1.やさしい
The SOLER approach is a guide to which aspect of communication?
- AAssessing the risk of suicide
- BNon-verbal attending behaviour
- CDocumenting patient records accurately
- DWriting nursing care plans
2.やさしい
せん妄は、通常、認知症とどう違いますか?
- Aせん妄は突然始まって変動し、認知症は数か月から数年かけて徐々に進行する
- B認知症は常に突然始まる
- Cせん妄は数年かけてゆっくり進行し、認知症は突然始まり、時間ごとに変動する
- D同じ病態である
3.やさしい
What is countertransference?
- AThe patient's feelings towards the nurse, based on earlier relationships
- BThe transfer of a patient's care to another nurse at the end of a shift
- CThe patient repeating the nurse's words and gestures without understanding their meaning
- DThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
4.ふつう
朝食についての質問に、患者が「卵はニワトリから生まれて、ニワトリは農場にいて、おじさんが農場を持っていて、赤いトラクターを運転していて…」と答え、質問には答えません。これを何と呼びますか?
- A脱線(話が本筋からそれること)
- B迂遠(まわりくどさ)
- C思考途絶
- D言葉のサラダ
5.ふつう
Which side effects are most common with quetiapine?
- ASedation, dizziness when standing and weight gain
- BHigh prolactin with breast enlargement in almost every patient
- CInsomnia and severe weight loss
- DA cough and swollen ankles
6.ふつう
Which activity is most suitable for a patient in an acute manic episode?
- AA competitive team game of volleyball
- BA long group discussion in the day room
- CA walk with a staff member
- DA complicated board game such as chess with other patients
7.むずかしい
A woman arrives in the emergency department after a sexual assault and has a cut on her head that is bleeding. What is the priority?
- ACollect forensic evidence before treating any injuries
- BAsk her for a detailed account of the assault before any care
- CCall the police and wait until they arrive before doing anything else, so that no evidence is lost by mistake
- DAssess and treat her physical injuries, then offer forensic examination with her consent
8.むずかしい
セルトラリンを服用中の患者が、痛みに対してトラマドールを処方されました。数時間後、患者は激越し、汗をかき、震え、足首にクローヌスがみられます。最も考えられる問題はどれですか?
- A悪性症候群
- Bアルコール離脱
- Cオピオイド離脱
- Dセロトニン症候群
解答
- 1. B · Non-verbal attending behaviour
- 2. A · せん妄は突然始まって変動し、認知症は数か月から数年かけて徐々に進行する
- 3. D · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
- 4. A · 脱線(話が本筋からそれること)
- 5. A · Sedation, dizziness when standing and weight gain
- 6. C · A walk with a staff member
- 7. D · Assess and treat her physical injuries, then offer forensic examination with her consent
- 8. D · セロトニン症候群
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