1.やさしい
What is a safety plan in suicide prevention?
- AA plan that the nurse writes alone and keeps from the patient
- BA legal document in which the patient promises never to harm themselves
- CA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
- DA hospital rule that all patients must stay in their rooms after dark
2.やさしい
Near the end of a conversation, the nurse says, "Today we talked about your sleep, your worries about work and your plan to call your sister." Which technique is this?
- ARestating
- BSummarising
- CFocusing
- DExploring
3.やさしい
遅発性ジスキネジアとは何ですか?
- A筋強剛を伴う高熱
- B初回投与から数時間または数日以内に起こる、首、舌、眼の突然の痛みを伴う筋けいれん
- C最初の数日間にみられる、落ち着きのなさとじっと座っていられないこと
- D長期の抗精神病薬の使用後に、口、舌、顔に起こることが多い不随意運動
4.ふつう
患者が MAOI から SSRI に切り替えます。不可欠なことは何ですか?
- A両方の薬を 1 か月間一緒に服用する
- B開始時に SSRI の用量を 2 倍にする
- CSSRI を同じ日に開始する
- DSSRI を始める前の、約 2 週間のウォッシュアウト期間
5.ふつう
Which statement about benzodiazepines in anxiety disorders is correct?
- AThey give rapid relief but are generally used only short-term because of tolerance and dependence
- BThey are the preferred long-term treatment for generalised anxiety disorder
- CThey take 4–6 weeks to have any effect on anxiety, like antidepressants
- DThey are safe to stop suddenly after many months of daily use
6.ふつう
What must a patient be told for consent to a new psychotropic medicine to be valid?
- AOnly the name of the medicine and the time of day it will be given
- BNothing at all, because psychiatric patients cannot give consent
- CThe expected benefits, the main risks and the alternatives, including no treatment
- DOnly the benefits, so that the patient is not frightened by the side effects
7.むずかしい
A patient asks, "Do you think I should divorce my husband?" Which response best supports the patient's autonomy?
- A"What are your thoughts about the options you have?"
- B"No, divorce would only make things worse for you."
- C"Yes, I think you'd be happier without him."
- D"You should ask your doctor what to do about it."
8.むずかしい
クロザピンを服用している患者に、体温 38.5 °C とのどの痛みがあります。優先すべきことは何ですか?
- Aパラセタモールを与え、クロザピンを通常どおり続ける
- B次の服用の前に、好中球を含む全血球計算を確認できるよう、緊急に報告する
- C次の定期的な血液検査まで待つ
- Dおそらく普通の風邪だと伝え、水分摂取を勧め、クロザピンを通常どおり続ける
解答
- 1. C · A written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
- 2. B · Summarising
- 3. D · 長期の抗精神病薬の使用後に、口、舌、顔に起こることが多い不随意運動
- 4. D · SSRI を始める前の、約 2 週間のウォッシュアウト期間
- 5. A · They give rapid relief but are generally used only short-term because of tolerance and dependence
- 6. C · The expected benefits, the main risks and the alternatives, including no treatment
- 7. A · "What are your thoughts about the options you have?"
- 8. B · 次の服用の前に、好中球を含む全血球計算を確認できるよう、緊急に報告する
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