1.やさしい
What is "enabling" in the context of substance use?
- ABehaviour by others that protects the person from the consequences of their use
- BGiving the person information about the effects of the substance
- CSetting firm limits on what behaviour the family will accept in the home from now on
- DHelping the person to attend a treatment programme on time
2.やさしい
A patient believes that the newsreader on television is sending him personal messages. What is this called?
- AThought insertion
- BAn illusion
- CAn idea of reference
- DA somatic delusion
3.やさしい
苦痛を抱えた患者との会話で、看護師が短い沈黙を用いることがあるのはなぜですか?
- A会話が終わったことを知らせるため
- B看護師が同意していないことを患者に示すため
- C患者が考える時間を得て、自分のペースで話を続けられるようにするため
- D看護師が積極的な傾聴をしばらくやめ、次の質問を考えられるようにするため
4.ふつう
A patient who started a high-dose corticosteroid (prednisolone or prednisone) a week ago is now euphoric, sleeping little and talking very fast. What should the nurse suspect?
- AA normal reaction to feeling better from the treatment
- BMood changes caused by the corticosteroid
- CAlcohol withdrawal
- DLithium toxicity
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?
- AConversion disorder
- BIllness anxiety disorder
- CSomatic symptom disorder
- DFactitious disorder
6.ふつう
A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?
- A"A sudden severe headache is a reason to get help straight away."
- B"I'll tell any new doctor or dentist that I take an MAOI."
- C"I can take any cold and flu remedy from the pharmacy."
- D"I'll avoid aged cheese and cured meats."
7.むずかしい
Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?
- AIt proves she has severe major depression with psychosis
- BIt is a sign of schizophrenia that needs antipsychotic medicine
- CBrief experiences like this can be part of normal grief
- DIt means she has delirium and needs urgent tests
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?
- ATell her that she must learn to face her fears
- BAssign a female nurse where possible and explain her care plan to her
- CInsist that she accept the male nurse, as all staff are professional
- DLeave her without a named nurse until she calms down
解答
- 1. A · Behaviour by others that protects the person from the consequences of their use
- 2. C · An idea of reference
- 3. C · 患者が考える時間を得て、自分のペースで話を続けられるようにするため
- 4. B · Mood changes caused by the corticosteroid
- 5. B · Illness anxiety disorder
- 6. C · "I can take any cold and flu remedy from the pharmacy."
- 7. C · Brief experiences like this can be part of normal grief
- 8. B · Assign a female nurse where possible and explain her care plan to her
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