1.やさしい
アルコール依存の患者にチアミン(ビタミン B1)を投与するのはなぜですか?
- Aウェルニッケ脳症を予防または治療するため
- B肝硬変を治療するため
- Cアルコールへの渇望を減らすため
- Dアルコールをまずく感じさせるため
2.やさしい
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
- APsychomotor agitation
- BCatatonic excitement
- CPsychomotor retardation
- DAkathisia
3.やさしい
What are the two core areas affected in autism spectrum disorder?
- AMemory and orientation to time and place
- BReading and writing only, with completely normal social skills and play
- CSocial communication and interaction, and restricted, repetitive behaviours or interests
- DMood and appetite, which change with the seasons
4.ふつう
境界性パーソナリティ障害の患者が、ある看護師を「私をわかってくれる唯一の人」とほめ、ほかの看護師を役立たずと呼びます。チームの対応として最もよいのはどれですか?
- Aチーム全体で、一貫したルールと対応で合意する
- Bほかの看護師も役立たずだと患者に伝える
- C患者を避ける
- D気に入られた看護師に、この患者についてのすべての決定を任せる
5.ふつう
What must a patient be told for consent to a new psychotropic medicine to be valid?
- ANothing at all, because psychiatric patients cannot give consent
- BOnly the benefits, so that the patient is not frightened by the side effects
- COnly the name of the medicine and the time of day it will be given
- DThe expected benefits, the main risks and the alternatives, including no treatment
6.ふつう
A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?
- AYoung children often do not yet see death as permanent, so simple, honest words help
- BThe child does not care about her grandmother and has not been affected by the death
- CThe child is in denial and needs psychiatric treatment
- DThe child should not be told anything about the death until she is older
7.むずかしい
重度の神経性やせ症の患者が、栄養再開の 3 日目に、足首の腫れ、低リン血症、不整脈を呈しています。最も考えられるのはどれですか?
- A食べ物に対するアレルギー反応
- B再栄養症候群(リフィーディング症候群)
- Cセロトニン症候群
- D正常な体重増加
8.むずかしい
An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?
- ADelirium
- BA neurocognitive disorder such as Alzheimer's disease
- CNormal ageing with mild forgetfulness
- DBrief psychotic disorder in later life
解答
- 1. A · ウェルニッケ脳症を予防または治療するため
- 2. C · Psychomotor retardation
- 3. C · Social communication and interaction, and restricted, repetitive behaviours or interests
- 4. A · チーム全体で、一貫したルールと対応で合意する
- 5. D · The expected benefits, the main risks and the alternatives, including no treatment
- 6. A · Young children often do not yet see death as permanent, so simple, honest words help
- 7. B · 再栄養症候群(リフィーディング症候群)
- 8. B · A neurocognitive disorder such as Alzheimer's disease
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