1.やさしい
What is evidence-based practice?
- ACombining research, clinical expertise and the patient's preferences
- BFollowing whatever the most senior nurse on the ward prefers to do
- CDoing things the way they have always been done on the ward
- DUsing only the information on the drug packet
2.やさしい
意識があり意思疎通ができる成人で、痛みの最も信頼できる指標は何ですか?
- A心拍数
- Bすでに投与した鎮痛薬の量
- C患者自身の訴え
- D患者の表情についての看護師の印象
3.やさしい
What is a healthcare-associated infection?
- AAn infection that develops as a result of care and was not present on admission
- BAn infection that only affects healthcare workers
- CAn infection that the patient already had or was incubating when admitted to hospital
- DAn infection that is passed on only through food
4.ふつう
正看護師が看護助手に業務を委譲します。委譲するという決定に責任を負うのは誰ですか?
- A患者
- B業務を渡したら誰も責任を負わない
- C正看護師
- D看護助手だけ
5.ふつう
Why does long-term immobility increase the risk of kidney stones?
- APatients on bed rest drink too much fluid
- BLying flat makes the kidneys produce extra uric acid
- CThe kidneys stop producing urine during bed rest
- DCalcium released from bone raises the calcium in the urine
6.ふつう
A bedbound patient who has not opened their bowels for a week now has liquid stool leaking constantly. What should the nurse suspect?
- AFaecal impaction with overflow
- BNormal bowel function returning
- CAn infection that needs antidiarrhoeal drugs at once
- DA side effect of drinking too much water
7.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 on its own proves that the person lacks capacity
- BAn unwise decision alone does not mean the person lacks capacity
- CThe family must be asked to make the decision instead
- DStaff may override any decision they think is unwise
8.むずかしい
A patient wants to keep taking St John's wort, a herbal remedy, while in hospital. Why should the nurse tell the prescriber?
- AHerbal remedies are always banned in hospital
- BIt interacts with many medicines and can reduce their effect
- CIt must be swapped for a prescribed antidepressant at once
- DIt has no effects, so it is a waste of time
解答
- 1. A · Combining research, clinical expertise and the patient's preferences
- 2. C · 患者自身の訴え
- 3. A · An infection that develops as a result of care and was not present on admission
- 4. C · 正看護師
- 5. D · Calcium released from bone raises the calcium in the urine
- 6. A · Faecal impaction with overflow
- 7. B · An unwise decision alone does not mean the person lacks capacity
- 8. B · It interacts with many medicines and can reduce their effect
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。