1.やさしい
妄想とは何ですか?
- A現実の問題に対する短時間の妥当な心配で、安心させると和らぐもの
- B刺激のない知覚
- C一時的な記憶の喪失
- Dその人の文化で共有されておらず、証拠によって変わらない、固定した誤った信念
2.やさしい
A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?
- APersonalisation
- BCatastrophising
- CAll-or-nothing thinking
- DEmotional reasoning
3.やさしい
Which medicine is commonly used to treat antipsychotic-induced akathisia?
- ALithium
- BBupropion
- CPropranolol
- DHaloperidol
4.ふつう
A man with few physical symptoms is convinced he has cancer, checks his body many times a day and is not reassured by normal test results. According to DSM-5, which disorder does this suggest?
- AConversion disorder
- BSomatic symptom disorder
- CIllness anxiety disorder
- DFactitious disorder
5.ふつう
電気けいれん療法(ECT)のあとに予想される、一時的な影響はどれですか?
- A治療の前後の短期間の錯乱と記憶障害
- B数か月間の言葉の喪失
- C下肢の麻痺
- D治療前のすべての長期記憶の永続的な喪失
6.ふつう
Which communication approach is best for a patient with moderate dementia?
- AUse short, simple sentences and give one instruction at a time
- BSpeak loudly and quickly so that the patient stays alert
- CAsk several questions together to save time
- DUse abstract language and long explanations so the patient feels respected
7.むずかしい
A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?
- AGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine
- BSay nothing, because it is not her responsibility
- CReport the concern immediately to the nurse in charge, following policy, to protect patients
- DWait until the end of the shift, then talk privately with the colleague
8.むずかしい
A patient with depression answers every question with one or two words and looks at the floor. Which approach is most helpful?
- AAsk several open questions in quick succession to keep the conversation going
- BUse simple statements, allow extra time for answers and stay with the patient even in silence
- CEncourage him to cheer up and think about the good things in his life
- DEnd the conversation quickly, because the patient clearly does not want to talk
解答
- 1. D · その人の文化で共有されておらず、証拠によって変わらない、固定した誤った信念
- 2. A · Personalisation
- 3. C · Propranolol
- 4. C · Illness anxiety disorder
- 5. A · 治療の前後の短期間の錯乱と記憶障害
- 6. A · Use short, simple sentences and give one instruction at a time
- 7. C · Report the concern immediately to the nurse in charge, following policy, to protect patients
- 8. B · Use simple statements, allow extra time for answers and stay with the patient even in silence
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