1.やさしい
シムス位はどれですか?
- A腕を体の脇に置いて、仰向けに平らに寝る
- Bすねの下に枕を入れたうつ伏せ
- C左側臥位で、上側の膝を胸のほうへ曲げる
- D約 90° の直立座位
2.やさしい
Why are warm applications especially risky for older residents?
- ATheir thin skin may not sense heat well, so they burn easily
- BThey always feel heat more strongly than younger adults
- CWarm applications have no effect on older skin
- DTheir skin is thicker than younger skin and does not let heat in
3.やさしい
What is aspiration?
- ACoughing up mucus from the lungs
- BBreathing food, fluid or vomit into the lungs
- CSwallowing air while eating quickly
- DVomiting shortly after a meal
4.ふつう
How should a portable oxygen cylinder be stored?
- AUpright and secured in a holder so it cannot fall
- BLeaning against the wall without support
- CNext to a heater to keep it warm
- DLying flat on the floor next to the bed so it cannot tip
5.ふつう
介護助手と一緒に歩いている利用者が転倒しそうになりました。介護助手はどうすべきですか?
- A何としても利用者を立ったまま支えようとする
- B足を広げて構え、移乗ベルトを持ち、ゆっくり床へ誘導する
- C利用者の脇の下をつかみ、すばやく立位に引き戻す
- Dけがをしないよう、手を離して後ろに下がる
6.ふつう
A resident's family brings a handmade quilt from home. What should the nursing assistant do?
- AGive it to the laundry for use by all residents
- BPut it in storage so that it does not get dirty or lost
- CTell the family that personal items are not allowed
- DWelcome it, add it to the belongings list and label it
7.むずかしい
A resident who fell last month refuses to walk with the nursing assistant, saying she is afraid. What is the best response?
- AAccept her fear, explain the safety steps and tell the nurse
- BTell her she must walk now, because walking is written in her care plan
- CTell her she will never walk again if she refuses
- DLet her stay in bed and say nothing to anyone
8.むずかしい
体位変換のあと 30 分たっても、利用者のかかとが赤いままで、軽く押しても赤みが消えません。介護助手はどうすべきですか?
- Aかかとへの圧迫を取り除き、看護師に報告する
- Bかかとの下にドーナツ型クッションを置く
- C血流をよくするため、赤い部分を強くマッサージする
- Dかかとに温湿布を当てる
解答
- 1. C · 左側臥位で、上側の膝を胸のほうへ曲げる
- 2. A · Their thin skin may not sense heat well, so they burn easily
- 3. B · Breathing food, fluid or vomit into the lungs
- 4. A · Upright and secured in a holder so it cannot fall
- 5. B · 足を広げて構え、移乗ベルトを持ち、ゆっくり床へ誘導する
- 6. D · Welcome it, add it to the belongings list and label it
- 7. A · Accept her fear, explain the safety steps and tell the nurse
- 8. A · かかとへの圧迫を取り除き、看護師に報告する
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