1.やさしい
患者がパニック発作を起こしています。看護師はどうすべきですか?
- A患者が発作を理解できるように、パニック障害の発症の仕組みを詳しく説明する
- B落ち着くまで患者を 1 人にしておく
- Cにぎやかな集団活動への参加を促す
- D患者のそばにいて、短く簡単な文で穏やかに話し、静かな場所を提供する
2.やさしい
Which sequence shows Tuckman's stages of group development?
- AForming, performing, storming, norming, adjourning
- BForming, storming, norming, performing, adjourning
- CStorming, forming, performing, norming, adjourning
- DNorming, forming, storming, adjourning, performing
3.やさしい
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
- APhysical abuse
- BSelf-neglect by the father
- CSexual abuse
- DFinancial abuse
4.ふつう
What is the CIWA-Ar scale used for?
- AMeasuring the risk of falls in hospital
- BMeasuring the depth of sedation in patients on a ventilator in intensive care
- CRating the severity of alcohol withdrawal to guide treatment
- DScreening for dementia in older adults
5.ふつう
In DSM-5-TR, prolonged grief disorder in adults requires that at least how long has passed since the death?
- A3 years
- B12 months
- C2 weeks
- D6 weeks
6.ふつう
Which pattern suggests premenstrual dysphoric disorder?
- ALow mood throughout the whole month that is not linked to the menstrual cycle
- BMild bloating the day before a period, without any mood changes
- CMarked mood symptoms in the week before menstruation that improve within a few days after it starts
- DMood symptoms that begin only after the menopause and last for several years
7.むずかしい
A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?
- AThiamine quickly lowers the blood alcohol level
- BWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- CThiamine prevents all alcohol withdrawal seizures
- DThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
8.むずかしい
A patient with PTSD is having a nightmare and thrashing in bed. What is the safest way for the nurse to wake him?
- AHold his arms down firmly so that he cannot hit anyone or hurt himself while he is still asleep
- BStand at a safe distance, say his name clearly and tell him where he is
- CTurn on all the lights and shout loudly so that he wakes up quickly
- DShake him firmly by the shoulders until he is fully awake
解答
- 1. D · 患者のそばにいて、短く簡単な文で穏やかに話し、静かな場所を提供する
- 2. B · Forming, storming, norming, performing, adjourning
- 3. D · Financial abuse
- 4. C · Rating the severity of alcohol withdrawal to guide treatment
- 5. B · 12 months
- 6. C · Marked mood symptoms in the week before menstruation that improve within a few days after it starts
- 7. B · Wernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- 8. B · Stand at a safe distance, say his name clearly and tell him where he is
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