1.やさしい
What is closed-loop communication?
- AThe receiver repeats the message back and the sender confirms it is correct
- BCommunication that only happens in a closed room
- CSending a message to the team without waiting for any reply or confirmation
- DWriting every message in the patient’s chart only
2.やさしい
Which of these counts as a physical restraint?
- AUsing a bed exit alarm for a patient at high risk of falling at night
- BRaising all four side rails to stop a patient from getting out of bed
- CUsing a gait belt while helping a patient walk in the corridor
- DPlacing the bed in its lowest position
3.やさしい
What is the purpose of a dosimeter badge worn by staff who work with radiation?
- ATo protect the wearer from radiation
- BTo open doors to the radiology department
- CTo measure how much radiation the wearer has been exposed to
- DTo show staff which patients are radioactive after treatment
4.ふつう
Which information must be documented when a patient is restrained?
- AOnly the time the restraint was put on and the time it was taken off
- BOnly whether the family agreed to the restraint
- CThe reason, alternatives tried, type of restraint, times and regular assessments
- DOnly the name of the nurse who applied it and the unit where it happened
5.ふつう
A patient wants to use their own electric hair dryer in the hospital. What is correct?
- AIt can be used straight away if it looks new
- BIt can be plugged into an extension lead under the bed
- CIt is checked for electrical safety according to hospital policy before use
- DIt can be used in the bathroom near the sink if the patient is careful
6.ふつう
A patient is admitted to an inpatient mental health unit. Why are personal belongings checked?
- ATo decide which family members may visit
- BTo find out what the patient likes to wear during the hospital stay
- CTo remove items that could be used to harm self or others
- DTo make a list of valuable items for insurance
7.むずかしい
In START triage at a mass-casualty incident, a casualty cannot walk, breathes 20 times a minute, has a radial pulse and follows simple commands. Which category applies?
- AGreen (minor)
- BRed (immediate)
- CYellow (delayed)
- DBlack (expectant or dead)
8.むずかしい
A patient rescued from a house fire has a headache and confusion, but the pulse oximeter reads 99%. Why might this reading be misleading?
- APulse oximeters always read falsely low after any kind of smoke exposure
- BConfusion and headache make pulse oximetry readings inaccurate in every patient
- CPulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
- DThe reading is accurate, so carbon monoxide poisoning is ruled out
解答
- 1. A · The receiver repeats the message back and the sender confirms it is correct
- 2. B · Raising all four side rails to stop a patient from getting out of bed
- 3. C · To measure how much radiation the wearer has been exposed to
- 4. C · The reason, alternatives tried, type of restraint, times and regular assessments
- 5. C · It is checked for electrical safety according to hospital policy before use
- 6. C · To remove items that could be used to harm self or others
- 7. C · Yellow (delayed)
- 8. C · Pulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
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