1.やさしい
In obsessive-compulsive disorder, what is an obsession?
- AA repeated action done to reduce anxiety, such as checking a lock
- BA false belief that is held firmly despite clear evidence that it is untrue
- CA strong interest in a hobby that the person enjoys very much
- DA recurrent, unwanted thought, urge or image that causes anxiety
2.やさしい
What is the main goal of crisis intervention?
- ATo help the person return at least to their level of functioning before the crisis
- BTo admit every person in crisis to hospital for several months
- CTo change the person's personality so that crises never happen again
- DTo explore the person's childhood experiences in depth over many years
3.やさしい
An older man's son uses his father's bank card without permission and leaves him unable to pay for food. Which type of abuse is this?
- APhysical abuse
- BSelf-neglect by the father
- CSexual abuse
- DFinancial abuse
4.ふつう
Which effects of methadone should the nurse monitor for?
- AAgranulocytosis and a sore throat
- BHair loss, weight loss and a painful red rash on the face
- CRespiratory depression, sedation and a prolonged QT interval
- DHypertensive crisis after eating aged cheese
5.ふつう
A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?
- ATell the patient that talking is required to be discharged
- BLeave the patient alone until he asks to talk
- CAsk a series of direct questions until he answers
- DSpend short, regular periods with the patient without forcing conversation
6.ふつう
In a therapy group, one member talks constantly and interrupts others. What should the group leader do?
- ALet the member continue, because she has a lot to say
- BAsk the member to leave the group permanently so that others can speak
- CCriticise the member in front of the whole group so that she learns to stay quiet
- DAcknowledge the member's contribution and invite others to share their views
7.むずかしい
MAOI を服用中の患者が、パーティーから戻ると、後頭部の激しい頭痛、首のこわばり、動悸を訴えます。看護師が最初にすべきことは何ですか?
- A次の MAOI の服用を早めて与える
- B血圧を測定し、処方者に緊急に連絡する
- C横になって寝てやり過ごすよう助言する
- D頭痛のために濃いコーヒーを 1 杯与える
8.むずかしい
An older woman living with her son looks thin and unkempt. She says her son "looks after the money" and she is often hungry. What should the nurse do?
- AIgnore it, because family finances are a private matter
- BTell her that she must move out of her son's home at once and stay with friends until the matter is sorted out
- CAsk the son in front of her whether he is stealing her money
- DTalk to her privately, document the findings and raise an adult safeguarding concern
解答
- 1. D · A recurrent, unwanted thought, urge or image that causes anxiety
- 2. A · To help the person return at least to their level of functioning before the crisis
- 3. D · Financial abuse
- 4. C · Respiratory depression, sedation and a prolonged QT interval
- 5. D · Spend short, regular periods with the patient without forcing conversation
- 6. D · Acknowledge the member's contribution and invite others to share their views
- 7. B · 血圧を測定し、処方者に緊急に連絡する
- 8. D · Talk to her privately, document the findings and raise an adult safeguarding concern
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