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?
- ASSRI
- Bオピオイド
- Cベンゾジアゼピン系薬
- D第一選択としての抗精神病薬
2.やさしい
Which group of features is typical of dementia with Lewy bodies?
- ASudden step-by-step decline after small strokes
- BEarly personality change and loss of social inhibition
- CFluctuating alertness, detailed visual hallucinations and parkinsonism
- DMemory loss only, with no other symptoms or changes in alertness for many years
3.やさしい
Which level of anxiety involves disorganised thinking, an inability to communicate clearly and possible loss of contact with reality?
- AMild anxiety
- BNormal everyday anxiety
- CModerate anxiety
- DPanic
4.ふつう
Which nurse statement is most consistent with motivational interviewing?
- A"You're an alcoholic, and you need to admit it."
- B"What would be different for you if you drank less?"
- C"I've decided that you need to stop drinking completely."
- D"If you don't stop drinking now, you'll die."
5.ふつう
A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?
- AThe patient is checked every hour during the day only
- BThe patient can be left alone while asleep
- CA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
- DThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
6.ふつう
A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?
- A"Yes, but you're in the right place now."
- B"Of course not. Only crazy people would ask that."
- C"You seem worried about what being here means. Can you tell me more?"
- D"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
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
- B理由を誰にも告げずに、同室者を移動させる
- C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
- D声は現実ではないと伝えて立ち去る
8.むずかしい
A patient finds clothes in her wardrobe she does not remember buying, has gaps in her memory and is called by different names by people she does not know. Which condition is most likely?
- ASchizophrenia
- BBorderline personality disorder
- CBipolar I disorder
- DDissociative identity disorder
解答
- 1. C · ベンゾジアゼピン系薬
- 2. C · Fluctuating alertness, detailed visual hallucinations and parkinsonism
- 3. D · Panic
- 4. B · "What would be different for you if you drank less?"
- 5. C · A staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
- 6. C · "You seem worried about what being here means. Can you tell me more?"
- 7. A · 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. D · Dissociative identity disorder
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