1.やさしい
A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?
- AWaxy flexibility
- BEchopraxia
- CAkathisia
- DTardive dyskinesia
2.やさしい
According to Selye's general adaptation syndrome, what are the three stages of the stress response?
- AAlarm, resistance and exhaustion
- BOrientation, working and termination
- CDenial, anger and acceptance
- DForming, storming and norming
3.やさしい
How does naltrexone help people with alcohol dependence?
- AIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
- BIt replaces alcohol in the brain and prevents withdrawal seizures
- CIt causes vomiting and flushing if the person drinks alcohol
- DIt blocks opioid receptors and reduces the craving and pleasure from drinking
4.ふつう
A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?
- AThe patient will move in with a relative who can make decisions for her
- BThe patient will make small everyday decisions on her own
- CThe patient will avoid contact with others until she feels more confident
- DThe patient will let staff make all her decisions while in hospital
5.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観念奔逸
- C談話心迫
- D連合弛緩
6.ふつう
When is the best time to teach a patient with an anxiety disorder a relaxation technique?
- AWhen the patient's anxiety is at a mild level
- BOnly after the patient has been discharged from hospital
- CWhen the patient's anxiety is severe, so that the effect can be seen clearly
- DDuring a panic attack, when the patient needs it most
7.むずかしい
After a serious bus accident, the nurse is helping uninjured survivors. Which action reflects psychological first aid?
- AProvide safety, comfort and practical help, and connect people with their families and support
- BAsk each survivor to describe the accident in full detail straight away
- CTell survivors that they will definitely develop PTSD
- DGive every survivor a benzodiazepine at the scene to prevent long-term psychological problems from developing
8.むずかしい
A woman with PTSD after a sexual assault by a man becomes distressed when a male nurse is assigned to her. What is the most appropriate response?
- ALeave her without a named nurse until she calms down
- BTell her that she must learn to face her fears
- CAssign a female nurse where possible and explain her care plan to her
- DInsist that she accept the male nurse, as all staff are professional
解答
- 1. A · Waxy flexibility
- 2. A · Alarm, resistance and exhaustion
- 3. D · It blocks opioid receptors and reduces the craving and pleasure from drinking
- 4. B · The patient will make small everyday decisions on her own
- 5. A · 強迫観念と妄想
- 6. A · When the patient's anxiety is at a mild level
- 7. A · Provide safety, comfort and practical help, and connect people with their families and support
- 8. C · Assign a female nurse where possible and explain her care plan to her
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