1.やさしい
A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?
- AEchopraxia
- BWaxy flexibility
- CTardive dyskinesia
- DAkathisia
2.やさしい
In behaviour therapy, what is positive reinforcement?
- AIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff
- BAdding an unpleasant consequence so that a behaviour stops
- CRemoving a reward so that a behaviour becomes less likely
- DAdding a reward after a behaviour so that the behaviour becomes more likely
3.やさしい
What is anhedonia?
- AA belief that one's body is diseased or rotting
- BLoss of interest or pleasure in activities that were enjoyed before
- CAn inability to fall asleep at night despite feeling very tired during the day
- DRapid, pressured speech that is hard to interrupt
4.ふつう
A woman was assaulted 10 days ago. She has nightmares, avoids the area and feels detached. According to DSM-5, which diagnosis fits the timing best?
- AGeneralised anxiety disorder
- BPost-traumatic stress disorder
- CAcute stress disorder
- DAdjustment disorder with anxiety
5.ふつう
オピオイド離脱に典型的な徴候はどれですか?
- A深い眠りと便秘
- Bあくび、鼻水、散瞳、鳥肌、下痢
- C最後の服用から 1 日以内の、高熱、鉛管様の筋強剛、錯乱
- D縮瞳と遅い呼吸
6.ふつう
When is the risk of suicide particularly high for patients after psychiatric inpatient care?
- AOnly after one year at home
- BOnly while the patient is asleep in hospital
- CThere is no change in risk after discharge
- DIn the first weeks after discharge
7.むずかしい
A patient in a catatonic stupor has not eaten or drunk anything for 24 hours and does not respond to speech. What is the priority nursing concern?
- AFluid and nutritional intake, and other physical needs
- BEncouraging him to join group therapy
- CTeaching him about his medicines
- DExploring the meaning of his silence with open questions
8.むずかしい
A patient says, "My boss didn't say hello this morning, so she must think I'm useless." Which cognitive distortion is shown, and what is a helpful nursing response?
- AMind reading; ask what other reasons there might be for the boss's behaviour
- BAll-or-nothing thinking; agree that the boss is being unfair
- CCatastrophising; tell the patient that she will definitely not be fired
- DPersonalisation; advise the patient to ask for a new manager
解答
- 1. B · Waxy flexibility
- 2. D · Adding a reward after a behaviour so that the behaviour becomes more likely
- 3. B · Loss of interest or pleasure in activities that were enjoyed before
- 4. C · Acute stress disorder
- 5. B · あくび、鼻水、散瞳、鳥肌、下痢
- 6. D · In the first weeks after discharge
- 7. A · Fluid and nutritional intake, and other physical needs
- 8. A · Mind reading; ask what other reasons there might be for the boss's behaviour
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