1.やさしい
What is the main mechanism of action of antipsychotic medicines?
- AStimulating GABA receptors in the brain
- BBlocking the reuptake of serotonin only
- CBlocking dopamine D2 receptors
- DIncreasing the release of dopamine
2.やさしい
Which feature is central to antisocial personality disorder?
- AA pattern of disregard for the rights of others, often without remorse
- BIntense fear of being abandoned by people close to them
- CA strong wish for close relationships combined with fear of rejection
- DOdd beliefs, magical thinking, eccentric dress and unusual perceptual experiences
3.やさしい
神経性やせ症(神経性無食欲症)の中心的な特徴はどれですか?
- A体重が増えることへの強い恐怖とゆがんだボディイメージを伴う、食物摂取の制限
- B食物でないものを食べること
- C健康的な食事への正常な関心
- D代償行動を伴わない反復する過食と、過食に対する著しい苦痛
4.ふつう
Which psychological treatment is most effective for obsessive-compulsive disorder?
- AEncouraging the patient to perform the rituals more often
- BPsychoanalysis focused on early childhood memories
- CHypnosis to remove the obsessive thoughts permanently in a single session
- DExposure and response prevention, a form of CBT
5.ふつう
Which activity is most suitable for a patient in an acute manic episode?
- AA complicated board game such as chess with other patients
- BA long group discussion in the day room
- CA walk with a staff member
- DA competitive team game of volleyball
6.ふつう
患者が、職員が自分の食事に毒を入れていると言い張ります。最初の対応として最もよいのはどれですか?
- A非難をやめるまで、食事は出さないと厳しく伝える
- B信念について議論せずに恐怖を受けとめ、現実に基づいた話題に焦点を当てる
- C彼が間違いを認めるまで、論理的に議論する
- D信頼を得るために、彼に同意する
7.むずかしい
A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?
- APraise her for being so active and motivated, because it shows she is taking care of her health
- BCalmly follow the agreed care plan on activity and observation, without arguing or punishing
- CIgnore it, because exercise is always healthy
- DTell her she will be tube-fed if she does it again
8.むずかしい
A patient with dementia repeatedly walks towards the ward exit, saying he must go to work. What is the most appropriate action?
- ATell him firmly that he has been retired for 20 years
- BLock him in his room so that he cannot leave
- CWalk with him, acknowledge his concern and gently redirect him to an activity
- DUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit
解答
- 1. C · Blocking dopamine D2 receptors
- 2. A · A pattern of disregard for the rights of others, often without remorse
- 3. A · 体重が増えることへの強い恐怖とゆがんだボディイメージを伴う、食物摂取の制限
- 4. D · Exposure and response prevention, a form of CBT
- 5. C · A walk with a staff member
- 6. B · 信念について議論せずに恐怖を受けとめ、現実に基づいた話題に焦点を当てる
- 7. B · Calmly follow the agreed care plan on activity and observation, without arguing or punishing
- 8. C · Walk with him, acknowledge his concern and gently redirect him to an activity
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