1.やさしい
What is systematic desensitisation?
- ASudden and prolonged exposure to the most feared situation at once
- BA medicine that reduces anxiety within minutes of being taken
- CTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
- DGradual exposure to a feared situation, step by step, while using relaxation
2.やさしい
A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?
- AAvoidant
- BSchizoid
- CHistrionic
- DParanoid
3.やさしい
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
- AContemplation
- BPreparation
- CMaintenance of change
- DPrecontemplation
4.ふつう
双極性障害でラモトリギンを服用している患者に、新たに発疹が出ました。看護師はどうすべきですか?
- A用量を 2 倍にする
- B発疹はよくあるので、保湿剤を塗り、薬は通常どおり続ける
- C発疹は常に無害なので、無視する
- D重い皮膚反応の始まりかもしれないため、速やかに報告する
5.ふつう
Which action reflects trauma-informed care?
- AAsking the patient to repeat the full trauma story to each new staff member
- BExplaining each procedure in advance and offering choices wherever possible
- CUsing physical restraint early to prevent any loss of control
- DMaking all decisions for the patient so that she does not feel burdened
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
- B記録する必要はない
- Cルール違反の罰として使える
- D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
7.むずかしい
A nurse is teaching a patient who has started haloperidol for schizophrenia. Which statement shows a need for further teaching?
- A"I should tell the nurse if my neck or jaw muscles feel stiff."
- B"I'll avoid alcohol while I'm taking this medicine."
- C"I should get up slowly if I feel dizzy."
- D"I can stop taking it as soon as the voices go away."
8.むずかしい
An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?
- ASupport a gradual, planned return to school with a consistent goodbye routine
- BLet a parent stay with him in class every day for the rest of the year
- CTell him that he is being silly and must go
- DAllow him to stay at home until he wants to go back
解答
- 1. D · Gradual exposure to a feared situation, step by step, while using relaxation
- 2. C · Histrionic
- 3. D · Precontemplation
- 4. D · 重い皮膚反応の始まりかもしれないため、速やかに報告する
- 5. B · Explaining each procedure in advance and offering choices wherever possible
- 6. A · 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. D · "I can stop taking it as soon as the voices go away."
- 8. A · Support a gradual, planned return to school with a consistent goodbye routine
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