1.やさしい
For which patients is clozapine mainly used?
- APatients with mild anxiety who need a short-term sedative
- BPatients with schizophrenia that has not responded to two other antipsychotics
- CPatients having their very first episode of mild psychosis
- DOlder patients with dementia who become agitated and restless in the evening
2.やさしい
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
- ASexual abuse
- BPhysical abuse
- CSelf-neglect by the father
- DFinancial abuse
3.やさしい
What is the main aim of motivational interviewing?
- ATo tell the person exactly what they must do to recover
- BTo help the person explore and resolve their mixed feelings about change
- CTo confront the person firmly until they admit they have a problem
- DTo frighten the person with the worst possible health consequences of their drinking
4.ふつう
Which postpartum presentation is a psychiatric emergency?
- ATiredness and worry about feeding the baby in the first week
- BConfusion, hallucinations and rapidly changing mood a few days after birth
- CFeeling tearful at times but enjoying the baby and sleeping well when she can
- DTearfulness and mood swings on the third day after birth
5.ふつう
維持療法における治療域として一般に挙げられる血清リチウム濃度の範囲はどれですか?
- A約 2.0~3.0 mmol/L(急性躁病ではより高い濃度が必要)
- B約 0.6~1.2 mmol/L(目標範囲はガイドラインによって異なる)
- C約 0.01~0.05 mmol/L
- D約 3.5~5.0 mmol/L
6.ふつう
What must a patient be told for consent to a new psychotropic medicine to be valid?
- AOnly the name of the medicine and the time of day it will be given
- BOnly the benefits, so that the patient is not frightened by the side effects
- CThe expected benefits, the main risks and the alternatives, including no treatment
- DNothing at all, because psychiatric patients cannot give consent
7.むずかしい
隔離室にいる患者が眠っているように見えます。看護師はどうすべきですか?
- A次の勤務帯まで放置する
- B眠っているので観察をやめる
- C必要な頻度で観察を続け、呼吸と状態を確認する
- D気分を尋ね、呼吸を確認するために、5 分ごとに患者を起こす
8.むずかしい
A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?
- AAlways give it as soon as she asks, without assessment
- BAssess her anxiety each time, offer other coping strategies and give it if indicated
- CRefuse to give it, because she might become dependent
- DGive her a placebo tablet instead, without telling her, to see whether she really needs it
解答
- 1. B · Patients with schizophrenia that has not responded to two other antipsychotics
- 2. D · Financial abuse
- 3. B · To help the person explore and resolve their mixed feelings about change
- 4. B · Confusion, hallucinations and rapidly changing mood a few days after birth
- 5. B · 約 0.6~1.2 mmol/L(目標範囲はガイドラインによって異なる)
- 6. C · The expected benefits, the main risks and the alternatives, including no treatment
- 7. C · 必要な頻度で観察を続け、呼吸と状態を確認する
- 8. B · Assess her anxiety each time, offer other coping strategies and give it if indicated
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