1.やさしい
What is the main difference between bipolar I and bipolar II disorder?
- ABipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
- BBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
- CBipolar I involves only depression; bipolar II involves only mania
- DBipolar II is always more severe than bipolar I
2.やさしい
What is countertransference?
- AThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
- BThe patient's feelings towards the nurse, based on earlier relationships
- CThe patient repeating the nurse's words and gestures without understanding their meaning
- DThe transfer of a patient's care to another nurse at the end of a shift
3.やさしい
転移(転移感情)とは何ですか?
- A患者が、自分の過去の人物に対する感情を、無意識に看護師に向けること
- B看護師の患者に対する感情
- C無意識の不安が、麻痺などの身体症状に変わる防衛機制
- D患者を別の病棟に移すこと
4.ふつう
Which question is the best way to ask a patient about suicidal thoughts?
- A"Things aren't that bad, are they?"
- B"You're not thinking of doing anything silly, are you?"
- C"You wouldn't hurt yourself, would you?"
- D"Are you having thoughts of killing yourself?"
5.ふつう
A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?
- A"What evidence do you have that nobody likes you?"
- B"Why do you care what people at work think?"
- C"You should find a new job where people like you."
- D"I'm sure everybody likes you."
6.ふつう
A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?
- A"That's wonderful. When will you start?"
- B"Why do you want to buy the hospital?"
- C"That sounds hard to believe."
- D"You know that isn't true at all."
7.むずかしい
After her house burned down, a woman developed delusions and disorganised speech. Ten days later the symptoms have gone completely and she is back to normal. Which diagnosis best fits?
- ASchizophreniform disorder
- BDelusional disorder
- CSchizophrenia
- DBrief psychotic disorder
8.むずかしい
A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?
- ADischarge the child quickly so that the parents do not become angry and stop bringing him for medical care
- BAccept the parents' explanation, because babies often fall
- CTell the parents that the nurse knows they are abusing the child
- DReport the concerns through child protection procedures and ensure the child's safety
解答
- 1. A · Bipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
- 2. A · The nurse's emotional reaction to a patient, based on the nurse's own past experiences
- 3. A · 患者が、自分の過去の人物に対する感情を、無意識に看護師に向けること
- 4. D · "Are you having thoughts of killing yourself?"
- 5. A · "What evidence do you have that nobody likes you?"
- 6. C · "That sounds hard to believe."
- 7. D · Brief psychotic disorder
- 8. D · Report the concerns through child protection procedures and ensure the child's safety
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