1.やさしい
What is the difference between empathy and sympathy?
- AEmpathy is used only with children and teenagers; sympathy is used only with adult patients
- BEmpathy is feeling sorry for a patient; sympathy is understanding their point of view
- CEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
- DEmpathy and sympathy mean exactly the same thing in nursing
2.やさしい
抑制と抑圧の違いは何ですか?
- A抑制は意識的で、抑圧は無意識的である
- Bどちらも常に意識的である
- C抑制は無意識的で、抑圧は意識的である
- Dどちらも精神病のサインである
3.やさしい
A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?
- ASeeking clarification
- BOffering self
- CReflecting feelings
- DGiving recognition
4.ふつう
Which communication approach is best with a patient who has paranoid personality disorder?
- ATalk about the patient with colleagues in whispers within his sight
- BBe very warm and joke often to put the patient at ease
- CAvoid explaining anything so that the patient does not become suspicious
- DBe clear, honest and business-like, and explain the reasons for actions
5.ふつう
An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?
- AIt raises blood pressure to dangerous levels in older adults
- BIts anticholinergic effects can cause confusion, urine retention and falls
- CIt has no effects at all in people over 80, so it will not help her sleep
- DIt is a strong opioid that causes severe dependence
6.ふつう
The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?
- AThat the patient needs to be transferred to another unit
- BPossible boundary problems that she should discuss in supervision
- CTransference by the patient towards the nurse, which is never the nurse's concern
- DAn ideal therapeutic relationship
7.むずかしい
A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?
- ALet him rest, because the pain will pass when the drug wears off
- BGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
- CTreat it as a possible heart attack, with an urgent ECG and medical review
- DReassure him that young people do not have heart problems
8.むずかしい
After a serious bus accident, the nurse is helping uninjured survivors. Which action reflects psychological first aid?
- AGive every survivor a benzodiazepine at the scene to prevent long-term psychological problems from developing
- BAsk each survivor to describe the accident in full detail straight away
- CProvide safety, comfort and practical help, and connect people with their families and support
- DTell survivors that they will definitely develop PTSD
解答
- 1. C · Empathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
- 2. A · 抑制は意識的で、抑圧は無意識的である
- 3. A · Seeking clarification
- 4. D · Be clear, honest and business-like, and explain the reasons for actions
- 5. B · Its anticholinergic effects can cause confusion, urine retention and falls
- 6. B · Possible boundary problems that she should discuss in supervision
- 7. C · Treat it as a possible heart attack, with an urgent ECG and medical review
- 8. C · Provide safety, comfort and practical help, and connect people with their families and support
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