1.やさしい
患者が「明日の手術が怖い」と言いました。偽りの安心づけの例となる看護師の返答はどれですか?
- A「明日のことで、いちばん心配なのはどんなことですか?」
- B「どんなお気持ちか、もっと聞かせてください。」
- C「心配しないで、きっとすべてうまくいきますよ。」
- D「怖いのですね。」
2.やさしい
The SOLER approach is a guide to which aspect of communication?
- ADocumenting patient records accurately
- BNon-verbal attending behaviour
- CWriting nursing care plans
- DAssessing the risk of suicide
3.やさしい
The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?
- AImmediate memory
- BLevel of consciousness
- CAbstract thinking
- DOrientation
4.ふつう
Under the Mental Capacity Act 2005 (England and Wales), a person lacks capacity for a decision if they cannot do which of the following?
- ARemember the decision for more than a year afterwards
- BRead and write in the language used by the staff
- CAgree with the decision that the doctor and the rest of the healthcare team recommend for them
- DUnderstand, retain and weigh the information, or communicate their decision
5.ふつう
Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?
- AChange the rules for this patient to avoid conflict
- BState the rule and the consequence clearly, and make sure all staff apply it consistently
- CGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
- DLet each nurse decide on the day whether to apply the rules
6.ふつう
A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?
- AThe patient will make small everyday decisions on her own
- BThe patient will let staff make all her decisions while in hospital
- CThe patient will move in with a relative who can make decisions for her
- DThe patient will avoid contact with others until she feels more confident
7.むずかしい
A nurse is teaching a patient who has started haloperidol for schizophrenia. Which statement shows a need for further teaching?
- A"I'll avoid alcohol while I'm taking this medicine."
- B"I should tell the nurse if my neck or jaw muscles feel stiff."
- C"I can stop taking it as soon as the voices go away."
- D"I should get up slowly if I feel dizzy."
8.むずかしい
オランザピンを服用している患者の体重が 3 か月で 8 kg 増え、口渇と頻尿を訴えています。看護師はどうすべきですか?
- A薬とは無関係だと安心させる
- B水を飲む量を減らすよう助言する
- C処方者に知らせず、ただちにオランザピンを中止する
- D血糖検査を手配し、処方者に知らせる
解答
- 1. C · 「心配しないで、きっとすべてうまくいきますよ。」
- 2. B · Non-verbal attending behaviour
- 3. C · Abstract thinking
- 4. D · Understand, retain and weigh the information, or communicate their decision
- 5. B · State the rule and the consequence clearly, and make sure all staff apply it consistently
- 6. A · The patient will make small everyday decisions on her own
- 7. C · "I can stop taking it as soon as the voices go away."
- 8. D · 血糖検査を手配し、処方者に知らせる
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