1.やさしい
In which position is the patient's head lower than their feet?
- ASims' position
- BSemi-Fowler's position
- CTrendelenburg position
- DLithotomy position
2.やさしい
What is the main reason patients are kept nil by mouth before a general anaesthetic?
- ATo lower the blood pressure during the operation
- BTo make the patient lose weight before surgery
- CTo make the anaesthetic drugs taste better
- DTo reduce the risk of inhaling stomach contents
3.やさしい
What does "dysuria" mean?
- ALeaking urine when coughing
- BWaking at night to pass urine
- CPain or burning when passing urine
- DBlood in the urine, making it pink
4.ふつう
A nurse posts about an "interesting patient" on social media without naming them. Why is this a problem?
- AIt is only a problem if the post also includes a photograph of the patient
- BIt is not a problem because no name was given
- CThe patient may still be identifiable, which breaches confidentiality
- DIt is not a problem if the account is private
5.ふつう
MUST(Malnutrition Universal Screening Tool)は何を評価しますか?
- A転倒のリスク
- B痛みのレベル
- C嚥下能力
- D低栄養のリスク
6.ふつう
進行した認知症の患者は自分の痛みを表現できません。痛みはどのように評価すべきですか?
- A0~10 の数値評価スケールだけを使って
- B面会者に痛みの点数を推測してもらって
- C患者が訴えたり助けを呼んだりしない限り、痛みはないとみなして
- D表情などの行動を点数化する観察式の疼痛評価ツールで
7.むずかしい
看護師が使用済みの針で針刺し事故を起こしました。正しい最初の行動は?
- A血を取り除くために傷を吸う
- Bブラシとアルコールでその部位を強くこすり、勤務の終わりに報告する
- C勤務を終えて翌日報告する
- D自然に出血させ、石けんと流水で洗い、至急報告する
8.むずかしい
Under the Mental Capacity Act 2005 (England and Wales), a patient with capacity makes a decision staff think is unwise. What follows?
- AAn unwise decision alone does not mean the person lacks capacity
- BThe family must be asked to make the decision instead
- CAn unwise decision on its own proves that the person lacks capacity
- DStaff may override any decision they think is unwise
解答
- 1. C · Trendelenburg position
- 2. D · To reduce the risk of inhaling stomach contents
- 3. C · Pain or burning when passing urine
- 4. C · The patient may still be identifiable, which breaches confidentiality
- 5. D · 低栄養のリスク
- 6. D · 表情などの行動を点数化する観察式の疼痛評価ツールで
- 7. D · 自然に出血させ、石けんと流水で洗い、至急報告する
- 8. A · An unwise decision alone does not mean the person lacks capacity
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