1.やさしい
What is conversion disorder (functional neurological symptom disorder)?
- ADeliberately faking symptoms to get money or avoid work
- BNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
- CA condition in which the person has two or more distinct identities, with gaps in memory between them
- DA belief that one has a serious illness without having any symptoms
2.やさしい
A patient repeats the nurse's words exactly: Nurse: "How are you today?" Patient: "How are you today?" What is this called?
- AConfabulation
- BEcholalia
- CEchopraxia
- DNeologism
3.やさしい
At which level of anxiety is a person most able to learn and solve problems?
- AModerate anxiety
- BMild anxiety
- CSevere anxiety
- DPanic
4.ふつう
Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?
- AShuffling gait, mask-like face, rigidity and a resting tremor
- BSudden muscle spasm of the neck with the eyes rolled upwards
- CLip smacking, tongue thrusting and grimacing after years of treatment
- DRestless pacing and an inability to sit still
5.ふつう
Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?
- AIt causes permanent memory loss after a single dose
- BIt makes the benzodiazepine effect much stronger
- CIt causes a dangerous rise in blood sugar
- DIt can cause sudden withdrawal and seizures
6.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
- BOnly after 7 days without alcohol
- CAbout 2–3 weeks after the last drink
- DAbout 6–24 hours after the last drink
7.むずかしい
パニック障害と診断されている患者が、胸痛と呼吸困難を訴えています。看護師が最初にすべきことは何ですか？
- Aパニック障害ではいつもおさまるのだから、紙袋の中でゆっくり呼吸するよう頼み、おさまるまでそっとしておく
- Bパニックと決めつける前に、バイタルサインを含めて身体的にアセスメントし、方針に従って心電図を記録する
- Cただのパニック発作だと伝える
- D認知の再構成について講義をする
8.むずかしい
MAOI を服用中の患者が、パーティーから戻ると、後頭部の激しい頭痛、首のこわばり、動悸を訴えます。看護師が最初にすべきことは何ですか？
- A血圧を測定し、処方者に緊急に連絡する
- B頭痛のために濃いコーヒーを 1 杯与える
- C横になって寝てやり過ごすよう助言する
- D次の MAOI の服用を早めて与える
解答
- 1. B · Neurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
- 2. B · Echolalia
- 3. B · Mild anxiety
- 4. A · Shuffling gait, mask-like face, rigidity and a resting tremor
- 5. D · It can cause sudden withdrawal and seizures
- 6. D · About 6–24 hours after the last drink
- 7. B · パニックと決めつける前に、バイタルサインを含めて身体的にアセスメントし、方針に従って心電図を記録する
- 8. A · 血圧を測定し、処方者に緊急に連絡する
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