1.やさしい
According to Selye's general adaptation syndrome, what are the three stages of the stress response?
- AAlarm, resistance and exhaustion
- BForming, storming and norming
- CDenial, anger and acceptance
- DOrientation, working and termination
2.やさしい
What is anticipatory grief?
- AGrief that begins before an expected loss, such as during a terminal illness
- BGrief that never ends and stops the person from functioning
- CGrief that appears for the first time many years after a loss
- DGrief that is hidden from others because the loss is not openly recognised or socially accepted
3.やさしい
Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?
- ANaloxone
- BDisulfiram
- CClonidine
- DFlumazenil
4.ふつう
19 歳の患者が抗うつ薬を開始したばかりです。看護師が最初の数週間に特に綿密にモニタリングすべきことは何ですか?
- A脱毛
- B新たな、または悪化する自殺念慮や自殺行動
- C急速な体重増加
- D眼の色の変化
5.ふつう
A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?
- AThese are signs of an allergic reaction, so she should never take lithium again
- BThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
- CThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
- DThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
6.ふつう
How may depression present differently in adolescents than in adults?
- AWith irritability rather than obvious sadness
- BWith a high fever and a rash
- CAlways with psychotic symptoms
- DWith increased energy and less need for sleep
7.むずかしい
躁病エピソードの患者が、デイルームで他の患者の話をさえぎり、声が大きくなってきています。最も適切な看護行為はどれですか?
- A落ち着いて刺激の少ない静かな場所へ誘導し、明確で簡単な制限を設定する
- B集団の気をそらすために、音楽の音量を上げる
- Cエネルギーを使い切るために、競争的な集団ゲームを勧める
- D患者が止めると同意するまで、全員の前でその行動について議論する
8.むずかしい
患者が 10 日前に抗うつ薬を開始しました。以前より活力が出てきたと言いますが、まだ絶望感があります。これに綿密なモニタリングが必要なのはなぜですか?
- A気分が改善する前に活力が戻ることがあり、自殺念慮を実行に移すリスクが高まるおそれがあるため
- B用量が少なすぎることを意味するので、ただちに抗うつ薬を中止して別の薬を始めるべきであるため
- C抗うつ薬が完全に効いたことを意味するため
- Dセロトニン症候群のサインであるため
解答
- 1. A · Alarm, resistance and exhaustion
- 2. A · Grief that begins before an expected loss, such as during a terminal illness
- 3. C · Clonidine
- 4. B · 新たな、または悪化する自殺念慮や自殺行動
- 5. D · These are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
- 6. A · With irritability rather than obvious sadness
- 7. A · 落ち着いて刺激の少ない静かな場所へ誘導し、明確で簡単な制限を設定する
- 8. A · 気分が改善する前に活力が戻ることがあり、自殺念慮を実行に移すリスクが高まるおそれがあるため
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