1.やさしい
Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?
- AHair loss
- BSevere constipation
- CExcessive hunger
- DSexual dysfunction
2.やさしい
A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?
- AFlat
- BLabile
- CCongruent
- DBlunted
3.やさしい
Which level of anxiety involves disorganised thinking, an inability to communicate clearly and possible loss of contact with reality?
- ANormal everyday anxiety
- BMild anxiety
- CModerate anxiety
- DPanic
4.ふつう
A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?
- A"Everyone here knows you well, so don't worry."
- B"Why do you think the doctor is wrong about you?"
- C"The doctor is very experienced, so you should trust her."
- D"You feel that people here don't really know you?"
5.ふつう
A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?
- AAsk her to describe the traumatic event in as much detail as she can
- BLeave her alone until the episode has passed on its own
- CAsk her to name things she can see, hear and touch in the room right now
- DAsk her to close her eyes and think back to the worst moment of the trauma
6.ふつう
Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?
- AChange the rules for this patient to avoid conflict
- BGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
- CState the rule and the consequence clearly, and make sure all staff apply it consistently
- DLet each nurse decide on the day whether to apply the rules
7.むずかしい
A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?
- AThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
- BThiamine quickly lowers the blood alcohol level
- CThiamine prevents all alcohol withdrawal seizures
- DWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
8.むずかしい
意思決定能力のある患者が、ECT のコースに同意書を提出しました。2 回の施行後、彼女は中止したいと言います。正しいのはどれですか?
- A彼女はいつでも同意を撤回でき、その決定は尊重されてチームに報告されなければならない
- B署名した同意は最初の施行後に拘束力をもつので、合意したコースを完了しなければならない
- C家族が同意した場合にのみ中止できる
- D一度署名したら、コースを完了しなければならない
解答
- 1. D · Sexual dysfunction
- 2. B · Labile
- 3. D · Panic
- 4. D · "You feel that people here don't really know you?"
- 5. C · Ask her to name things she can see, hear and touch in the room right now
- 6. C · State the rule and the consequence clearly, and make sure all staff apply it consistently
- 7. D · Wernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- 8. A · 彼女はいつでも同意を撤回でき、その決定は尊重されてチームに報告されなければならない
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