1.やさしい
A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?
- AReflecting feelings
- BSeeking clarification
- COffering self
- DGiving recognition
2.やさしい
What is hoarding disorder?
- ARepeated checking that all the doors and windows are locked before leaving the house each day
- BFear of leaving the home because of crowds and public transport
- CPersistent difficulty throwing things away, so that clutter fills the living space
- DCollecting a few favourite objects as a hobby that the person enjoys
3.やさしい
In Freud's theory of personality, what is the role of the ego?
- ATo act as the moral conscience that creates guilt
- BTo store all forgotten memories from childhood
- CTo balance the demands of the id, the superego and reality
- DTo seek immediate pleasure regardless of the consequences
4.ふつう
A woman calls the emergency department after a sexual assault an hour ago. What advice helps to preserve forensic evidence?
- APut all clothing in a sealed plastic bag
- BWait a few days at home until she feels ready to talk before seeking any medical care or forensic examination
- CAvoid showering or changing clothes, and bring any clothing already removed in a paper bag
- DShower and wash her clothes before coming in, so she feels cleaner
5.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?
- ASSRI を同じ日に開始する
- B開始時に SSRI の用量を 2 倍にする
- CSSRI を始める前の、約 2 週間のウォッシュアウト期間
- D両方の薬を 1 か月間一緒に服用する
6.ふつう
What does the Mini-Cog screening test for cognitive impairment involve?
- ARecall of three words and a clock-drawing task
- BA 30-minute brain scan
- CMeasuring the level of alcohol in the blood
- DA questionnaire about mood over the past 2 weeks
7.むずかしい
A patient who is detained under mental health legislation refuses his prescribed oral antipsychotic. What is the correct general principle?
- ATreatment without consent is lawful only under the conditions and procedures set by the law
- BThe refusal must always be accepted, even if the law allows treatment without consent
- CDetained patients have no right to refuse any treatment at all
- DThe nurse may hide the medicine in his food without any further process
8.むずかしい
While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?
- ARecognise that anxiety spreads between people, and calm herself first
- BIgnore her own reaction, because the nurse's feelings do not matter in patient care
- CLeave the patient immediately and not return
- DMatch the patient's level of anxiety to show empathy
解答
- 1. B · Seeking clarification
- 2. C · Persistent difficulty throwing things away, so that clutter fills the living space
- 3. C · To balance the demands of the id, the superego and reality
- 4. C · Avoid showering or changing clothes, and bring any clothing already removed in a paper bag
- 5. C · SSRI を始める前の、約 2 週間のウォッシュアウト期間
- 6. A · Recall of three words and a clock-drawing task
- 7. A · Treatment without consent is lawful only under the conditions and procedures set by the law
- 8. A · Recognise that anxiety spreads between people, and calm herself first
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