1.やさしい
In Freud's theory of personality, what is the role of the ego?
- ATo store all forgotten memories from childhood
- BTo act as the moral conscience that creates guilt
- CTo balance the demands of the id, the superego and reality
- DTo seek immediate pleasure regardless of the consequences
2.やさしい
Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?
- ADantrolene
- BLithium
- CFluoxetine
- DHaloperidol
3.やさしい
In behaviour therapy, what is positive reinforcement?
- ARemoving a reward so that a behaviour becomes less likely
- BAdding an unpleasant consequence so that a behaviour stops
- CAdding a reward after a behaviour so that the behaviour becomes more likely
- DIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff
4.ふつう
What is the PHQ-9 used for?
- AScreening for alcohol problems
- BMonitoring involuntary movements caused by antipsychotics
- CAssessing the severity of alcohol withdrawal
- DScreening for depression and measuring its severity
5.ふつう
The wife of a man with alcohol dependence organises her life around his drinking, hides it from others and neglects her own needs. What does this pattern suggest?
- AEnabling by the healthcare team
- BDelirium tremens
- CLearned helplessness in the patient
- DCodependency
6.ふつう
How should the nurse position herself when talking to an agitated patient?
- ADirectly face to face, as close as possible, to show confidence
- BAt a safe distance, slightly to the side, with a clear exit available
- CBetween the patient and the wall, so the patient can leave easily
- DBehind the patient and close to him, so that the patient does not feel threatened by eye contact
7.むずかしい
A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?
- AHe has antisocial personality disorder that was not noticed before
- BHis anger may be part of grief, displaced onto staff, so she should not take it personally
- CHe should be told that his behaviour is unacceptable and that visits will be stopped
- DHe does not care about his wife's death and is using it as an excuse to be rude
8.むずかしい
A 10-year-old eats only a few foods and refuses others because he fears choking after a frightening episode. He is losing weight but has no concerns about body shape. Which diagnosis fits best?
- ABinge-eating disorder with secret eating
- BBulimia nervosa
- CAvoidant/restrictive food intake disorder (ARFID)
- DAnorexia nervosa
解答
- 1. C · To balance the demands of the id, the superego and reality
- 2. A · Dantrolene
- 3. C · Adding a reward after a behaviour so that the behaviour becomes more likely
- 4. D · Screening for depression and measuring its severity
- 5. D · Codependency
- 6. B · At a safe distance, slightly to the side, with a clear exit available
- 7. B · His anger may be part of grief, displaced onto staff, so she should not take it personally
- 8. C · Avoidant/restrictive food intake disorder (ARFID)
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