1.やさしい
Which sequence shows the five stages of grief described by Kübler-Ross?
- AShock, guilt, hope, sadness, recovery
- BAnger, denial, acceptance, bargaining, depression
- CDenial, anger, bargaining, depression, acceptance
- DAcceptance, bargaining, anger, depression, denial
2.やさしい
At which level of anxiety is a person most able to learn and solve problems?
- AMild anxiety
- BModerate anxiety
- CSevere anxiety
- DPanic
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
- CMood and appetite, which change with the seasons
- DSocial communication and interaction, and restricted, repetitive behaviours or interests
4.ふつう
A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?
- AUrine drug screen only
- BThyroid function tests
- CSerum lithium level
- DAn MRI of the knee
5.ふつう
Which postpartum presentation is a psychiatric emergency?
- AConfusion, hallucinations and rapidly changing mood a few days after birth
- BTiredness and worry about feeding the baby in the first week
- CFeeling tearful at times but enjoying the baby and sleeping well when she can
- DTearfulness and mood swings on the third day after birth
6.ふつう
「自殺しない約束(ノースーサイド契約)」が安全対策として推奨されないのはなぜですか?
- A子どもにしか使えないため
- B長くて複雑すぎて、ほとんどの患者は読めず、署名する患者が少ないため
- Cどこでも違法であるため
- D自殺を防ぐというエビデンスがなく、偽りの安心感を与えるおそれがあるため
7.むずかしい
In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?
- AShe no longer needs any help, so the sessions should end at once
- BShe may be showing resistance as painful topics come closer, which the nurse can gently explore
- CShe is being rude to the nurse on purpose and should be warned
- DThe nurse has made a serious mistake and should hand her care to a colleague immediately
8.むずかしい
A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?
- AHe should be told that his behaviour is unacceptable and that visits will be stopped
- BHis anger may be part of grief, displaced onto staff, so she should not take it personally
- CHe has antisocial personality disorder that was not noticed before
- DHe does not care about his wife's death and is using it as an excuse to be rude
解答
- 1. C · Denial, anger, bargaining, depression, acceptance
- 2. A · Mild anxiety
- 3. D · Social communication and interaction, and restricted, repetitive behaviours or interests
- 4. B · Thyroid function tests
- 5. A · Confusion, hallucinations and rapidly changing mood a few days after birth
- 6. D · 自殺を防ぐというエビデンスがなく、偽りの安心感を与えるおそれがあるため
- 7. B · She may be showing resistance as painful topics come closer, which the nurse can gently explore
- 8. B · His anger may be part of grief, displaced onto staff, so she should not take it personally
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