1.やさしい
Which feature is typical of Korsakoff syndrome?
- ASevere memory loss with confabulation
- BA flapping tremor of the hands caused by liver failure
- CFever, rigidity and a high creatine kinase
- DPinpoint pupils and slow breathing
2.やさしい
A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?
- A"Tell me what it has been like since she died."
- B"Losing your wife must have been very hard for you."
- C"Everybody feels that way sometimes. You'll get over it."
- D"It sounds very lonely without her."
3.やさしい
がんと診断されたばかりの患者が「検査結果は間違いに違いない。私は元気です」と言います。これはどの防衛機制ですか?
- A昇華
- B置き換え
- C投影
- D否認
4.ふつう
電気けいれん療法(ECT)のあとに予想される、一時的な影響はどれですか?
- A数か月間の言葉の喪失
- B治療の前後の短期間の錯乱と記憶障害
- C治療前のすべての長期記憶の永続的な喪失
- D下肢の麻痺
5.ふつう
A patient who drinks heavily every day was admitted this morning. When do early signs of alcohol withdrawal, such as tremor, sweating and anxiety, usually begin?
- AWithin 5 minutes of the last drink
- BAbout 2–3 weeks after the last drink
- COnly after 7 days without alcohol
- DAbout 6–24 hours after the last drink
6.ふつう
オピオイド離脱に典型的な徴候はどれですか?
- A深い眠りと便秘
- B最後の服用から 1 日以内の、高熱、鉛管様の筋強剛、錯乱
- C縮瞳と遅い呼吸
- Dあくび、鼻水、散瞳、鳥肌、下痢
7.むずかしい
The daughter of a man with moderate dementia says she is exhausted, is not sleeping and feels guilty for getting angry with him. What is the most helpful nursing response?
- ASuggest that she stops visiting him for a few months so that she can rest and forget about her guilt
- BAcknowledge her strain and discuss support such as respite care and carers' groups
- CAdvise her to take on more responsibility for his care so that she feels less guilty
- DTell her that good daughters do not get angry with their parents
8.むずかしい
A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?
- AHold your breath for as long as possible while lying completely still on the floor
- BDo the exercise only during a panic attack, never at other times
- CTense all your muscles at once and keep them tight for 10 minutes
- DTense each muscle group in turn for a few seconds, then let go and notice the difference
解答
- 1. A · Severe memory loss with confabulation
- 2. C · "Everybody feels that way sometimes. You'll get over it."
- 3. D · 否認
- 4. B · 治療の前後の短期間の錯乱と記憶障害
- 5. D · About 6–24 hours after the last drink
- 6. D · あくび、鼻水、散瞳、鳥肌、下痢
- 7. B · Acknowledge her strain and discuss support such as respite care and carers' groups
- 8. D · Tense each muscle group in turn for a few seconds, then let go and notice the difference
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