1.やさしい
A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?
- AHistrionic
- BParanoid
- CSchizoid
- DAvoidant
2.やさしい
A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?
- AChanging the subject
- BGiving approval
- CPresenting reality
- DReflecting feelings
3.やさしい
Which sequence shows the five stages of grief described by Kübler-Ross?
- AShock, guilt, hope, sadness, recovery
- BAcceptance, bargaining, anger, depression, denial
- CDenial, anger, bargaining, depression, acceptance
- DAnger, denial, acceptance, bargaining, depression
4.ふつう
Which activity is most suitable for a patient in an acute manic episode?
- AA walk with a staff member
- BA complicated board game such as chess with other patients
- CA long group discussion in the day room
- DA competitive team game of volleyball
5.ふつう
A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?
- ATreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
- BGive her a lot of extra attention for the rest of the day
- CIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
- DScold her for breaking the ward rules and remove all her privileges
6.ふつう
A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?
- ATransference
- BDiagnostic overshadowing
- CPositive reinforcement
- DSplitting by the patient
7.むずかしい
患者が 10 日前に抗うつ薬を開始しました。以前より活力が出てきたと言いますが、まだ絶望感があります。これに綿密なモニタリングが必要なのはなぜですか?
- Aセロトニン症候群のサインであるため
- B用量が少なすぎることを意味するので、ただちに抗うつ薬を中止して別の薬を始めるべきであるため
- C抗うつ薬が完全に効いたことを意味するため
- D気分が改善する前に活力が戻ることがあり、自殺念慮を実行に移すリスクが高まるおそれがあるため
8.むずかしい
The family of a patient with schizophrenia asks how they can tell if he is becoming unwell again. Which signs should the nurse teach them to watch for?
- AMild dry mouth in the first week of a new medicine
- BA better appetite and more interest in his hobbies
- CTalking more openly with his family about his feelings and his plans for the future
- DPoor sleep, withdrawal from others and increasing suspiciousness
解答
- 1. A · Histrionic
- 2. D · Reflecting feelings
- 3. C · Denial, anger, bargaining, depression, acceptance
- 4. A · A walk with a staff member
- 5. A · Treat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
- 6. B · Diagnostic overshadowing
- 7. D · 気分が改善する前に活力が戻ることがあり、自殺念慮を実行に移すリスクが高まるおそれがあるため
- 8. D · Poor sleep, withdrawal from others and increasing suspiciousness
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