1.やさしい
入院中の 6 歳の男児が、指しゃぶりをして、またおねしょをするようになりました。これはどの防衛機制ですか?
- A退行
- B投影
- C昇華
- D知性化
2.やさしい
Which medicine is commonly used to treat antipsychotic-induced akathisia?
- ABupropion
- BPropranolol
- CHaloperidol
- DLithium
3.やさしい
Which measure has good evidence for reducing suicide deaths?
- AAsking the patient to sign a no-suicide contract
- BRestricting access to lethal means, such as firearms or large supplies of medicines
- CAvoiding the topic of suicide completely with people at risk
- DGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
4.ふつう
According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?
- AA patient who wants to improve her self-esteem
- BA patient who wants to find a new hobby
- CA patient who has not eaten or drunk anything for two days
- DA patient who feels lonely and wants more visitors
5.ふつう
In family systems theory, what is meant by the "identified patient"?
- AThe family member who pays for the treatment
- BThe patient whose identity has been checked against a wristband before treatment
- CThe member whose symptoms are seen as the family's problem
- DThe family member who has the most serious physical illness
6.ふつう
A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?
- AExplore the experience in her cultural context before calling it a symptom
- BRecord it immediately as a command hallucination
- CTell her that her beliefs are not real
- DAvoid asking about it, because culture is not relevant to mental health
7.むずかしい
A patient asks, "Do you think I should divorce my husband?" Which response best supports the patient's autonomy?
- A"Yes, I think you'd be happier without him."
- B"No, divorce would only make things worse for you."
- C"What are your thoughts about the options you have?"
- D"You should ask your doctor what to do about it."
8.むずかしい
患者が、自殺を計画していることを誰にも話さないと約束してほしいと看護師に頼みます。最もよい返答はどれですか?
- A話題を変える
- B考えておくと伝える
- C話を続けて信頼してもらうために秘密を守ると約束し、記録にも書かず、チームにも伝えない
- D彼女の安全が大切なので、この秘密は守れず、チームと共有する必要があると優しく説明する
解答
- 1. A · 退行
- 2. B · Propranolol
- 3. B · Restricting access to lethal means, such as firearms or large supplies of medicines
- 4. C · A patient who has not eaten or drunk anything for two days
- 5. C · The member whose symptoms are seen as the family's problem
- 6. A · Explore the experience in her cultural context before calling it a symptom
- 7. C · "What are your thoughts about the options you have?"
- 8. D · 彼女の安全が大切なので、この秘密は守れず、チームと共有する必要があると優しく説明する
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