1.やさしい
Which measure has good evidence for reducing suicide deaths?
- AAsking the patient to sign a no-suicide contract
- BAvoiding the topic of suicide completely with people at risk
- CGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
- DRestricting access to lethal means, such as firearms or large supplies of medicines
2.やさしい
In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?
- AOnly after 2 years
- BWithin 3 months
- CWithin 3 days
- DOnly after 1 year
3.やさしい
What are the core features of attention-deficit hyperactivity disorder (ADHD)?
- ADelusions, hallucinations and disorganised speech
- BInattention, hyperactivity and impulsivity
- CLow mood, loss of interest and poor sleep
- DObsessions, compulsions and repeated checking
4.ふつう
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
- ADrink a cup of strong coffee before getting out of bed each morning
- BGet up quickly to get the blood flowing to the brain
- CSit on the edge of the bed for a moment and then stand up slowly
- DStop the medicine if the dizziness happens more than once
5.ふつう
A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?
- A"You shouldn't talk to people like that."
- B"You sound very angry. Tell me what has happened."
- C"That's not true. I've helped you all day."
- D"If you speak to me like that, I'm leaving."
6.ふつう
Which measurement should be monitored regularly in a patient taking venlafaxine?
- ABlood pressure
- BSerum lithium level
- CVisual acuity
- DPeak expiratory flow
7.むずかしい
The parent of a child recently diagnosed with autism asks, "Did his vaccines cause this?" What is the most accurate response?
- A"Large studies have found no link between vaccines and autism."
- B"Autism is caused by cold and distant parenting styles in early childhood."
- C"We don't know, so it is best to stop all of his other vaccines."
- D"Yes, the MMR vaccine is a proven cause of autism."
8.むずかしい
A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?
- AGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
- BEncourage him to drink a large glass of wine to settle the symptoms
- CWait for the next routine score in four hours before deciding
- DReduce monitoring, because a higher score on this scale means that his withdrawal is improving
解答
- 1. D · Restricting access to lethal means, such as firearms or large supplies of medicines
- 2. B · Within 3 months
- 3. B · Inattention, hyperactivity and impulsivity
- 4. C · Sit on the edge of the bed for a moment and then stand up slowly
- 5. B · "You sound very angry. Tell me what has happened."
- 6. A · Blood pressure
- 7. A · "Large studies have found no link between vaccines and autism."
- 8. A · Give the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
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