1.やさしい
What is countertransference?
- AThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
- BThe patient repeating the nurse's words and gestures without understanding their meaning
- CThe transfer of a patient's care to another nurse at the end of a shift
- DThe patient's feelings towards the nurse, based on earlier relationships
2.やさしい
Which type of hallucination is most common in schizophrenia?
- AAuditory
- BOlfactory
- CTactile
- DVisual
3.やさしい
What is the main focus of the recovery model in mental health care?
- AProfessionals making all decisions for patients for their own good
- BHope, self-determination and living a meaningful life, even if some symptoms continue
- CLong-term hospital care for everyone with serious mental illness
- DComplete removal of all symptoms before the person can start to build a good and meaningful life
4.ふつう
A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?
- A"You know that isn't true at all."
- B"Why do you want to buy the hospital?"
- C"That's wonderful. When will you start?"
- D"That sounds hard to believe."
5.ふつう
A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?
- AA high haemoglobin
- BA high serum potassium
- CA low serum cholesterol
- DA low serum sodium
6.ふつう
An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?
- AOlder adults cannot be treated for depression
- BDepression in older adults can look like dementia and is treatable
- CMemory complaints in older adults are always caused by dementia
- DLow mood after the loss of a partner is always normal grief and never needs any assessment
7.むずかしい
On a mental health ward, which task is most appropriate for the nurse to delegate to a healthcare assistant?
- AAccompanying a stable patient to the dining room and recording his food intake
- BTeaching a patient about the side effects of lithium
- CEvaluating whether a PRN medicine given an hour ago has worked
- DCarrying out the full admission suicide risk assessment of a newly admitted patient
8.むずかしい
During a ward community meeting, several patients complain that the ward is too noisy at night. What reflects a therapeutic milieu?
- ATell the patients that the rules cannot be changed
- BDiscuss the problem openly and involve patients in finding a solution
- CEnd the meeting so the complaint is not discussed further
- DAsk the patients to write their complaints down and then do nothing
解答
- 1. A · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
- 2. A · Auditory
- 3. B · Hope, self-determination and living a meaningful life, even if some symptoms continue
- 4. D · "That sounds hard to believe."
- 5. D · A low serum sodium
- 6. B · Depression in older adults can look like dementia and is treatable
- 7. A · Accompanying a stable patient to the dining room and recording his food intake
- 8. B · Discuss the problem openly and involve patients in finding a solution
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。