1.やさしい
In DSM-5, gambling disorder is grouped with which category of disorders?
- ANeurocognitive disorders such as dementia
- BPersonality disorders in Cluster B
- CAnxiety disorders and phobias
- DSubstance-related and addictive disorders
2.やさしい
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
- APreparation
- BContemplation
- CPrecontemplation
- DMaintenance of change
3.やさしい
What is systematic desensitisation?
- AA medicine that reduces anxiety within minutes of being taken
- BGradual exposure to a feared situation, step by step, while using relaxation
- CSudden and prolonged exposure to the most feared situation at once
- DTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
4.ふつう
Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?
- AShe is probably exaggerating the seriousness of what happened, because she does not seem upset
- BShe is not distressed and does not need any support
- CHer calmness shows that the assault did not happen
- DA controlled response is a common reaction in the acute phase after assault
5.ふつう
Which pattern suggests premenstrual dysphoric disorder?
- AMarked mood symptoms in the week before menstruation that improve within a few days after it starts
- BMild bloating the day before a period, without any mood changes
- CLow mood throughout the whole month that is not linked to the menstrual cycle
- DMood symptoms that begin only after the menopause and last for several years
6.ふつう
カルバマゼピンに関連する重篤な有害作用はどれですか?
- A主に美容上の問題である、多毛と歯肉増殖のみ
- B急激な体重減少
- C無顆粒球症などの血液疾患と、重い皮膚反応
- D難聴
7.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?
- AProtect him from ridicule, avoid arguing and focus on real activities
- 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
- DEncourage the other patients to explain why the belief is wrong
8.むずかしい
Which intervention is most appropriate for an older patient with delirium?
- AUse physical restraints at night to prevent falls
- BProvide orientation cues, make sure glasses and hearing aids are used, and involve the family
- CMove the patient to a different room each day
- DKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much
解答
- 1. D · Substance-related and addictive disorders
- 2. C · Precontemplation
- 3. B · Gradual exposure to a feared situation, step by step, while using relaxation
- 4. D · A controlled response is a common reaction in the acute phase after assault
- 5. A · Marked mood symptoms in the week before menstruation that improve within a few days after it starts
- 6. C · 無顆粒球症などの血液疾患と、重い皮膚反応
- 7. A · Protect him from ridicule, avoid arguing and focus on real activities
- 8. B · Provide orientation cues, make sure glasses and hearing aids are used, and involve the family
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