1.やさしい
モノアミン酸化酵素阻害薬(MAOI)を服用している患者が避けるべき食品はどれですか?
- A新鮮な野菜
- B米とパスタ
- C熟成チーズや加工肉など、チラミンを多く含む食品
- Dカルシウムを含むため、新鮮な牛乳とプレーンヨーグルト
2.やさしい
A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?
- ASummarising
- BChanging the subject
- CRestating
- DFocusing
3.やさしい
What is countertransference?
- AThe patient's feelings towards the nurse, based on earlier relationships
- BThe patient repeating the nurse's words and gestures without understanding their meaning
- CThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
- DThe transfer of a patient's care to another nurse at the end of a shift
4.ふつう
A woman calls the emergency department after a sexual assault an hour ago. What advice helps to preserve forensic evidence?
- APut all clothing in a sealed plastic bag
- BShower and wash her clothes before coming in, so she feels cleaner
- CAvoid showering or changing clothes, and bring any clothing already removed in a paper bag
- DWait a few days at home until she feels ready to talk before seeking any medical care or forensic examination
5.ふつう
Which setting is best for an initial assessment interview with a new patient?
- AThe corridor, so that the interview can be done quickly
- BThe busy day room, so that the patient feels part of the ward
- CA small office with the nurse sitting behind a high desk between herself and the door
- DA quiet, private room with chairs at the same level and easy access to the door
6.ふつう
ウェルニッケ脳症の古典的な三徴はどれですか?
- A頭痛、嘔吐、霧視のみ
- B発熱、発疹、項部硬直
- C錯乱、運動失調、異常な眼球運動
- D振戦、筋強剛、動作の緩慢さ
7.むずかしい
患者が反応がない状態で見つかり、呼吸数は 6 回/分、縮瞳があります。看護師が最初にすべきことは何ですか?
- A大きなコップ 1 杯の水を与える
- Bフルマゼニルを投与する
- C回復体位にし、誰にも連絡せずに自然に目が覚めるのを待つ
- D応援を呼び、気道を確保して呼吸を補助し、処方またはプロトコルに従ってナロキソンを投与する
8.むずかしい
A man with gambling disorder has lost his savings and has large debts. He tells the nurse, "My family would be better off without me." What should the nurse do?
- AFocus only on helping him create a budget
- BReassure him that his family will forgive him
- CChange the subject to his gambling triggers and how to avoid the betting shop
- DAsk directly about suicidal thoughts and plans, and assess his risk
解答
- 1. C · 熟成チーズや加工肉など、チラミンを多く含む食品
- 2. B · Changing the subject
- 3. C · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
- 4. C · Avoid showering or changing clothes, and bring any clothing already removed in a paper bag
- 5. D · A quiet, private room with chairs at the same level and easy access to the door
- 6. C · 錯乱、運動失調、異常な眼球運動
- 7. D · 応援を呼び、気道を確保して呼吸を補助し、処方またはプロトコルに従ってナロキソンを投与する
- 8. D · Ask directly about suicidal thoughts and plans, and assess his risk
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