1.やさしい
患者が「明日の手術が怖い」と言いました。偽りの安心づけの例となる看護師の返答はどれですか?
- A「どんなお気持ちか、もっと聞かせてください。」
- B「怖いのですね。」
- C「明日のことで、いちばん心配なのはどんなことですか?」
- D「心配しないで、きっとすべてうまくいきますよ。」
2.やさしい
アルコール離脱の主な治療薬の種類はどれですか?
- Aオピオイド
- B第一選択としての抗精神病薬
- Cベンゾジアゼピン系薬
- DSSRI
3.やさしい
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
- AMaintenance of change
- BPrecontemplation
- CContemplation
- DPreparation
4.ふつう
患者が「薬を飲むよ、読むよ、住むよ、つむよ」と言います。これを何と呼びますか?
- A音連合
- B言語新作
- C反響言語
- D保続
5.ふつう
The wife of a man with alcohol dependence organises her life around his drinking, hides it from others and neglects her own needs. What does this pattern suggest?
- ACodependency
- BLearned helplessness in the patient
- CEnabling by the healthcare team
- DDelirium tremens
6.ふつう
Which communication approach is best with a patient who has paranoid personality disorder?
- AAvoid explaining anything so that the patient does not become suspicious
- BBe very warm and joke often to put the patient at ease
- CTalk about the patient with colleagues in whispers within his sight
- DBe clear, honest and business-like, and explain the reasons for actions
7.むずかしい
A patient with schizophrenia has marked negative symptoms. He stays in bed most of the day and neglects his hygiene. Which nursing approach is most helpful?
- ATell him firmly that he will lose his ward privileges unless he gets up and showers at once
- BAgree a simple daily routine with small, achievable activities and give positive feedback
- CLet him stay in bed, because negative symptoms cannot change
- DWait until he asks to join activities before involving him
8.むずかしい
A woman taking carbamazepine for bipolar disorder uses an oral contraceptive pill. What should the nurse teach?
- AThe two drugs do not interact in any way
- BCarbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
- CCarbamazepine increases the effect of the pill, so she can take it every other day
- DShe should take the pill and the carbamazepine at exactly the same time each day so that both of them stay fully effective
解答
- 1. D · 「心配しないで、きっとすべてうまくいきますよ。」
- 2. C · ベンゾジアゼピン系薬
- 3. B · Precontemplation
- 4. A · 音連合
- 5. A · Codependency
- 6. D · Be clear, honest and business-like, and explain the reasons for actions
- 7. B · Agree a simple daily routine with small, achievable activities and give positive feedback
- 8. B · Carbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
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