1.やさしい
What is the main aim of motivational interviewing?
- ATo confront the person firmly until they admit they have a problem
- BTo tell the person exactly what they must do to recover
- CTo help the person explore and resolve their mixed feelings about change
- DTo frighten the person with the worst possible health consequences of their drinking
2.やさしい
Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?
- ASchizophrenia
- BAttention-deficit hyperactivity disorder
- CAlzheimer's disease
- DBorderline personality disorder
3.やさしい
What is anhedonia?
- ALoss of interest or pleasure in activities that were enjoyed before
- BA belief that one's body is diseased or rotting
- CRapid, pressured speech that is hard to interrupt
- DAn inability to fall asleep at night despite feeling very tired during the day
4.ふつう
How does conduct disorder differ from oppositional defiant disorder?
- AConduct disorder involves violating others' rights, such as cruelty, theft or fire setting
- BThe two disorders are exactly the same and differ only in the age at which they are diagnosed
- COppositional defiant disorder includes serious physical aggression towards animals
- DConduct disorder involves only arguing with adults and losing one's temper
5.ふつう
Which item is part of a safety plan for a person experiencing domestic violence?
- AKeeping all important documents in the shared house
- BAvoiding contact with friends and support services so as not to provoke him
- CTelling the abuser about plans to leave so that he can prepare
- DKeeping an emergency bag with documents, money and keys somewhere safe
6.ふつう
A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?
- AAgranulocytosis
- BSerotonin syndrome
- CHypertensive crisis from tyramine
- DLithium toxicity
7.むずかしい
A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?
- ACarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
- BWait until the next morning to see if she still feels the same once the argument has settled down
- CTell the patient she is only seeking attention
- DAgree with the colleague and take no action at all
8.むずかしい
ハロペリドールの投与後まもなく、患者の頭が片側にねじれ、眼が上方に固定され、のどが締めつけられる感じを訴えています。看護師が最初にすべきことは何ですか?
- A首を伸ばすよう促す
- B新しい薬への不安だと安心させ、1 人で静かに休ませておく
- Cハロペリドールをさらに投与する
- D緊急に医療的な助けを求め、処方された抗コリン薬を投与しながら、気道を観察する
解答
- 1. C · To help the person explore and resolve their mixed feelings about change
- 2. D · Borderline personality disorder
- 3. A · Loss of interest or pleasure in activities that were enjoyed before
- 4. A · Conduct disorder involves violating others' rights, such as cruelty, theft or fire setting
- 5. D · Keeping an emergency bag with documents, money and keys somewhere safe
- 6. B · Serotonin syndrome
- 7. A · Carry out a full suicide risk assessment, as with any patient who expresses suicidal intent
- 8. D · 緊急に医療的な助けを求め、処方された抗コリン薬を投与しながら、気道を観察する
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