1.やさしい
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
- AAkathisia
- BPsychomotor retardation
- CCatatonic excitement
- DPsychomotor agitation
2.やさしい
入院中の 6 歳の男児が、指しゃぶりをして、またおねしょをするようになりました。これはどの防衛機制ですか?
- A昇華
- B知性化
- C投影
- D退行
3.やさしい
アルコール依存の患者にチアミン(ビタミン B1)を投与するのはなぜですか?
- Aウェルニッケ脳症を予防または治療するため
- B肝硬変を治療するため
- Cアルコールをまずく感じさせるため
- Dアルコールへの渇望を減らすため
4.ふつう
Which nurse statement is most consistent with motivational interviewing?
- A"If you don't stop drinking now, you'll die."
- B"You're an alcoholic, and you need to admit it."
- C"I've decided that you need to stop drinking completely."
- D"What would be different for you if you drank less?"
5.ふつう
Under the Mental Capacity Act 2005 (England and Wales), a person lacks capacity for a decision if they cannot do which of the following?
- ARemember the decision for more than a year afterwards
- BRead and write in the language used by the staff
- CUnderstand, retain and weigh the information, or communicate their decision
- DAgree with the decision that the doctor and the rest of the healthcare team recommend for them
6.ふつう
A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?
- AAvoid asking about it, because culture is not relevant to mental health
- BExplore the experience in her cultural context before calling it a symptom
- CTell her that her beliefs are not real
- DRecord it immediately as a command hallucination
7.むずかしい
Six weeks after losing his job, a man feels low and worried and is sleeping a little less, but he still enjoys time with his children and does not meet the criteria for major depression. Which diagnosis fits best?
- ABipolar II disorder
- BMajor depressive disorder
- CAdjustment disorder with depressed mood
- DPersistent depressive disorder
8.むずかしい
A man with gambling disorder has lost his savings and has large debts. He tells the nurse, "My family would be better off without me." What should the nurse do?
- AAsk directly about suicidal thoughts and plans, and assess his risk
- BReassure him that his family will forgive him
- CChange the subject to his gambling triggers and how to avoid the betting shop
- DFocus only on helping him create a budget
解答
- 1. B · Psychomotor retardation
- 2. D · 退行
- 3. A · ウェルニッケ脳症を予防または治療するため
- 4. D · "What would be different for you if you drank less?"
- 5. C · Understand, retain and weigh the information, or communicate their decision
- 6. B · Explore the experience in her cultural context before calling it a symptom
- 7. C · Adjustment disorder with depressed mood
- 8. A · Ask directly about suicidal thoughts and plans, and assess his risk
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