1.やさしい
Which sequence shows the five stages of grief described by Kübler-Ross?
- AAnger, denial, acceptance, bargaining, depression
- BAcceptance, bargaining, anger, depression, denial
- CShock, guilt, hope, sadness, recovery
- DDenial, anger, bargaining, depression, acceptance
2.やさしい
Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?
- AAlzheimer's disease
- BBorderline personality disorder
- CSchizophrenia
- DAttention-deficit hyperactivity disorder
3.やさしい
A woman would like friends but avoids social situations because she is very afraid of rejection and criticism. Which personality disorder does this suggest?
- AAntisocial
- BSchizoid
- CNarcissistic
- DAvoidant
4.ふつう
Which US legal case is associated with the duty of mental health professionals to protect people who are threatened by a patient?
- ABrown v Board of Education
- BMiranda v Arizona
- CRoe v Wade
- DTarasoff v Regents of the University of California
5.ふつう
A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?
- AAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
- BArrange for only the senior doctor to see him from now on
- CTell him that he is not as important as he thinks he is
- DRespond respectfully but firmly, and keep the same expectations as for other patients
6.ふつう
三環系抗うつ薬が過量服用で特に危険なのはなぜですか?
- A過量服用では何の作用もないため
- B軽い眠気しか起こさないため
- C致死的な不整脈とけいれんを起こしうるため
- D血圧をわずかに下げるだけで、治療がほとんど必要ないため
7.むずかしい
A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?
- ARefer him straight to a residential detox programme
- BDiscuss detailed strategies to prevent a relapse after he has stopped drinking
- COffer non-judgemental information and explore how drinking affects his life
- DHelp him set a quit date for next week
8.むずかしい
Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?
- AIt means she has delirium and needs urgent tests
- BIt proves she has severe major depression with psychosis
- CIt is a sign of schizophrenia that needs antipsychotic medicine
- DBrief experiences like this can be part of normal grief
解答
- 1. D · Denial, anger, bargaining, depression, acceptance
- 2. B · Borderline personality disorder
- 3. D · Avoidant
- 4. D · Tarasoff v Regents of the University of California
- 5. D · Respond respectfully but firmly, and keep the same expectations as for other patients
- 6. C · 致死的な不整脈とけいれんを起こしうるため
- 7. C · Offer non-judgemental information and explore how drinking affects his life
- 8. D · Brief experiences like this can be part of normal grief
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