1.やさしい
What is a psychiatric advance directive (advance statement)?
- AA court order that allows a patient to be detained in hospital
- BA contract in which the patient promises the team to take every prescribed medicine for life
- CA document in which a person states their treatment wishes for a time when they may lack capacity
- DA note from the doctor that lists the patient's diagnoses
2.やさしい
A patient believes that the newsreader on television is sending him personal messages. What is this called?
- AThought insertion
- BAn idea of reference
- CA somatic delusion
- DAn illusion
3.やさしい
Which side effects are typical of mirtazapine?
- APriapism and a dry cough
- BHigh blood pressure and tremor
- CSedation and increased appetite with weight gain
- DInsomnia, agitation and weight loss
4.ふつう
A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?
- ANihilistic
- BGrandiose
- CErotomanic
- DPersecutory
5.ふつう
電気けいれん療法(ECT)のあとに予想される、一時的な影響はどれですか?
- A数か月間の言葉の喪失
- B治療前のすべての長期記憶の永続的な喪失
- C治療の前後の短期間の錯乱と記憶障害
- D下肢の麻痺
6.ふつう
What is the Abnormal Involuntary Movement Scale (AIMS) used for?
- ATo rate the severity of depression
- BTo measure the severity of alcohol withdrawal
- CTo screen for and monitor tardive dyskinesia
- DTo assess the risk of a patient becoming violent
7.むずかしい
A woman taking carbamazepine for bipolar disorder uses an oral contraceptive pill. What should the nurse teach?
- AShe should take the pill and the carbamazepine at exactly the same time each day so that both of them stay fully effective
- BCarbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
- CCarbamazepine increases the effect of the pill, so she can take it every other day
- DThe two drugs do not interact in any way
8.むずかしい
A nurse posts on social media about a "funny" patient on her ward, without giving his name. What is correct?
- AIt breaches confidentiality, because he could still be identified
- BIt is acceptable because his name was not used
- CIt is acceptable if the post is set to "friends only"
- DIt is only a problem if the patient finds the post himself
解答
- 1. C · A document in which a person states their treatment wishes for a time when they may lack capacity
- 2. B · An idea of reference
- 3. C · Sedation and increased appetite with weight gain
- 4. A · Nihilistic
- 5. C · 治療の前後の短期間の錯乱と記憶障害
- 6. C · To screen for and monitor tardive dyskinesia
- 7. B · Carbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
- 8. A · It breaches confidentiality, because he could still be identified
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