1.やさしい
A withdrawn patient comes to the day room for the first time. The nurse says, "Good morning, Mr Ahmed. I see you've joined us today." Which technique is this?
- AGiving approval
- BVoicing doubt
- CGiving recognition
- DPresenting reality
2.やさしい
隣人に強い敵意を抱いている人が、彼に対して過剰に親切で気前よくふるまいます。これはどの防衛機制ですか?
- A代償
- B置き換え
- C否認
- D反動形成
3.やさしい
A patient believes that the newsreader on television is sending him personal messages. What is this called?
- AA somatic delusion
- BThought insertion
- CAn illusion
- DAn idea of reference
4.ふつう
将来の自殺の最も強い予測因子の 1 つはどれですか?
- A結婚していること
- B強い宗教的信仰があること
- C安定した仕事があること
- D以前の自殺企図
5.ふつう
Which findings suggest recent cannabis use?
- ASlow heart rate, constricted pupils, drooling and watery eyes
- BRed eyes, increased appetite, dry mouth and a fast heart rate
- CPinpoint pupils, slow breathing and drowsiness
- DDilated pupils, high fever and severe muscle rigidity
6.ふつう
Which communication approach is best for a patient with moderate dementia?
- AUse short, simple sentences and give one instruction at a time
- BUse abstract language and long explanations so the patient feels respected
- CAsk several questions together to save time
- DSpeak loudly and quickly so that the patient stays alert
7.むずかしい
A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?
- ACalmly follow the agreed care plan on activity and observation, without arguing or punishing
- BTell her she will be tube-fed if she does it again
- CPraise her for being so active and motivated, because it shows she is taking care of her health
- DIgnore it, because exercise is always healthy
8.むずかしい
A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?
- AAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative
- BGet more staff to hold him so the bath can be finished quickly
- CStop, try again later or in a different way, and explain each step calmly
- DSkip bathing for the rest of his stay
解答
- 1. C · Giving recognition
- 2. D · 反動形成
- 3. D · An idea of reference
- 4. D · 以前の自殺企図
- 5. B · Red eyes, increased appetite, dry mouth and a fast heart rate
- 6. A · Use short, simple sentences and give one instruction at a time
- 7. A · Calmly follow the agreed care plan on activity and observation, without arguing or punishing
- 8. C · Stop, try again later or in a different way, and explain each step calmly
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