1.やさしい
A patient says, "If I don't get top marks, I'm a complete failure." Which cognitive distortion is this?
- AAll-or-nothing thinking
- BMind reading
- CCatastrophising
- DPersonalisation
2.やさしい
Which group of features is typical of dementia with Lewy bodies?
- ASudden step-by-step decline after small strokes
- BFluctuating alertness, detailed visual hallucinations and parkinsonism
- CEarly personality change and loss of social inhibition
- DMemory loss only, with no other symptoms or changes in alertness for many years
3.やさしい
統合失調症の陰性症状はどれですか?
- Aまとまりのない行動
- B被害妄想
- C声が聞こえること
- D意欲低下(意欲の欠如)
4.ふつう
ジスルフィラムを服用している患者には、何を指導すべきですか?
- A少量のビールは安全である
- B一部の洗口液やソースなどに隠れたものも含め、すべてのアルコールを避ける
- Cアルコールを飲んだときにだけ効くので、毎日少量のワインが必要である
- D1 回の服用でアルコール依存症が治る
5.ふつう
An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?
- AIdentity versus role confusion
- BGenerativity versus stagnation
- CIntegrity versus despair
- DIntimacy versus isolation
6.ふつう
A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?
- AIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
- BGive her a lot of extra attention for the rest of the day
- CTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
- DScold her for breaking the ward rules and remove all her privileges
7.むずかしい
オピオイド依存の治療を受けている患者が、ブプレノルフィンの初回投与を受けようとしています。彼は 2 時間前にヘロインを使用しました。リスクは何ですか?
- Aリスクはなく、ただちに投与すべきである
- B完全作動薬がまだ作用しているときに投与すると、ブプレノルフィンは急性の離脱症状(誘発離脱)を起こすことがある
- Cブプレノルフィンはまったく効果がない
- Dブプレノルフィンがヘロインに加わって、呼吸抑制を伴う危険なオピオイド過量摂取を起こす
8.むずかしい
A nurse teaches a family member how to use a naloxone kit. Which statement shows a need for further teaching?
- A"I'll check his breathing and put him in the recovery position if he is breathing but still not awake."
- B"Once I've given the naloxone, I don't need to call an ambulance."
- C"I'll stay with him, because the overdose can come back."
- D"If he doesn't respond, I may need to give a second dose."
解答
- 1. A · All-or-nothing thinking
- 2. B · Fluctuating alertness, detailed visual hallucinations and parkinsonism
- 3. D · 意欲低下(意欲の欠如)
- 4. B · 一部の洗口液やソースなどに隠れたものも含め、すべてのアルコールを避ける
- 5. C · Integrity versus despair
- 6. C · Treat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
- 7. B · 完全作動薬がまだ作用しているときに投与すると、ブプレノルフィンは急性の離脱症状(誘発離脱)を起こすことがある
- 8. B · "Once I've given the naloxone, I don't need to call an ambulance."
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