1.やさしい
A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?
- AAphasia
- BAmnesia
- CApraxia
- DAkathisia
2.やさしい
Which type of hallucination is most common in schizophrenia?
- AAuditory
- BOlfactory
- CVisual
- DTactile
3.やさしい
上司に批判された女性が、帰宅して子どもたちに怒鳴りました。これはどの防衛機制ですか?
- A反動形成
- B置き換え
- C打ち消し
- D否認
4.ふつう
What should a patient starting zolpidem for insomnia be taught to report?
- ADoing things while not fully awake, such as sleepwalking or driving, with no memory of it
- BFeeling slightly more rested and alert the next morning than before starting the medicine
- CFeeling sleepy about 30 minutes after taking it at bedtime
- DSleeping through the night without waking up
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?
- AUnderstand, retain and weigh the information, or communicate their decision
- BRemember the decision for more than a year afterwards
- CAgree with the decision that the doctor and the rest of the healthcare team recommend for them
- DRead and write in the language used by the staff
6.ふつう
A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?
- A"Yes, but you're in the right place now."
- B"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
- C"Of course not. Only crazy people would ask that."
- D"You seem worried about what being here means. Can you tell me more?"
7.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?
- AFocus only on helping him create a budget
- BAsk directly about suicidal thoughts and plans, and assess his risk
- CChange the subject to his gambling triggers and how to avoid the betting shop
- DReassure him that his family will forgive him
8.むずかしい
A patient's mood changes several times a day, usually after conflicts with others. She has chronic feelings of emptiness and a strong fear of being abandoned. Which diagnosis is most likely?
- APersistent depressive disorder
- BSchizoid personality disorder with low mood
- CBipolar I disorder
- DBorderline personality disorder
解答
- 1. C · Apraxia
- 2. A · Auditory
- 3. B · 置き換え
- 4. A · Doing things while not fully awake, such as sleepwalking or driving, with no memory of it
- 5. A · Understand, retain and weigh the information, or communicate their decision
- 6. D · "You seem worried about what being here means. Can you tell me more?"
- 7. B · Ask directly about suicidal thoughts and plans, and assess his risk
- 8. D · Borderline personality disorder
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