1.やさしい
Which of these medicines is a second-generation (atypical) antipsychotic?
- AHaloperidol
- BLorazepam
- CChlorpromazine
- DQuetiapine
2.やさしい
A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?
- AFlight of ideas
- BWord salad
- CClang association
- DThought blocking
3.やさしい
Bupropion is used as an antidepressant in some countries, such as the US. What else is it commonly used for?
- ATreating acute mania
- BReversing opioid overdose
- CTreating alcohol withdrawal seizures
- DHelping people stop smoking
4.ふつう
A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?
- AAgranulocytosis
- BLithium toxicity
- CHypertensive crisis from tyramine
- DSerotonin syndrome
5.ふつう
What must a patient be told for consent to a new psychotropic medicine to be valid?
- AOnly the name of the medicine and the time of day it will be given
- BThe expected benefits, the main risks and the alternatives, including no treatment
- COnly the benefits, so that the patient is not frightened by the side effects
- DNothing at all, because psychiatric patients cannot give consent
6.ふつう
Under the Mental Capacity Act 2005 (England and Wales), a person lacks capacity for a decision if they cannot do which of the following?
- ARead and write in the language used by the staff
- BAgree with the decision that the doctor and the rest of the healthcare team recommend for them
- CUnderstand, retain and weigh the information, or communicate their decision
- DRemember the decision for more than a year afterwards
7.むずかしい
A nurse posts on social media about a "funny" patient on her ward, without giving his name. What is correct?
- AIt is only a problem if the patient finds the post himself
- BIt is acceptable if the post is set to "friends only"
- CIt breaches confidentiality, because he could still be identified
- DIt is acceptable because his name was not used
8.むずかしい
After witnessing a serious accident, a woman suddenly cannot move her legs. Full investigations are normal. Which nursing approach is most appropriate?
- AIgnore her requests for help completely until she agrees to try to walk again on her own
- BTell her that the paralysis is fake and that she should stand up
- CFocus every conversation on the details of her leg weakness
- DAccept that the symptom is real for her, help with mobility needs and gently explore recent stress
解答
- 1. D · Quetiapine
- 2. D · Thought blocking
- 3. D · Helping people stop smoking
- 4. D · Serotonin syndrome
- 5. B · The expected benefits, the main risks and the alternatives, including no treatment
- 6. C · Understand, retain and weigh the information, or communicate their decision
- 7. C · It breaches confidentiality, because he could still be identified
- 8. D · Accept that the symptom is real for her, help with mobility needs and gently explore recent stress
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