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
- CHelping the person to attend a treatment programme on time
- DSetting firm limits on what behaviour the family will accept in the home from now on
2.やさしい
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
- AContemplation
- BMaintenance of change
- CPreparation
- DPrecontemplation
3.やさしい
What type of drug is methadone, used in the treatment of opioid dependence?
- AAn opioid antagonist that blocks all opioid effects
- BA long-acting full opioid agonist
- CA non-addictive stimulant that reduces opioid craving
- DA benzodiazepine that reduces anxiety during withdrawal
4.ふつう
A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?
- AChange his daily routine often, to help him get used to change
- BPut him in a busy bay with lots of noise and activity to keep him stimulated
- CKeep to his usual routines where possible and prepare him for any changes
- DAvoid his parents' advice, because staff know best how to care for him
5.ふつう
A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?
- APersecutory
- BGrandiose
- CNihilistic
- DErotomanic
6.ふつう
How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?
- AIt involves surgically implanting electrodes deep in the brain under anaesthetic
- BIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
- CIt is given as a daily tablet that contains tiny magnetic particles
- DIt needs a general anaesthetic and causes a seizure, like ECT
7.むずかしい
SSRI を開始して 2 週間後、患者が「これは効いていません。飲むのをやめます」と言います。最もよい返答はどれですか?
- A2 週間後に効果のない抗うつ薬が後から効くことはまずないので、すぐに中止してよいと同意する
- B完全に効くまで数週間かかることが多いと説明し、継続を促し、気分と安全をモニタリングする
- C抗うつ薬は決して効かないと伝える
- D用量を 2 倍にするよう伝える
8.むずかしい
On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?
- ACarrying out the full admission suicide risk assessment of a newly admitted patient
- BTeaching a patient about the side effects of lithium
- CAccompanying a stable patient to the dining room and recording his food intake
- DEvaluating whether a PRN medicine given an hour ago has worked
解答
- 1. A · Behaviour by others that protects the person from the consequences of their use
- 2. D · Precontemplation
- 3. B · A long-acting full opioid agonist
- 4. C · Keep to his usual routines where possible and prepare him for any changes
- 5. C · Nihilistic
- 6. B · It uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
- 7. B · 完全に効くまで数週間かかることが多いと説明し、継続を促し、気分と安全をモニタリングする
- 8. C · Accompanying a stable patient to the dining room and recording his food intake
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