal infection of the scalp that is common in people with OCD

What is "sundowning" in a person with dementia?

1. AIncreased confusion and agitation in the late afternoon and evening
2. BImproved memory and calmness as darkness falls each evening
3. CSensitivity of the skin to sunlight caused by dementia medicines
4. DSleeping all day and staying awake all night from the start of the illness

患者が「薬を飲むよ、読むよ、住むよ、つむよ」と言います。これを何と呼びますか？

1. A音連合
2. B保続
3. C言語新作
4. D反響言語

A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?

1. ALaugh at the comments so he does not feel rejected
2. BAvoid the patient for the rest of the shift
3. CRespond with similar comments to build rapport
4. DCalmly say that the comments are not acceptable and redirect him

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. ARegular contact with the care team and other families
2. BEncouraging the patient to take part in activities
3. CCalm, supportive and warm communication
4. DFrequent criticism, hostility and emotional over-involvement

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. AAsk him to promise that he will not jump, and then let him go home on his own
2. BLet him leave, because voluntary patients can always go when they want
3. CTell him to go home now and come back tomorrow morning when he feels calmer and safer
4. DStay with him and inform the team at once, so he can be urgently assessed under mental health law

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