1.やさしい
In behaviour therapy, what is negative reinforcement?
- ATaking away something unpleasant after a behaviour, which makes it more likely
- BAdding a reward after a behaviour so that it happens more often
- CPunishing a behaviour with an unpleasant consequence so that it becomes less likely
- DIgnoring a behaviour so that it slowly disappears over time
2.やさしい
After shouting at his partner, a man buys her flowers and cooks her a special dinner to "make it go away". Which defence mechanism is this?
- AUndoing
- BDenial
- CSublimation
- DProjection
3.やさしい
In DSM-5, gambling disorder is grouped with which category of disorders?
- APersonality disorders in Cluster B
- BSubstance-related and addictive disorders
- CNeurocognitive disorders such as dementia
- DAnxiety disorders and phobias
4.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?
- AAbout 2–3 weeks after the last drink
- BWithin 5 minutes of the last drink
- CAbout 6–24 hours after the last drink
- DOnly after 7 days without alcohol
5.ふつう
A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?
- APica; poisoning such as lead toxicity, or bowel obstruction
- BAnorexia; dangerously low body weight and bradycardia
- CBulimia; severe hypokalaemia from vomiting
- DARFID; the risk of choking on food
6.ふつう
According to DSM-5, how long must signs of the disturbance last before schizophrenia can be diagnosed?
- AAt least 2 years, including 6 months of active symptoms
- BAt least 2 weeks of continuous symptoms
- CAt least 1 month, with no further time required
- DAt least 6 months, including at least 1 month of active symptoms
7.むずかしい
A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?
- AReassure him that young people do not have heart problems
- BTreat it as a possible heart attack, with an urgent ECG and medical review
- CGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
- DLet him rest, because the pain will pass when the drug wears off
8.むずかしい
患者が、声が同室者を傷つけろと言っていると話します。看護師が最初にすべきことは何ですか?
- A理由を誰にも告げずに、同室者を移動させる
- B声が何を言っているか、従わなければならないと感じているかをさらに尋ね、他の人の安全を確保する
- C統合失調症では命令幻聴がよくあり、患者が実行することはまれなので、無視する
- D声は現実ではないと伝えて立ち去る
解答
- 1. A · Taking away something unpleasant after a behaviour, which makes it more likely
- 2. A · Undoing
- 3. B · Substance-related and addictive disorders
- 4. C · About 6–24 hours after the last drink
- 5. A · Pica; poisoning such as lead toxicity, or bowel obstruction
- 6. D · At least 6 months, including at least 1 month of active symptoms
- 7. B · Treat it as a possible heart attack, with an urgent ECG and medical review
- 8. B · 声が何を言っているか、従わなければならないと感じているかをさらに尋ね、他の人の安全を確保する
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