1.やさしい
Which medicine may be used to treat moderate serotonin syndrome?
- ACyproheptadine
- BPhenelzine
- CTramadol
- DSertraline
2.やさしい
A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?
- AInvestigate the family alone at home before reporting
- BReport the concern according to child protection procedures
- CWait until there is clear proof before telling anyone
- DConfront the parents and ask them directly whether they hurt the child
3.やさしい
According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?
- AOrientation phase
- BTermination phase
- CWorking phase
- DPre-interaction phase
4.ふつう
身体拘束の使用に当てはまる原則はどれですか?
- Aより制限の少ない手段が失敗したときの最後の手段で、綿密に観察し、安全になり次第ただちに解除する
- B記録し、あとでチームが振り返るなら、忙しい勤務帯での職員の都合で使える
- C記録する必要はない
- Dルール違反の罰として使える
5.ふつう
Why is the nurse's body language important in therapeutic communication?
- ABody language matters only when patients cannot speak the same language
- BPatients with mental illness cannot understand non-verbal signals
- CIt is only important during the termination phase
- DPatients often respond more to non-verbal messages than to the words used
6.ふつう
A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?
- AHyperthyroidism
- BSerotonin syndrome
- CHypothyroidism
- DAgranulocytosis
7.むずかしい
A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?
- AShe should be told that cutting is only attention-seeking behaviour
- BSelf-injury without suicidal intent never needs any assessment
- CSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
- DNon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
8.むずかしい
意思決定能力のある患者が、ECT のコースに同意書を提出しました。2 回の施行後、彼女は中止したいと言います。正しいのはどれですか?
- A家族が同意した場合にのみ中止できる
- B一度署名したら、コースを完了しなければならない
- C彼女はいつでも同意を撤回でき、その決定は尊重されてチームに報告されなければならない
- D署名した同意は最初の施行後に拘束力をもつので、合意したコースを完了しなければならない
解答
- 1. A · Cyproheptadine
- 2. B · Report the concern according to child protection procedures
- 3. A · Orientation phase
- 4. A · より制限の少ない手段が失敗したときの最後の手段で、綿密に観察し、安全になり次第ただちに解除する
- 5. D · Patients often respond more to non-verbal messages than to the words used
- 6. C · Hypothyroidism
- 7. D · Non-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
- 8. C · 彼女はいつでも同意を撤回でき、その決定は尊重されてチームに報告されなければならない
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