1.やさしい
After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?
- ADenial
- BUndoing
- CProjection
- DSublimation
2.やさしい
Which level of anxiety involves disorganised thinking, an inability to communicate clearly and possible loss of contact with reality?
- APanic
- BMild anxiety
- CNormal everyday anxiety
- DModerate anxiety
3.やさしい
According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?
- AInvoluntary swearing in almost every sentence as the main and only symptom
- BSeizures with loss of consciousness during sleep
- CA single motor tic that lasts for 2 weeks in an adult
- DSeveral motor tics and at least one vocal tic for over a year, starting before 18
4.ふつう
How should a patient with anorexia nervosa be weighed in hospital?
- AIn her own clothes and shoes after breakfast, so that she feels more comfortable
- BAt a different time each day so that she cannot prepare for it
- COnly when she asks to be weighed, to respect her wishes
- DAt the same time, on the same scale, in a gown, after emptying the bladder
5.ふつう
患者のリチウム濃度を測定するための採血は、いつ行うべきですか?
- A最後の服用の 1 時間後
- B朝の服用の直後
- C最後の服用の約 12 時間後
- D違いはないので、1 日のうちいつでもよい
6.ふつう
An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?
- ALow mood after the loss of a partner is always normal grief and never needs any assessment
- BOlder adults cannot be treated for depression
- CMemory complaints in older adults are always caused by dementia
- DDepression in older adults can look like dementia and is treatable
7.むずかしい
In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?
- AShe is being rude to the nurse on purpose and should be warned
- BThe nurse has made a serious mistake and should hand her care to a colleague immediately
- CShe may be showing resistance as painful topics come closer, which the nurse can gently explore
- DShe no longer needs any help, so the sessions should end at once
8.むずかしい
リチウムを服用中の患者が、2 日間嘔吐と下痢を続けています。今は粗大な振戦があり、錯乱しています。看護師が最初にすべきことは何ですか?
- A減塩食を勧める
- B止瀉薬を投与し、食事に塩分を追加して、リチウムを通常どおり続ける
- C追加の水とともに次の服用をさせる
- D次の服用を保留し、リチウム濃度を測定できるよう処方者に緊急に連絡する
解答
- 1. B · Undoing
- 2. A · Panic
- 3. D · Several motor tics and at least one vocal tic for over a year, starting before 18
- 4. D · At the same time, on the same scale, in a gown, after emptying the bladder
- 5. C · 最後の服用の約 12 時間後
- 6. D · Depression in older adults can look like dementia and is treatable
- 7. C · She may be showing resistance as painful topics come closer, which the nurse can gently explore
- 8. D · 次の服用を保留し、リチウム濃度を測定できるよう処方者に緊急に連絡する
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