1.やさしい
The SOLER approach is a guide to which aspect of communication?
- AWriting nursing care plans
- BAssessing the risk of suicide
- CNon-verbal attending behaviour
- DDocumenting patient records accurately
2.やさしい
What is lanugo, which may be seen in severe anorexia nervosa?
- AFine, soft hair that grows on the body as it tries to conserve heat
- BPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
- CThickening of the skin on the knuckles caused by repeated vomiting
- DLoss of tooth enamel caused by repeated contact with stomach acid
3.やさしい
Which pattern of decline is typical of vascular dementia?
- AComplete recovery within a few weeks
- BRapid improvement after starting antipsychotic medicine
- CStepwise, with sudden worsening after each new vascular event
- DVery gradual and steady from the start, without sudden changes
4.ふつう
A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?
- AAsk her to close her eyes and think back to the worst moment of the trauma
- BAsk her to describe the traumatic event in as much detail as she can
- CAsk her to name things she can see, hear and touch in the room right now
- DLeave her alone until the episode has passed on its own
5.ふつう
A veteran with PTSD sits with his back to the wall, scans the room constantly and jumps at every door slam. Which symptom group do these behaviours belong to?
- AChanges in arousal and reactivity
- BDissociative amnesia for the trauma
- CIntrusion symptoms
- DAvoidance
6.ふつう
身体拘束の使用に当てはまる原則はどれですか?
- A記録する必要はない
- B記録し、あとでチームが振り返るなら、忙しい勤務帯での職員の都合で使える
- Cより制限の少ない手段が失敗したときの最後の手段で、綿密に観察し、安全になり次第ただちに解除する
- Dルール違反の罰として使える
7.むずかしい
暴力行為のあと、患者がちょうど身体拘束されたところです。最優先のアセスメントはどれですか?
- A呼吸と循環を、継続的に観察しながら確認する
- B患者が、拘束した理由を理解しているかどうか
- C患者の食事の好み
- D患者が集団活動に戻る準備ができているかどうか
8.むずかしい
The nurse receives handover for four patients. Which patient should she see first?
- AA man with schizophrenia who is asking for his PRN laxative
- BA newly admitted man with depression who says he has given away his dog and written letters to his children
- CA woman with bipolar disorder who wants to talk about her discharge plans for next week
- DA woman with anorexia nervosa who is due to be weighed and have her blood taken in two hours
解答
- 1. C · Non-verbal attending behaviour
- 2. A · Fine, soft hair that grows on the body as it tries to conserve heat
- 3. C · Stepwise, with sudden worsening after each new vascular event
- 4. C · Ask her to name things she can see, hear and touch in the room right now
- 5. A · Changes in arousal and reactivity
- 6. C · より制限の少ない手段が失敗したときの最後の手段で、綿密に観察し、安全になり次第ただちに解除する
- 7. A · 呼吸と循環を、継続的に観察しながら確認する
- 8. B · A newly admitted man with depression who says he has given away his dog and written letters to his children
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。