1.やさしい
統合失調症の陰性症状はどれですか?
- A被害妄想
- B声が聞こえること
- C意欲低下(意欲の欠如)
- Dまとまりのない行動
2.やさしい
What is the main goal of crisis intervention?
- ATo admit every person in crisis to hospital for several months
- BTo help the person return at least to their level of functioning before the crisis
- CTo explore the person's childhood experiences in depth over many years
- DTo change the person's personality so that crises never happen again
3.やさしい
A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?
- AWait until there is clear proof before telling anyone
- BInvestigate the family alone at home before reporting
- CConfront the parents and ask them directly whether they hurt the child
- DReport the concern according to child protection procedures
4.ふつう
How may depression present differently in adolescents than in adults?
- AAlways with psychotic symptoms
- BWith increased energy and less need for sleep
- CWith irritability rather than obvious sadness
- DWith a high fever and a rash
5.ふつう
What is the CIWA-Ar scale used for?
- AMeasuring the risk of falls in hospital
- BRating the severity of alcohol withdrawal to guide treatment
- CMeasuring the depth of sedation in patients on a ventilator in intensive care
- DScreening for dementia in older adults
6.ふつう
精神状態の評価で、「病識」では何を評価しますか?
- A患者の話す速さ
- B患者が、金銭、食事、セルフケアについて、安全な日常的決定を下せるかどうか
- C患者の時間と場所の見当識
- D患者が自分に精神面の問題があり、助けが必要だと理解しているかどうか
7.むずかしい
A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?
- ASay nothing, because one dose will not cause harm
- BFill in an incident report before checking the patient
- CAssess the patient, including his vital signs and level of sedation
- DGive the patient his own prescribed medicine as well, to stay on schedule
8.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?
- AAcknowledge her strain and discuss support such as respite care and carers' groups
- BTell her that good daughters do not get angry with their parents
- CSuggest that she stops visiting him for a few months so that she can rest and forget about her guilt
- DAdvise her to take on more responsibility for his care so that she feels less guilty
解答
- 1. C · 意欲低下(意欲の欠如)
- 2. B · To help the person return at least to their level of functioning before the crisis
- 3. D · Report the concern according to child protection procedures
- 4. C · With irritability rather than obvious sadness
- 5. B · Rating the severity of alcohol withdrawal to guide treatment
- 6. D · 患者が自分に精神面の問題があり、助けが必要だと理解しているかどうか
- 7. C · Assess the patient, including his vital signs and level of sedation
- 8. A · Acknowledge her strain and discuss support such as respite care and carers' groups
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