1.やさしい
A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?
- AAkathisia
- BEchopraxia
- CWaxy flexibility
- DTardive dyskinesia
2.やさしい
What is conversion disorder (functional neurological symptom disorder)?
- AA belief that one has a serious illness without having any symptoms
- BA condition in which the person has two or more distinct identities, with gaps in memory between them
- CDeliberately faking symptoms to get money or avoid work
- DNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
3.やさしい
A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?
- AHistrionic
- BDependent
- CSchizoid
- DAvoidant
4.ふつう
オピオイド離脱に典型的な徴候はどれですか?
- A縮瞳と遅い呼吸
- B深い眠りと便秘
- Cあくび、鼻水、散瞳、鳥肌、下痢
- D最後の服用から 1 日以内の、高熱、鉛管様の筋強剛、錯乱
5.ふつう
A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?
- ASomatic symptom disorder
- BFactitious disorder
- CConversion disorder
- DIllness anxiety disorder
6.ふつう
Which tool is widely used to screen for delirium at the bedside?
- AThe Abnormal Involuntary Movement Scale (AIMS)
- BThe Confusion Assessment Method (CAM)
- CThe CAGE questionnaire
- DThe CIWA-Ar
7.むずかしい
After her house burned down, a woman developed delusions and disorganised speech. Ten days later the symptoms have gone completely and she is back to normal. Which diagnosis best fits?
- ABrief psychotic disorder
- BDelusional disorder
- CSchizophreniform disorder
- DSchizophrenia
8.むずかしい
On the fourth day after giving birth, a mother is tearful and moody but is caring for her baby, eating and sleeping when she can. What is the most appropriate nursing response?
- AExplain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
- BTell her that antidepressants must be started at once
- CAdvise her to stop breastfeeding and let others feed the baby at night so that she can rest and recover
- DArrange an emergency psychiatric admission today
解答
- 1. C · Waxy flexibility
- 2. D · Neurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
- 3. C · Schizoid
- 4. C · あくび、鼻水、散瞳、鳥肌、下痢
- 5. D · Illness anxiety disorder
- 6. B · The Confusion Assessment Method (CAM)
- 7. A · Brief psychotic disorder
- 8. A · Explain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
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