1.やさしい
A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?
- AAvoidant
- BSchizoid
- CHistrionic
- DParanoid
2.やさしい
Which signs suggest acute cocaine intoxication?
- ARed eyes, increased appetite, dry mouth and slowed reactions
- BPinpoint pupils, slow breathing and drowsiness
- CSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
- DDilated pupils, a fast heart rate and high blood pressure
3.やさしい
抗コリン性の副作用はどれですか?
- A下痢、発汗、流涙、唾液分泌の増加
- B口渇、便秘、尿閉、霧視
- C高熱と発疹
- D低血糖と体重減少
4.ふつう
A patient with dependent personality disorder asks the nurse to choose her clothes and meals every day. What is an appropriate nursing goal?
- AThe patient will avoid contact with others until she feels more confident
- BThe patient will let staff make all her decisions while in hospital
- CThe patient will make small everyday decisions on her own
- DThe patient will move in with a relative who can make decisions for her
5.ふつう
19 歳の患者が抗うつ薬を開始したばかりです。看護師が最初の数週間に特に綿密にモニタリングすべきことは何ですか?
- A脱毛
- B新たな、または悪化する自殺念慮や自殺行動
- C急速な体重増加
- D眼の色の変化
6.ふつう
How does conduct disorder differ from oppositional defiant disorder?
- AThe two disorders are exactly the same and differ only in the age at which they are diagnosed
- BConduct disorder involves violating others' rights, such as cruelty, theft or fire setting
- COppositional defiant disorder includes serious physical aggression towards animals
- DConduct disorder involves only arguing with adults and losing one's temper
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 take routine vital signs of a stable patient
- BAsking the assistant to sit with a calm patient during a group art activity and report any concerns
- CAsking the assistant to help a patient with personal hygiene
- DAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
8.むずかしい
強迫症の患者が、長時間の手洗いの儀式を行い、朝食を逃しました。最初の対応として最もよいのはどれですか?
- A力ずくで儀式を止める
- B儀式が無意味であることを指摘し、朝食の前にすぐやめるよう強く求める
- C儀式の時間を認め、それに合わせて日課を組み、患者とともに徐々に制限していく
- D浴室に鍵をかける
解答
- 1. C · Histrionic
- 2. D · Dilated pupils, a fast heart rate and high blood pressure
- 3. B · 口渇、便秘、尿閉、霧視
- 4. C · The patient will make small everyday decisions on her own
- 5. B · 新たな、または悪化する自殺念慮や自殺行動
- 6. B · Conduct disorder involves violating others' rights, such as cruelty, theft or fire setting
- 7. D · Asking the assistant to decide whether a patient needs a second dose of a PRN sedative
- 8. C · 儀式の時間を認め、それに合わせて日課を組み、患者とともに徐々に制限していく
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