1.やさしい
When asked, "How do you feel today?", a patient answers, "With my hands." What type of thinking does this show?
- ATangential thinking
- BThought blocking
- CConcrete thinking
- DFlight of ideas
2.やさしい
A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?
- AMind reading
- BPersonalisation
- CEmotional reasoning
- DCatastrophising
3.やさしい
Which medicine is commonly used to treat antipsychotic-induced akathisia?
- ABupropion
- BPropranolol
- CLithium
- DHaloperidol
4.ふつう
The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?
- AIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
- BGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
- CGive it just before bedtime so that it works overnight
- DIt causes weight gain, so offer fewer snacks during the day
5.ふつう
患者のリチウム濃度を上昇させる可能性が最も高い薬はどれですか?
- Aオメプラゾール
- Bアモキシシリン
- Cイブプロフェン
- Dパラセタモール(アセトアミノフェン)
6.ふつう
電気けいれん療法(ECT)のあとに予想される、一時的な影響はどれですか?
- A治療前のすべての長期記憶の永続的な喪失
- B数か月間の言葉の喪失
- C治療の前後の短期間の錯乱と記憶障害
- D下肢の麻痺
7.むずかしい
A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?
- AAsking the assistant to help a patient with personal hygiene
- BAsking the assistant to take routine vital signs of a stable patient
- CAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
- DAsking the assistant to sit with a calm patient during a group art activity and report any concerns
8.むずかしい
A resident with dementia accuses staff of stealing her purse, which she has misplaced. What is the most appropriate response?
- AStay calm, acknowledge her worry and offer to help her look for it
- BTell her that her memory is the problem and that the purse is not stolen
- CIgnore the accusation and walk away until she forgets about it
- DInsist that nobody would steal from her
解答
- 1. C · Concrete thinking
- 2. D · Catastrophising
- 3. B · Propranolol
- 4. B · Give it in the morning, and watch for poor appetite, weight loss and trouble sleeping
- 5. C · イブプロフェン
- 6. C · 治療の前後の短期間の錯乱と記憶障害
- 7. C · Asking the assistant to decide whether a patient needs a second dose of a PRN sedative
- 8. A · Stay calm, acknowledge her worry and offer to help her look for it
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