1.やさしい
Which sequence shows the five stages of grief described by Kübler-Ross?
- AShock, guilt, hope, sadness, recovery
- BDenial, anger, bargaining, depression, acceptance
- CAnger, denial, acceptance, bargaining, depression
- DAcceptance, bargaining, anger, depression, denial
2.やさしい
At which level of anxiety is a person most able to learn and solve problems?
- ASevere anxiety
- BModerate anxiety
- CPanic
- DMild anxiety
3.やさしい
Which advice is part of good sleep hygiene?
- AHave a large meal and a strong coffee just before going to bed
- BGet up at the same time each day and avoid caffeine later in the day
- CUse a phone or tablet in bed until you feel tired enough to sleep
- DTake long naps in the afternoon to make up for any lost sleep at night
4.ふつう
What is the PHQ-9 used for?
- AMonitoring involuntary movements caused by antipsychotics
- BScreening for depression and measuring its severity
- CAssessing the severity of alcohol withdrawal
- DScreening for alcohol problems
5.ふつう
A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?
- A"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
- B"Of course not. Only crazy people would ask that."
- C"Yes, but you're in the right place now."
- D"You seem worried about what being here means. Can you tell me more?"
6.ふつう
A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?
- A"I'll tell any new doctor or dentist that I take an MAOI."
- B"I can take any cold and flu remedy from the pharmacy."
- C"A sudden severe headache is a reason to get help straight away."
- D"I'll avoid aged cheese and cured meats."
7.むずかしい
A patient in a catatonic stupor has not eaten or drunk anything for 24 hours and does not respond to speech. What is the priority nursing concern?
- AExploring the meaning of his silence with open questions
- BFluid and nutritional intake, and other physical needs
- CTeaching him about his medicines
- DEncouraging him to join group therapy
8.むずかしい
A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?
- AAsk the doctor to order new tests every time she reports a symptom
- BStop answering her calls, because the symptoms are imaginary
- CTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
- DArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
解答
- 1. B · Denial, anger, bargaining, depression, acceptance
- 2. D · Mild anxiety
- 3. B · Get up at the same time each day and avoid caffeine later in the day
- 4. B · Screening for depression and measuring its severity
- 5. D · "You seem worried about what being here means. Can you tell me more?"
- 6. B · "I can take any cold and flu remedy from the pharmacy."
- 7. B · Fluid and nutritional intake, and other physical needs
- 8. D · Arrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
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