1.やさしい
For which patients is clozapine mainly used?
- AOlder patients with dementia who become agitated and restless in the evening
- BPatients having their very first episode of mild psychosis
- CPatients with mild anxiety who need a short-term sedative
- DPatients with schizophrenia that has not responded to two other antipsychotics
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
- BSelf-neglect by the father
- CFinancial abuse
- DPhysical abuse
3.やさしい
In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?
- A2 weeks
- B6 weeks
- C2 years
- D2 months
4.ふつう
What is the main difference between disulfiram and naltrexone in alcohol dependence?
- ADisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
- BNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
- CBoth work in exactly the same way, so they are fully interchangeable
- DDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
5.ふつう
A patient with limited English needs a mental health assessment. Who should interpret?
- AA trained professional interpreter
- BThe nurse, using an online translation app on her phone for the whole assessment
- CAnother patient on the ward who speaks the language
- DThe patient's 12-year-old son
6.ふつう
双極性障害でラモトリギンを服用している患者に、新たに発疹が出ました。看護師はどうすべきですか？
- A用量を 2 倍にする
- B発疹は常に無害なので、無視する
- C発疹はよくあるので、保湿剤を塗り、薬は通常どおり続ける
- D重い皮膚反応の始まりかもしれないため、速やかに報告する
7.むずかしい
An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?
- AStop the medicine immediately without telling the prescriber
- BAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
- CIgnore it, because weight changes in children are always normal
- DReport the finding, review his eating pattern and suggest giving the medicine after breakfast
8.むずかしい
患者が歩き回り、拳を握りしめ、職員に怒鳴っています。最初の対応として最も適切なのはどれですか？
- A背を向けて、その行動を無視する
- B状況を明確にコントロールするため、患者の近くに立ち、声を大きくする
- C落ち着いた言葉によるデエスカレーションを用い、安全な距離を保ち、双方に出口があることを確保する
- D直ちに患者を身体拘束する
解答
- 1. D · Patients with schizophrenia that has not responded to two other antipsychotics
- 2. C · Financial abuse
- 3. C · 2 years
- 4. D · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
- 5. A · A trained professional interpreter
- 6. D · 重い皮膚反応の始まりかもしれないため、速やかに報告する
- 7. D · Report the finding, review his eating pattern and suggest giving the medicine after breakfast
- 8. C · 落ち着いた言葉によるデエスカレーションを用い、安全な距離を保ち、双方に出口があることを確保する
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