1.やさしい
A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?
- AGiving advice
- BVoicing doubt
- CSummarising
- DRestating
2.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
- BFinancial abuse
- CSexual abuse
- DSelf-neglect by the father
3.やさしい
アルコール離脱の主な治療薬の種類はどれですか?
- Aオピオイド
- BSSRI
- Cベンゾジアゼピン系薬
- D第一選択としての抗精神病薬
4.ふつう
不安に対するブスピロンについて、正しい記述はどれですか?
- Aアルコールと一緒に服用しなければならない
- Bベンゾジアゼピン系薬のように、パニック発作の最中に数分で効く
- C効果が出るまでに数週間かかり、頓用薬としては役に立たない
- D非常に依存性が高い
5.ふつう
Which communication approach is best for a patient with moderate dementia?
- ASpeak loudly and quickly so that the patient stays alert
- BAsk several questions together to save time
- CUse short, simple sentences and give one instruction at a time
- DUse abstract language and long explanations so the patient feels respected
6.ふつう
Which preparation is usual before electroconvulsive therapy (ECT)?
- AStopping all regular medicines for 2 weeks before the first treatment
- BEating a large meal to prevent low blood sugar during the seizure
- CNo preparation, because the patient stays fully awake during ECT
- DFasting for several hours, because a brief general anaesthetic is given
7.むずかしい
A patient has had delusions and hallucinations for a year. For most of this time he has also had episodes of major depression, but for at least two weeks at a time his psychotic symptoms continued without any mood symptoms. Which diagnosis best fits this pattern?
- AMajor depression with psychotic features
- BSchizoaffective disorder
- CDelusional disorder
- DBrief psychotic disorder
8.むずかしい
A patient with anorexia nervosa is admitted with a BMI of 14, dizziness and low potassium. Which goal is the priority in the first days?
- APlanning her return to university and her studies after discharge
- BImproving body image through group discussions
- CGaining insight into family relationships through therapy
- DMedical stabilisation, with careful refeeding and correction of electrolytes
解答
- 1. D · Restating
- 2. B · Financial abuse
- 3. C · ベンゾジアゼピン系薬
- 4. C · 効果が出るまでに数週間かかり、頓用薬としては役に立たない
- 5. C · Use short, simple sentences and give one instruction at a time
- 6. D · Fasting for several hours, because a brief general anaesthetic is given
- 7. B · Schizoaffective disorder
- 8. D · Medical stabilisation, with careful refeeding and correction of electrolytes
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