1.やさしい
According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?
- AOrientation phase
- BTermination phase
- CPre-interaction phase
- DWorking phase
2.やさしい
In group therapy, a member says, "I thought I was the only one who felt this way." Which therapeutic factor described by Yalom is this?
- AUniversality
- BInstillation of hope
- CAltruism
- DCatharsis
3.やさしい
In Freud's theory of personality, what is the role of the ego?
- ATo act as the moral conscience that creates guilt
- BTo seek immediate pleasure regardless of the consequences
- CTo store all forgotten memories from childhood
- DTo balance the demands of the id, the superego and reality
4.ふつう
A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?
- ANihilistic
- BGrandiose
- CSomatic
- DErotomanic
5.ふつう
What is the PHQ-9 used for?
- AScreening for depression and measuring its severity
- BScreening for alcohol problems
- CMonitoring involuntary movements caused by antipsychotics
- DAssessing the severity of alcohol withdrawal
6.ふつう
A patient with limited English needs a mental health assessment. Who should interpret?
- AThe patient's 12-year-old son
- BAnother patient on the ward who speaks the language
- CA trained professional interpreter
- DThe nurse, using an online translation app on her phone for the whole assessment
7.むずかしい
A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?
- ALet him stay in bed, because negative symptoms cannot change
- BAgree a simple daily routine with small, achievable activities and give positive feedback
- CWait until he asks to join activities before involving him
- DTell him firmly that he will lose his ward privileges unless he gets up and showers at once
8.むずかしい
ECT の直後、患者は回復室で眠そうにしています。看護の優先事項は何ですか?
- A患者に 1 人で病棟まで歩いて戻るよう頼む
- B気道を確保し、患者を横向きにして、バイタルサインをモニタリングする
- C永続的な障害がないか確かめるため、長期記憶を詳しくテストする
- Dすぐにたっぷり朝食を与える
解答
- 1. A · Orientation phase
- 2. A · Universality
- 3. D · To balance the demands of the id, the superego and reality
- 4. D · Erotomanic
- 5. A · Screening for depression and measuring its severity
- 6. C · A trained professional interpreter
- 7. B · Agree a simple daily routine with small, achievable activities and give positive feedback
- 8. B · 気道を確保し、患者を横向きにして、バイタルサインをモニタリングする
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