1.やさしい
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
- APsychomotor retardation
- BAkathisia
- CCatatonic excitement
- DPsychomotor agitation
2.やさしい
患者に自殺念慮について直接尋ねると、自殺のリスクは高まりますか?
- A青年に対してだけ安全である
- Bはい。その考えを患者の頭に植えつけてしまう
- Cはい。十分な評価をしたあとに、精神科医だけが行うべきである
- Dいいえ。直接尋ねることは安全で、リスクの評価に役立つ
3.やさしい
Why are benzodiazepines used with caution in older adults?
- AThey cause rapid weight gain and diabetes in all older adults
- BThey increase the risk of confusion, falls and fractures
- CThey have no effect on the brain in older people
- DThey raise blood pressure to dangerous levels after a single dose
4.ふつう
A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?
- A"Please stop asking about her now and finish your lunch before it gets cold."
- B"Your mother will visit you later this afternoon."
- C"You're thinking about your mother. Tell me about her."
- D"Your mother died 30 years ago. You know that."
5.ふつう
A patient with limited English needs a mental health assessment. Who should interpret?
- AThe patient's 12-year-old son
- BAnother patient on the ward who speaks the language
- CA trained professional interpreter
- DThe nurse, using an online translation app on her phone for the whole assessment
6.ふつう
Under the Mental Capacity Act 2005 (England and Wales), a person lacks capacity for a decision if they cannot do which of the following?
- AAgree with the decision that the doctor and the rest of the healthcare team recommend for them
- BRemember the decision for more than a year afterwards
- CRead and write in the language used by the staff
- DUnderstand, retain and weigh the information, or communicate their decision
7.むずかしい
An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?
- ASupport a gradual, planned return to school with a consistent goodbye routine
- BTell him that he is being silly and must go
- CLet a parent stay with him in class every day for the rest of the year
- DAllow him to stay at home until he wants to go back
8.むずかしい
A 15-year-old tells the school nurse she has been cutting herself and asks her not to tell her parents. What is the best response?
- APhone her parents at once without telling her
- BPromise never to tell anyone about it, so that she keeps trusting the school nurse
- CTell her that cutting is a phase that many teenagers go through and it needs no help
- DExplain that safety information must be shared, and involve her in how this is done
解答
- 1. A · Psychomotor retardation
- 2. D · いいえ。直接尋ねることは安全で、リスクの評価に役立つ
- 3. B · They increase the risk of confusion, falls and fractures
- 4. C · "You're thinking about your mother. Tell me about her."
- 5. C · A trained professional interpreter
- 6. D · Understand, retain and weigh the information, or communicate their decision
- 7. A · Support a gradual, planned return to school with a consistent goodbye routine
- 8. D · Explain that safety information must be shared, and involve her in how this is done
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