1.やさしい
遅発性ジスキネジアとは何ですか?
- A最初の数日間にみられる、落ち着きのなさとじっと座っていられないこと
- B初回投与から数時間または数日以内に起こる、首、舌、眼の突然の痛みを伴う筋けいれん
- C筋強剛を伴う高熱
- D長期の抗精神病薬の使用後に、口、舌、顔に起こることが多い不随意運動
2.やさしい
躁病エピソードに典型的な所見はどれですか?
- A1 日 14 時間眠る
- B話し方や動作の緩慢さ
- C高いエネルギーを伴う睡眠欲求の減少
- D無価値感
3.やさしい
Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?
- AParanoid, schizoid and schizotypal
- BAvoidant, dependent and obsessive-compulsive
- CAntisocial, borderline, histrionic and narcissistic
- DHistrionic, dependent and schizoid
4.ふつう
What should a patient starting zolpidem for insomnia be taught to report?
- ADoing things while not fully awake, such as sleepwalking or driving, with no memory of it
- BFeeling sleepy about 30 minutes after taking it at bedtime
- CSleeping through the night without waking up
- DFeeling slightly more rested and alert the next morning than before starting the medicine
5.ふつう
Which item is part of a safety plan for a person experiencing domestic violence?
- AKeeping an emergency bag with documents, money and keys somewhere safe
- BKeeping all important documents in the shared house
- CTelling the abuser about plans to leave so that he can prepare
- DAvoiding contact with friends and support services so as not to provoke him
6.ふつう
オランザピンなどの第二世代抗精神病薬を服用する患者で、特に重要なモニタリングはどれですか?
- A薬の影響を最も受けるため、聴力と視力のみ
- B体重、腹囲、血糖、脂質
- C血小板数のみ
- D骨密度のみ
7.むずかしい
A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?
- AThat she needs an antipsychotic to control her behaviour
- BThat the behaviour is part of her disability and needs no assessment
- CA physical cause such as dental pain, an ear infection or constipation
- DThat she is trying to manipulate the staff
8.むずかしい
An 80-year-old patient taking a benzodiazepine for sleep fell at night on the way to the toilet. After checking her for injury, what is the most appropriate next step?
- ADo nothing more, because falls are normal in older people
- BReport the fall, put falls precautions in place and ask for a review of her sleep medicine
- CUse bed rails and a restraint every night to keep her safely in bed until the morning
- DGive an extra dose so that she sleeps through the night without getting up
解答
- 1. D · 長期の抗精神病薬の使用後に、口、舌、顔に起こることが多い不随意運動
- 2. C · 高いエネルギーを伴う睡眠欲求の減少
- 3. B · Avoidant, dependent and obsessive-compulsive
- 4. A · Doing things while not fully awake, such as sleepwalking or driving, with no memory of it
- 5. A · Keeping an emergency bag with documents, money and keys somewhere safe
- 6. B · 体重、腹囲、血糖、脂質
- 7. C · A physical cause such as dental pain, an ear infection or constipation
- 8. B · Report the fall, put falls precautions in place and ask for a review of her sleep medicine
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