1.やさしい
A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?
- AReflecting feelings
- BPresenting reality
- CGiving approval
- DChanging the subject
2.やさしい
転移(転移感情)とは何ですか?
- A患者を別の病棟に移すこと
- B看護師の患者に対する感情
- C患者が、自分の過去の人物に対する感情を、無意識に看護師に向けること
- D無意識の不安が、麻痺などの身体症状に変わる防衛機制
3.やさしい
Which sequence describes the cycle of violence often seen in intimate partner abuse?
- AReconciliation, acute violence, then tension-building with no further violence
- BTension-building, acute violence, then reconciliation (the "honeymoon" phase)
- CTension-building, then a calm phase that lasts for the rest of the relationship
- DAcute violence, then permanent separation of the partners
4.ふつう
What is the Abnormal Involuntary Movement Scale (AIMS) used for?
- ATo measure the severity of alcohol withdrawal
- BTo rate the severity of depression
- CTo screen for and monitor tardive dyskinesia
- DTo assess the risk of a patient becoming violent
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 often respond more to non-verbal messages than to the words used
- CIt is only important during the termination phase
- DPatients with mental illness cannot understand non-verbal signals
6.ふつう
患者が「私は価値がない。誰も私のことを気にかけていない」と言います。最も治療的な返答はどれですか?
- A「そんなことを言ってはいけません。」
- B「誰も自分のことを気にかけてくれていないと感じているのですね。もっと聞かせてください。」
- C「それは違います。ここでは皆があなたのことを気にかけていますよ。」
- D「もっと明るい話をしましょう。」
7.むずかしい
重度の神経性やせ症の患者が、栄養再開の 3 日目に、足首の腫れ、低リン血症、不整脈を呈しています。最も考えられるのはどれですか?
- A食べ物に対するアレルギー反応
- B再栄養症候群(リフィーディング症候群)
- C正常な体重増加
- Dセロトニン症候群
8.むずかしい
A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?
- AHe has antisocial personality disorder that was not noticed before
- BHis anger may be part of grief, displaced onto staff, so she should not take it personally
- CHe does not care about his wife's death and is using it as an excuse to be rude
- DHe should be told that his behaviour is unacceptable and that visits will be stopped
解答
- 1. A · Reflecting feelings
- 2. C · 患者が、自分の過去の人物に対する感情を、無意識に看護師に向けること
- 3. B · Tension-building, acute violence, then reconciliation (the "honeymoon" phase)
- 4. C · To screen for and monitor tardive dyskinesia
- 5. B · Patients often respond more to non-verbal messages than to the words used
- 6. B · 「誰も自分のことを気にかけてくれていないと感じているのですね。もっと聞かせてください。」
- 7. B · 再栄養症候群(リフィーディング症候群)
- 8. B · His anger may be part of grief, displaced onto staff, so she should not take it personally
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