1.やさしい
A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?
- AAkathisia
- BApraxia
- CAphasia
- DAmnesia
2.やさしい
幻覚とは何ですか?
- A固定した誤った信念
- B実在する刺激の誤った解釈
- C外部の刺激がないのに生じる知覚
- D話題が急速に移り変わること
3.やさしい
How does naltrexone help people with alcohol dependence?
- AIt blocks opioid receptors and reduces the craving and pleasure from drinking
- BIt causes vomiting and flushing if the person drinks alcohol
- CIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
- DIt replaces alcohol in the brain and prevents withdrawal seizures
4.ふつう
Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?
- ALet the patient eat alone in her room for privacy
- BAllow the patient to choose to skip meals if she says she feels full or unwell
- CTalk with the patient at length about calories during the meal
- DSupervise the meal and observe the patient for an agreed period afterwards
5.ふつう
Which effects of methadone should the nurse monitor for?
- AHair loss, weight loss and a painful red rash on the face
- BHypertensive crisis after eating aged cheese
- CRespiratory depression, sedation and a prolonged QT interval
- DAgranulocytosis and a sore throat
6.ふつう
A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?
- APut him in a busy area so that staff can watch him more easily
- BTry to talk the patient down by discussing his feelings in detail
- CEncourage him to walk around the ward and join in activities to help burn off the drug
- DProvide a quiet, low-stimulation environment and keep staff and patient safe
7.むずかしい
According to DSM-5, which childhood condition is a requirement for a later diagnosis of antisocial personality disorder?
- AA diagnosis of ADHD before age 7
- BAutism spectrum disorder diagnosed before school age
- CSeparation anxiety disorder in early childhood
- DEvidence of conduct disorder starting before age 15
8.むずかしい
An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?
- ALet a parent stay with him in class every day for the rest of the year
- BTell him that he is being silly and must go
- CAllow him to stay at home until he wants to go back
- DSupport a gradual, planned return to school with a consistent goodbye routine
解答
- 1. B · Apraxia
- 2. C · 外部の刺激がないのに生じる知覚
- 3. A · It blocks opioid receptors and reduces the craving and pleasure from drinking
- 4. D · Supervise the meal and observe the patient for an agreed period afterwards
- 5. C · Respiratory depression, sedation and a prolonged QT interval
- 6. D · Provide a quiet, low-stimulation environment and keep staff and patient safe
- 7. D · Evidence of conduct disorder starting before age 15
- 8. D · Support a gradual, planned return to school with a consistent goodbye routine
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