1.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?
- AAbstract thinking
- BLevel of consciousness
- CImmediate memory
- DOrientation
2.やさしい
To which drug class does donepezil belong?
- ADopamine antagonists
- BSelective serotonin reuptake inhibitors
- CBenzodiazepines
- DCholinesterase inhibitors
3.やさしい
SSRI が抗うつ効果を十分に発揮するまでには、通常どのくらいかかりますか?
- A初回投与の約 1 時間後
- B約 1 年
- C数週間(多くは約 4~6 週間、またはそれ以上)
- D約 1 日
4.ふつう
A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?
- ARespond with similar comments to build rapport
- BCalmly say that the comments are not acceptable and redirect him
- CLaugh at the comments so he does not feel rejected
- DAvoid the patient for the rest of the shift
5.ふつう
How does aripiprazole differ from most other antipsychotics?
- AIt has no effect on dopamine at all
- BIt needs weekly white blood cell counts for safety
- CIt is a partial agonist at dopamine D2 receptors
- DIt is a benzodiazepine with antipsychotic effects
6.ふつう
双極性障害でラモトリギンを服用している患者に、新たに発疹が出ました。看護師はどうすべきですか?
- A発疹はよくあるので、保湿剤を塗り、薬は通常どおり続ける
- B発疹は常に無害なので、無視する
- C用量を 2 倍にする
- D重い皮膚反応の始まりかもしれないため、速やかに報告する
7.むずかしい
A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?
- AHis usual methadone should continue, and additional analgesia is usually needed for acute pain
- BHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given
- CHis methadone should be stopped while he is in hospital
- DHe should get no opioids at all, because of his history
8.むずかしい
A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?
- ATell her loudly in front of everyone that she must stop
- BCall security to remove her from the ward
- CCalmly cover her and guide her to her room or a quiet area
- DAsk the other patients to ignore her and carry on
解答
- 1. A · Abstract thinking
- 2. D · Cholinesterase inhibitors
- 3. C · 数週間(多くは約 4~6 週間、またはそれ以上)
- 4. B · Calmly say that the comments are not acceptable and redirect him
- 5. C · It is a partial agonist at dopamine D2 receptors
- 6. D · 重い皮膚反応の始まりかもしれないため、速やかに報告する
- 7. A · His usual methadone should continue, and additional analgesia is usually needed for acute pain
- 8. C · Calmly cover her and guide her to her room or a quiet area
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。