1.やさしい
A patient believes that the newsreader on television is sending him personal messages. What is this called?
- AA somatic delusion
- BAn illusion
- CAn idea of reference
- DThought insertion
2.やさしい
In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?
- AWithin 3 days
- BOnly after 2 years
- COnly after 1 year
- DWithin 3 months
3.やさしい
A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?
- AProjection
- BRationalisation
- CIdentification
- DSuppression
4.ふつう
A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?
- ALow thyroid hormone
- BRaised prolactin
- CRaised blood calcium
- DLow blood sodium
5.ふつう
Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?
- AState the rule and the consequence clearly, and make sure all staff apply it consistently
- BGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
- CChange the rules for this patient to avoid conflict
- DLet each nurse decide on the day whether to apply the rules
6.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?
- ABulimia; severe hypokalaemia from vomiting
- BAnorexia; dangerously low body weight and bradycardia
- CPica; poisoning such as lead toxicity, or bowel obstruction
- DARFID; the risk of choking on food
7.むずかしい
According to DSM-5, which childhood condition is a requirement for a later diagnosis of antisocial personality disorder?
- AAutism spectrum disorder diagnosed before school age
- BEvidence of conduct disorder starting before age 15
- CA diagnosis of ADHD before age 7
- DSeparation anxiety disorder in early childhood
8.むずかしい
A patient's mood changes several times a day, usually after conflicts with others. She has chronic feelings of emptiness and a strong fear of being abandoned. Which diagnosis is most likely?
- ABorderline personality disorder
- BBipolar I disorder
- CPersistent depressive disorder
- DSchizoid personality disorder with low mood
解答
- 1. C · An idea of reference
- 2. D · Within 3 months
- 3. C · Identification
- 4. B · Raised prolactin
- 5. A · State the rule and the consequence clearly, and make sure all staff apply it consistently
- 6. C · Pica; poisoning such as lead toxicity, or bowel obstruction
- 7. B · Evidence of conduct disorder starting before age 15
- 8. A · Borderline personality disorder
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