1.やさしい
In a mental status examination, what does assessing orientation check?
- AWhether the patient knows the time, the place and who they are
- BWhether the patient's mood matches the facial expression and tone of voice
- CWhether the patient can interpret proverbs and explain their meaning
- DWhether the patient understands that they are ill and needs treatment for it
2.やさしい
A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?
- AReflecting feelings
- BPresenting reality
- CChanging the subject
- DGiving approval
3.やさしい
What is the main aim of motivational interviewing?
- ATo tell the person exactly what they must do to recover
- BTo frighten the person with the worst possible health consequences of their drinking
- CTo help the person explore and resolve their mixed feelings about change
- DTo confront the person firmly until they admit they have a problem
4.ふつう
ウェルニッケ脳症の古典的な三徴はどれですか?
- A発熱、発疹、項部硬直
- B錯乱、運動失調、異常な眼球運動
- C振戦、筋強剛、動作の緩慢さ
- D頭痛、嘔吐、霧視のみ
5.ふつう
How should a patient with anorexia nervosa be weighed in hospital?
- AIn her own clothes and shoes after breakfast, so that she feels more comfortable
- BAt the same time, on the same scale, in a gown, after emptying the bladder
- CAt a different time each day so that she cannot prepare for it
- DOnly when she asks to be weighed, to respect her wishes
6.ふつう
A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?
- AA high serum potassium
- BA high haemoglobin
- CA low serum cholesterol
- DA low serum sodium
7.むずかしい
患者が、自宅にたくさんの錠剤をためてあり、今週末にすべて飲むつもりだと言います。優先すべき対応はどれですか?
- A綿密な観察下に置き、直ちに安全を確保して、チームに緊急に知らせる
- B週末が過ぎれば状況はよくなると伝える
- C自分を傷つけないという誓約書に署名してもらい、予定どおり週末は帰宅させる
- D1 か月後に定期的な診察を手配する
8.むずかしい
A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?
- AWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- BThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
- CThiamine prevents all alcohol withdrawal seizures
- DThiamine quickly lowers the blood alcohol level
解答
- 1. A · Whether the patient knows the time, the place and who they are
- 2. A · Reflecting feelings
- 3. C · To help the person explore and resolve their mixed feelings about change
- 4. B · 錯乱、運動失調、異常な眼球運動
- 5. B · At the same time, on the same scale, in a gown, after emptying the bladder
- 6. D · A low serum sodium
- 7. A · 綿密な観察下に置き、直ちに安全を確保して、チームに緊急に知らせる
- 8. A · Wernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
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