1.やさしい
What is a token economy?
- AA programme in which patients earn tokens for target behaviours and swap them for rewards
- BA method of group therapy based on discussing money problems
- CA system that lets patients pay for their own medicines and snacks while on the ward
- DA form of punishment in which a privilege is removed for every ward rule that the patient breaks
2.やさしい
同僚に惹かれている男性が、妻が浮気をしたがっていると責めます。これはどの防衛機制ですか?
- A合理化
- B抑制
- C退行
- D投影
3.やさしい
In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?
- AInstillation of hope
- BCatharsis
- CAltruism
- DUniversality
4.ふつう
精神状態の評価で、思考内容に記録される所見はどれですか?
- A観念奔逸
- B連合弛緩
- C談話心迫
- D強迫観念と妄想
5.ふつう
How does memantine work in Alzheimer's disease?
- AIt increases serotonin by blocking its reuptake
- BIt inhibits the breakdown of acetylcholine
- CIt blocks dopamine D2 receptors
- DIt blocks NMDA glutamate receptors
6.ふつう
A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?
- AIf still awake after about 20 minutes, get up, do something calm and return when sleepy
- BStay in bed and watch television or use a phone until sleep finally comes
- CLook at the clock often to check how much sleep is being lost
- DDo vigorous exercise in the bedroom until tired enough to fall asleep straight away
7.むずかしい
A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?
- ASkip bathing for the rest of his stay
- BStop, try again later or in a different way, and explain each step calmly
- CAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative
- DGet more staff to hold him so the bath can be finished quickly
8.むずかしい
A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?
- ARefer him straight to a residential detox programme
- BDiscuss detailed strategies to prevent a relapse after he has stopped drinking
- CHelp him set a quit date for next week
- DOffer non-judgemental information and explore how drinking affects his life
解答
- 1. A · A programme in which patients earn tokens for target behaviours and swap them for rewards
- 2. D · 投影
- 3. D · Universality
- 4. D · 強迫観念と妄想
- 5. D · It blocks NMDA glutamate receptors
- 6. A · If still awake after about 20 minutes, get up, do something calm and return when sleepy
- 7. B · Stop, try again later or in a different way, and explain each step calmly
- 8. D · Offer non-judgemental information and explore how drinking affects his life
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