1.やさしい
In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?
- AWithin 3 months
- BOnly after 1 year
- CWithin 3 days
- DOnly after 2 years
2.やさしい
せん妄は、通常、認知症とどう違いますか?
- A同じ病態である
- Bせん妄は突然始まって変動し、認知症は数か月から数年かけて徐々に進行する
- C認知症は常に突然始まる
- Dせん妄は数年かけてゆっくり進行し、認知症は突然始まり、時間ごとに変動する
3.やさしい
Which sequence shows the five stages of grief described by Kübler-Ross?
- AAnger, denial, acceptance, bargaining, depression
- BShock, guilt, hope, sadness, recovery
- CAcceptance, bargaining, anger, depression, denial
- DDenial, anger, bargaining, depression, acceptance
4.ふつう
What is the Abnormal Involuntary Movement Scale (AIMS) used for?
- ATo assess the risk of a patient becoming violent
- BTo measure the severity of alcohol withdrawal
- CTo screen for and monitor tardive dyskinesia
- DTo rate the severity of depression
5.ふつう
Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?
- ALet each nurse decide on the day whether to apply the rules
- BState the rule and the consequence clearly, and make sure all staff apply it consistently
- CGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
- DChange the rules for this patient to avoid conflict
6.ふつう
A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?
- AGrandiose
- BPersecutory
- CNihilistic
- DErotomanic
7.むずかしい
A patient asks, "Do you think I should divorce my husband?" Which response best supports the patient's autonomy?
- A"You should ask your doctor what to do about it."
- B"What are your thoughts about the options you have?"
- C"Yes, I think you'd be happier without him."
- D"No, divorce would only make things worse for you."
8.むずかしい
A patient says, "I'm such a failure. My wife left me and I lost my job." The nurse answers, "Don't worry, things will get better soon." What is wrong with this response?
- AIt is too direct and confronting
- BIt explores the problem too deeply too early
- CIt is false reassurance that dismisses the patient's feelings
- DIt uses the technique of presenting reality wrongly
解答
- 1. A · Within 3 months
- 2. B · せん妄は突然始まって変動し、認知症は数か月から数年かけて徐々に進行する
- 3. D · Denial, anger, bargaining, depression, acceptance
- 4. C · To screen for and monitor tardive dyskinesia
- 5. B · State the rule and the consequence clearly, and make sure all staff apply it consistently
- 6. C · Nihilistic
- 7. B · "What are your thoughts about the options you have?"
- 8. C · It is false reassurance that dismisses the patient's feelings
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。