1.やさしい
A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?
- ARationalisation
- BProjection
- CIdentification
- DSuppression
2.やさしい
A man has no close friends, prefers to be alone, shows little emotion and seems indifferent to praise or criticism. Which personality disorder does this suggest?
- ADependent
- BHistrionic
- CSchizoid
- DAvoidant
3.やさしい
患者が早口で話題から話題へと飛び移り、それぞれの考えは、前の考えとゆるくつながっています。これを何と呼びますか?
- A会話の貧困
- B観念奔逸
- C保続
- D思考途絶
4.ふつう
In a therapy group, one member talks constantly and interrupts others. What should the group leader do?
- ALet the member continue, because she has a lot to say
- BAsk the member to leave the group permanently so that others can speak
- CCriticise the member in front of the whole group so that she learns to stay quiet
- DAcknowledge the member's contribution and invite others to share their views
5.ふつう
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
- ASit on the edge of the bed for a moment and then stand up slowly
- BStop the medicine if the dizziness happens more than once
- CGet up quickly to get the blood flowing to the brain
- DDrink a cup of strong coffee before getting out of bed each morning
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?
- APositive reinforcement
- BTransference
- CSplitting by the patient
- DDiagnostic overshadowing
7.むずかしい
A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?
- AAssess her anxiety each time, offer other coping strategies and give it if indicated
- BGive her a placebo tablet instead, without telling her, to see whether she really needs it
- CAlways give it as soon as she asks, without assessment
- DRefuse to give it, because she might become dependent
8.むずかしい
A patient taking valproate has severe abdominal pain spreading to her back, with nausea and vomiting. What should the nurse suspect?
- ASerotonin syndrome
- BLithium toxicity
- CSimple indigestion
- DPancreatitis
解答
- 1. C · Identification
- 2. C · Schizoid
- 3. B · 観念奔逸
- 4. D · Acknowledge the member's contribution and invite others to share their views
- 5. A · Sit on the edge of the bed for a moment and then stand up slowly
- 6. D · Diagnostic overshadowing
- 7. A · Assess her anxiety each time, offer other coping strategies and give it if indicated
- 8. D · Pancreatitis
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