精神看護学：直前対策パック

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ARecord it immediately as a command hallucination
2. BExplore the experience in her cultural context before calling it a symptom
3. CAvoid asking about it, because culture is not relevant to mental health
4. DTell her that her beliefs are not real

For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?

1. AGeneralised anxiety disorder
2. BAcute stress disorder after a recent trauma
3. CPanic disorder
4. DSpecific phobia

成人の慢性不眠症の第一選択として推奨される治療はどれですか？

1. A電気けいれん療法
2. B不眠症のための認知行動療法（CBT-I）
3. Cベンゾジアゼピンやその他の睡眠薬の長期毎日服用
4. D精神分析

抗うつ薬の試験におけるプラセボ効果について、最も正確な記述はどれですか？

1. Aプラセボへの反応が非常に強いため、試験で抗うつ薬がプラセボを上回る効果を示したことは一度もない
2. Bうつ病ではプラセボ効果は決して起こらない
3. Cプラセボは身体疾患にしか効かない
4. Dプラセボへの反応率はかなり高いため、薬の効果を示すには対照群が必要である

オピオイド中毒に典型的なサインはどれですか？

1. A大きく散大した瞳孔
2. B高い体温
3. C速く深い呼吸
4. Dピンホール状の縮瞳

A patient has a serum potassium of 7.0 mmol/L (mEq/L) and peaked T waves on the ECG. Which drug is given first to protect the heart?

1. AOral potassium chloride
2. BOral sodium polystyrene sulfonate
3. CIntravenous furosemide
4. DIntravenous calcium gluconate