1.やさしい
神経性過食症(神経性大食症)に典型的な特徴はどれですか?
- A体型への関心がない
- B過食も代償行動もない、重度の食物摂取の制限
- Cすべての例で非常に低い体重
- D反復する過食と、そのあとの嘔吐などの代償行動
2.やさしい
選択的セロトニン再取り込み阻害薬(SSRI)はどれですか?
- Aリチウム
- Bハロペリドール
- Cジアゼパム
- Dセルトラリン
3.やさしい
A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?
- AChanging the subject
- BPresenting reality
- CGiving approval
- DReflecting feelings
4.ふつう
A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?
- AA dangerous rise in blood pressure after eating foods that contain tyramine
- BSevere weight gain in the first week
- CSigns of physical dependence, because it is a controlled stimulant
- DNew or worsening suicidal thoughts or unusual changes in mood or behaviour
5.ふつう
19 歳の患者が抗うつ薬を開始したばかりです。看護師が最初の数週間に特に綿密にモニタリングすべきことは何ですか?
- A新たな、または悪化する自殺念慮や自殺行動
- B眼の色の変化
- C急速な体重増加
- D脱毛
6.ふつう
An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?
- AAn infection such as a urinary tract infection, or a medicine side effect
- BA sudden onset of Alzheimer's disease
- CA first episode of schizophrenia caused by moving into the home
- DThe normal ageing process
7.むずかしい
A patient with an anxiety disorder speaks so quickly about her worries that the nurse cannot follow. Which response is most helpful?
- A"You're talking too fast, so we'll have to stop for today."
- B"There's really nothing to worry about, so just try to relax."
- C"Let me tell you what I think your problem is, and then we can talk."
- D"Let's slow down and talk about one thing at a time. What worries you most right now?"
8.むずかしい
A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?
- ACarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
- BWait until the next morning to see if she still feels the same once the argument has settled down
- CTell the patient she is only seeking attention
- DAgree with the colleague and take no action at all
解答
- 1. D · 反復する過食と、そのあとの嘔吐などの代償行動
- 2. D · セルトラリン
- 3. D · Reflecting feelings
- 4. D · New or worsening suicidal thoughts or unusual changes in mood or behaviour
- 5. A · 新たな、または悪化する自殺念慮や自殺行動
- 6. A · An infection such as a urinary tract infection, or a medicine side effect
- 7. D · "Let's slow down and talk about one thing at a time. What worries you most right now?"
- 8. A · Carry out a full suicide risk assessment, as with any patient who expresses suicidal intent
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