1.やさしい
Which feature is central to antisocial personality disorder?
- AA pattern of disregard for the rights of others, often without remorse
- BA strong wish for close relationships combined with fear of rejection
- CIntense fear of being abandoned by people close to them
- DOdd beliefs, magical thinking, eccentric dress and unusual perceptual experiences
2.やさしい
抑制と抑圧の違いは何ですか?
- Aどちらも精神病のサインである
- B抑制は意識的で、抑圧は無意識的である
- C抑制は無意識的で、抑圧は意識的である
- Dどちらも常に意識的である
3.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?
- AVoicing doubt
- BSummarising
- CGiving advice
- DRestating
4.ふつう
How should a patient take sublingual buprenorphine-naloxone tablets?
- ALet the tablet dissolve completely under the tongue without chewing or swallowing it
- BSwallow the tablet whole with a large glass of water
- CChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
- DCrush the tablet and mix it with a spoonful of soft food such as yoghurt
5.ふつう
患者が「グリンポトランス」という言葉を使い、それは自分の思考を支配する力のことだと説明します。これは何ですか?
- A言語新作
- B迂遠
- C反響言語
- D音連合
6.ふつう
A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?
- AThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
- BThese are signs of an allergic reaction, so she should never take lithium again
- CThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
- DThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
7.むずかしい
A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?
- AAsking the assistant to help a patient with personal hygiene
- BAsking the assistant to sit with a calm patient during a group art activity and report any concerns
- CAsking the assistant to take routine vital signs of a stable patient
- DAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
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?
- AHis anger may be part of grief, displaced onto staff, so she should not take it personally
- BHe has antisocial personality disorder that was not noticed before
- CHe should be told that his behaviour is unacceptable and that visits will be stopped
- DHe does not care about his wife's death and is using it as an excuse to be rude
解答
- 1. A · A pattern of disregard for the rights of others, often without remorse
- 2. B · 抑制は意識的で、抑圧は無意識的である
- 3. D · Restating
- 4. A · Let the tablet dissolve completely under the tongue without chewing or swallowing it
- 5. A · 言語新作
- 6. C · These are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
- 7. D · Asking the assistant to decide whether a patient needs a second dose of a PRN sedative
- 8. A · His anger may be part of grief, displaced onto staff, so she should not take it personally
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