1.やさしい
アルコール離脱の主な治療薬の種類はどれですか?
- A第一選択としての抗精神病薬
- Bベンゾジアゼピン系薬
- Cオピオイド
- DSSRI
2.やさしい
After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?
- AProjection
- BUndoing
- CDenial
- DSublimation
3.やさしい
Bupropion is used as an antidepressant in some countries, such as the US. What else is it commonly used for?
- AHelping people stop smoking
- BTreating acute mania
- CTreating alcohol withdrawal seizures
- DReversing opioid overdose
4.ふつう
A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?
- A"Your mother will visit you later this afternoon."
- B"Your mother died 30 years ago. You know that."
- C"You're thinking about your mother. Tell me about her."
- D"Please stop asking about her now and finish your lunch before it gets cold."
5.ふつう
バルプロ酸を開始する患者で重要なモニタリングはどれですか?
- A眼圧のみ
- B聴力検査
- C肝機能と膵炎の徴候、および妊娠のリスクに関する説明
- D肺線維症のリスクがあるため、肺機能と定期的な胸部 X 線
6.ふつう
A patient says, "I feel like I'm dying inside." Which nurse response best uses the technique of exploring?
- A"Everyone feels that way sometimes."
- B"Tell me more about what that feeling is like for you."
- C"You shouldn't say things like that."
- D"Let's talk about something more cheerful."
7.むずかしい
In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?
- AShe no longer needs any help, so the sessions should end at once
- BThe nurse has made a serious mistake and should hand her care to a colleague immediately
- CShe may be showing resistance as painful topics come closer, which the nurse can gently explore
- DShe is being rude to the nurse on purpose and should be warned
8.むずかしい
最後の飲酒から 2 日目に、患者に著明な振戦があり、壁に虫が見え、心拍数 124 回/分、血圧 170/100 mmHg、大量の発汗がみられます。優先すべきことは何ですか?
- A虫は現実ではないと説明し、休ませておく
- B症状を鎮めるために少量のアルコールを与え、ドアを閉めた静かな個室で寝てやり過ごさせる
- C振戦せん妄の可能性として扱い、緊急に医療的な助けを求め、処方に従ってベンゾジアゼピン系薬を投与し、安全を確保する
- D水分摂取を制限する
解答
- 1. B · ベンゾジアゼピン系薬
- 2. B · Undoing
- 3. A · Helping people stop smoking
- 4. C · "You're thinking about your mother. Tell me about her."
- 5. C · 肝機能と膵炎の徴候、および妊娠のリスクに関する説明
- 6. B · "Tell me more about what that feeling is like for you."
- 7. C · She may be showing resistance as painful topics come closer, which the nurse can gently explore
- 8. C · 振戦せん妄の可能性として扱い、緊急に医療的な助けを求め、処方に従ってベンゾジアゼピン系薬を投与し、安全を確保する
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