1.やさしい
Which feature is typical of Korsakoff syndrome?
- AA flapping tremor of the hands caused by liver failure
- BSevere memory loss with confabulation
- CFever, rigidity and a high creatine kinase
- DPinpoint pupils and slow breathing
2.やさしい
精神科看護における守秘義務について、正しい記述はどれですか?
- A患者の情報は守秘されるが、患者や他の人への重大な危害のおそれなどの例外がある
- B守秘義務に例外はまったくない
- C情報は、尋ねてきた誰とでも共有できる
- D守秘されるのは身体の健康に関する情報だけで、精神の健康に関する情報は、求められれば親族と共有してよい
3.やさしい
What is the CAGE questionnaire used for?
- AAssessing cognitive function in older adults
- BMeasuring the severity of opioid withdrawal
- CScreening for problem drinking
- DRating the severity of a patient's depression
4.ふつう
A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?
- AAvoid his parents' advice, because staff know best how to care for him
- BPut him in a busy bay with lots of noise and activity to keep him stimulated
- CChange his daily routine often, to help him get used to change
- DKeep to his usual routines where possible and prepare him for any changes
5.ふつう
バルプロ酸を開始する患者で重要なモニタリングはどれですか?
- A聴力検査
- B肺線維症のリスクがあるため、肺機能と定期的な胸部 X 線
- C肝機能と膵炎の徴候、および妊娠のリスクに関する説明
- D眼圧のみ
6.ふつう
A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?
- AGive her a lot of extra attention for the rest of the day
- BIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
- CTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
- DScold her for breaking the ward rules and remove all her privileges
7.むずかしい
MAOI を服用中の患者が、パーティーから戻ると、後頭部の激しい頭痛、首のこわばり、動悸を訴えます。看護師が最初にすべきことは何ですか?
- A横になって寝てやり過ごすよう助言する
- B頭痛のために濃いコーヒーを 1 杯与える
- C血圧を測定し、処方者に緊急に連絡する
- D次の MAOI の服用を早めて与える
8.むずかしい
A woman with PTSD after a sexual assault by a man becomes distressed when a male nurse is assigned to her. What is the most appropriate response?
- ALeave her without a named nurse until she calms down
- BInsist that she accept the male nurse, as all staff are professional
- CAssign a female nurse where possible and explain her care plan to her
- DTell her that she must learn to face her fears
解答
- 1. B · Severe memory loss with confabulation
- 2. A · 患者の情報は守秘されるが、患者や他の人への重大な危害のおそれなどの例外がある
- 3. C · Screening for problem drinking
- 4. D · Keep to his usual routines where possible and prepare him for any changes
- 5. C · 肝機能と膵炎の徴候、および妊娠のリスクに関する説明
- 6. C · Treat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
- 7. C · 血圧を測定し、処方者に緊急に連絡する
- 8. C · Assign a female nurse where possible and explain her care plan to her
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