精神看護学：直前対策パック

A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?

1. AIf still awake after about 20 minutes, get up, do something calm and return when sleepy
2. BDo vigorous exercise in the bedroom until tired enough to fall asleep straight away
3. CStay in bed and watch television or use a phone until sleep finally comes
4. DLook at the clock often to check how much sleep is being lost

A patient with depression and a family history of bipolar disorder started an antidepressant 2 weeks ago. He now sleeps 3 hours a night, talks rapidly and is spending large amounts of money. What should the nurse suspect?

1. AA switch into mania or hypomania triggered by the antidepressant
2. BThe expected improvement in mood from the antidepressant
3. CNormal relief and extra energy now that his depression has finally lifted after the treatment
4. DSerotonin syndrome caused by a high dose

ある患者は、身体症状がほとんどないかまったくなく、検査を繰り返しても正常であるにもかかわらず、重い病気にかかっていることに強い不安を感じています。最も当てはまる診断はどれですか？

1. A病気不安症
2. B作為症
3. C機能性神経症状症
4. D身体症状症

ある研究は新しい療法を待機リスト対照群と比較し、大きな効果を見いだしました。これがその療法の特異的な効果を過大評価している可能性があるのはなぜですか？

1. A待機リスト対照群は常に同じ療法を受けるため
2. B待機リストの参加者は無作為化できないため
3. C待機リストはプラセボ効果を完全に取り除くため、得られた改善はすべて治療そのものによるはずである
4. D待機リストは時間の経過は統制するが、注目、期待、治療同盟は統制しないため

A patient is starting lamotrigine. Which adverse effect should the patient report at once?

1. ASlight tiredness in the afternoon
2. BA brief change in taste
3. CMild headache on the first day
4. DAny new skin rash

Why is gentamicin often given once daily instead of in several small doses?

1. AIts killing depends only on the time the level stays above the MIC
2. BIt is absorbed slowly from the muscle over 24 hours
3. CIt has a very long half-life of several days
4. DIts killing depends on high peak levels, with a post-antibiotic effect