1.やさしい
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
- ACatatonic excitement
- BPsychomotor retardation
- CAkathisia
- DPsychomotor agitation
2.やさしい
Bupropion is used as an antidepressant in some countries, such as the US. What else is it commonly used for?
- AReversing opioid overdose
- BTreating acute mania
- CTreating alcohol withdrawal seizures
- DHelping people stop smoking
3.やさしい
A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?
- AVoicing doubt
- BGiving approval
- CGiving recognition
- DPresenting reality
4.ふつう
精神状態の評価で、思考内容に記録される所見はどれですか?
- A強迫観念と妄想
- B連合弛緩
- C観念奔逸
- D談話心迫
5.ふつう
Which goal for a patient with depression is written in a SMART way?
- A"The patient will feel better soon."
- B"The patient will walk with staff for 15 minutes once a day by Friday."
- C"The patient will be happier."
- D"The patient will improve her mood and sleep and start exercising more at some point."
6.ふつう
Which physical finding is common in bulimia nervosa?
- AA high serum potassium level
- BRaised blood pressure, a fast pulse and a high temperature
- CSwelling of the salivary glands at the angle of the jaw
- DVery low body weight with lanugo hair
7.むずかしい
意思決定能力のある患者が、ECT のコースに同意書を提出しました。2 回の施行後、彼女は中止したいと言います。正しいのはどれですか?
- A家族が同意した場合にのみ中止できる
- B一度署名したら、コースを完了しなければならない
- C彼女はいつでも同意を撤回でき、その決定は尊重されてチームに報告されなければならない
- D署名した同意は最初の施行後に拘束力をもつので、合意したコースを完了しなければならない
8.むずかしい
A patient who believes he is a famous religious leader becomes upset when other patients laugh at him. What is the most appropriate nursing action?
- AEncourage the other patients to explain why the belief is wrong
- BAsk him to prove his identity in front of the group, so that the laughing stops
- CAgree that he is the religious leader so that he feels respected
- DProtect him from ridicule, avoid arguing and focus on real activities
解答
- 1. B · Psychomotor retardation
- 2. D · Helping people stop smoking
- 3. C · Giving recognition
- 4. A · 強迫観念と妄想
- 5. B · "The patient will walk with staff for 15 minutes once a day by Friday."
- 6. C · Swelling of the salivary glands at the angle of the jaw
- 7. C · 彼女はいつでも同意を撤回でき、その決定は尊重されてチームに報告されなければならない
- 8. D · Protect him from ridicule, avoid arguing and focus on real activities
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