1.やさしい
Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?
- AExcessive hunger
- BSevere constipation
- CSexual dysfunction
- DHair loss
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
- BExploring
- CSummarising
- DFocusing
3.やさしい
Which nurse response is an example of giving advice, a non-therapeutic technique?
- A"How do you feel about leaving him?"
- B"Tell me more about your relationship."
- C"What options have you thought about?"
- D"If I were you, I would leave him."
4.ふつう
患者のリチウム濃度を測定するための採血は、いつ行うべきですか?
- A朝の服用の直後
- B最後の服用の約 12 時間後
- C違いはないので、1 日のうちいつでもよい
- D最後の服用の 1 時間後
5.ふつう
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
- ASit on the edge of the bed for a moment and then stand up slowly
- BDrink a cup of strong coffee before getting out of bed each morning
- CStop the medicine if the dizziness happens more than once
- DGet up quickly to get the blood flowing to the brain
6.ふつう
A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?
- A"Why do you want to buy the hospital?"
- B"That's wonderful. When will you start?"
- C"You know that isn't true at all."
- D"That sounds hard to believe."
7.むずかしい
The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?
- AFamily psychoeducation and help to communicate with less criticism
- BDischarge him to live alone in a flat, without any support from his family or the team
- CTell the parents that they caused his illness
- DAdvise the parents to stop all contact with their son
8.むずかしい
セロトニン症候群と悪性症候群を区別するのに最も役立つ所見はどれですか?
- A発熱があるのはセロトニン症候群だけである
- B錯乱は悪性症候群にしか起こらず、セロトニン症候群には起こらない
- C急速な発症を伴う腱反射亢進とクローヌスは、セロトニン症候群を示唆する
- D発汗があるのは悪性症候群だけである
解答
- 1. C · Sexual dysfunction
- 2. C · Summarising
- 3. D · "If I were you, I would leave him."
- 4. B · 最後の服用の約 12 時間後
- 5. A · Sit on the edge of the bed for a moment and then stand up slowly
- 6. D · "That sounds hard to believe."
- 7. A · Family psychoeducation and help to communicate with less criticism
- 8. C · 急速な発症を伴う腱反射亢進とクローヌスは、セロトニン症候群を示唆する
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