1.やさしい
Which phrase uses person-first language that helps reduce stigma?
- A"A person with schizophrenia"
- B"A schizophrenic patient"
- C"A psycho"
- D"A mental case"
2.やさしい
What type of drug is methadone, used in the treatment of opioid dependence?
- AA benzodiazepine that reduces anxiety during withdrawal
- BA non-addictive stimulant that reduces opioid craving
- CAn opioid antagonist that blocks all opioid effects
- DA long-acting full opioid agonist
3.やさしい
環境療法(ミリュー療法)とは何ですか?
- A病棟の集団から離れた個室で、1 対 1 でのみ行う療法
- B電気けいれん療法
- C病棟の環境全体と地域社会を、治療の一部として活用すること
- D薬の一種
4.ふつう
When is the best time to teach a patient with an anxiety disorder a relaxation technique?
- AWhen the patient's anxiety is at a mild level
- BDuring a panic attack, when the patient needs it most
- COnly after the patient has been discharged from hospital
- DWhen the patient's anxiety is severe, so that the effect can be seen clearly
5.ふつう
Which treatment is recommended first-line for chronic insomnia in adults?
- ALong-term daily benzodiazepines
- BDrinking alcohol in the evening to fall asleep
- CStaying in bed for longer each morning
- DCognitive behavioural therapy for insomnia (CBT-I)
6.ふつう
A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?
- APersecutory
- BGrandiose
- CNihilistic
- DErotomanic
7.むずかしい
患者が、声が同室者を傷つけろと言っていると話します。看護師が最初にすべきことは何ですか?
- A声は現実ではないと伝えて立ち去る
- B理由を誰にも告げずに、同室者を移動させる
- C声が何を言っているか、従わなければならないと感じているかをさらに尋ね、他の人の安全を確保する
- D統合失調症では命令幻聴がよくあり、患者が実行することはまれなので、無視する
8.むずかしい
A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?
- ANon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
- BSelf-injury without suicidal intent never needs any assessment
- CShe should be told that cutting is only attention-seeking behaviour
- DSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
解答
- 1. A · "A person with schizophrenia"
- 2. D · A long-acting full opioid agonist
- 3. C · 病棟の環境全体と地域社会を、治療の一部として活用すること
- 4. A · When the patient's anxiety is at a mild level
- 5. D · Cognitive behavioural therapy for insomnia (CBT-I)
- 6. C · Nihilistic
- 7. C · 声が何を言っているか、従わなければならないと感じているかをさらに尋ね、他の人の安全を確保する
- 8. A · Non-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
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