1.やさしい
環境療法(ミリュー療法)とは何ですか?
- A電気けいれん療法
- B薬の一種
- C病棟の環境全体と地域社会を、治療の一部として活用すること
- D病棟の集団から離れた個室で、1 対 1 でのみ行う療法
2.やさしい
What type of drug is methadone, used in the treatment of opioid dependence?
- AA long-acting full opioid agonist
- BAn opioid antagonist that blocks all opioid effects
- CA non-addictive stimulant that reduces opioid craving
- DA benzodiazepine that reduces anxiety during withdrawal
3.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
4.ふつう
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
- ASit on the edge of the bed for a moment and then stand up slowly
- BDrink a cup of strong coffee before getting out of bed each morning
- CGet up quickly to get the blood flowing to the brain
- DStop the medicine if the dizziness happens more than once
5.ふつう
How does memantine work in Alzheimer's disease?
- AIt blocks dopamine D2 receptors
- BIt inhibits the breakdown of acetylcholine
- CIt blocks NMDA glutamate receptors
- DIt increases serotonin by blocking its reuptake
6.ふつう
A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?
- A"You feel that people here don't really know you?"
- B"Why do you think the doctor is wrong about you?"
- C"Everyone here knows you well, so don't worry."
- D"The doctor is very experienced, so you should trust her."
7.むずかしい
任意入院の患者で、差し迫った危害のおそれがない人が、医学的助言に反して病棟を出たいと希望しています。正しい一般的な対応はどれですか?
- A患者の所持品を隠す
- B医師の許可なく出ようとしたら、職員が拘束して病棟に連れ戻すと伝える
- C患者が出られないよう、ドアに鍵をかける
- Dリスクを説明し、チームに知らせ、話し合いを記録し、法律と方針に従って退院する権利を尊重する
8.むずかしい
1 年間、毎日高用量のベンゾジアゼピン系薬を服用していた患者が、2 日前に急に中止したと話します。主なリスクは何ですか?
- A体重増加
- B離脱けいれん
- C脱毛
- D低血糖
解答
- 1. C · 病棟の環境全体と地域社会を、治療の一部として活用すること
- 2. A · A long-acting full opioid agonist
- 3. A · A pattern of disregard for the rights of others, often without remorse
- 4. A · Sit on the edge of the bed for a moment and then stand up slowly
- 5. C · It blocks NMDA glutamate receptors
- 6. A · "You feel that people here don't really know you?"
- 7. D · リスクを説明し、チームに知らせ、話し合いを記録し、法律と方針に従って退院する権利を尊重する
- 8. B · 離脱けいれん
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