정신건강간호학
방법
- 즉각적인 위험이 있는지 판단하세요: 자살, 폭력, 약물 응급 상황, 신체 질환.
- 안전을 먼저 조치하세요: 관찰하고, 수단을 제거하고, 진정시키고, 해로운 약물을 중단하고, 도움을 요청합니다.
- 치료적 반응을 선택하세요: 감정을 인정하고, 현실을 제시하고, 거짓 안심과 "왜" 질문은 피합니다.
- 권리를 존중하세요: 가장 덜 제한적인 방법, 동의, 그리고 한계가 있는 비밀 보장.
공식 모음, 모든 주제의 핵심 풀이 단계, 연습 문제 6개가 들어 있으며 전체 풀이는 맨 뒤에 있습니다.
A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?
A patient who is detained under mental health legislation refuses his prescribed oral antipsychotic. What is the correct general principle?
범불안장애와 공황장애를 구분하는 특징은 무엇입니까?
진단을 내리기 위해 정해진 질문을 정해진 순서대로 따르는 면담을 무엇이라고 합니까?
Why is aspirin avoided in children and teenagers with viral illnesses such as flu or chickenpox?
A patient who takes clonidine stopped it suddenly two days ago. He is now agitated, has a headache and his blood pressure is very high. What is the most likely explanation?
답: C · "I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
Personal contact outside the therapeutic relationship crosses a professional boundary. The nurse explains the boundary kindly and redirects to appropriate after-discharge support.
답: A · Treatment without consent is lawful only under the conditions and procedures set by the law
Mental health laws allow some treatments for mental disorder without consent in defined circumstances, with safeguards such as second opinions and time limits. Staff must follow these procedures and record them, and should continue to seek the patient's agreement.
답: C · 많은 일상적인 일에 대한 지속적이고 과도한 걱정
범불안장애는 다양한 주제에 대해 통제하기 어려운 걱정이 최소 6개월간 지속되는 것입니다. 공황장애는 예기치 않은 공황발작이 반복되는 것입니다.
답: D · 구조화된 임상 면담
SCID 같은 구조화된 면담은 진단 기준에 연결된 표준 질문을 하므로 비구조화 면담보다 신뢰도가 높습니다.
답: B · It is linked to Reye's syndrome, which harms the liver and brain
Aspirin given during viral infections in young people is associated with Reye's syndrome, causing acute encephalopathy and liver failure. Paracetamol or ibuprofen is used for fever instead.
답: A · Rebound hypertension from abrupt clonidine withdrawal
Clonidine is a central alpha-2 agonist. Stopping it suddenly lets sympathetic activity surge, causing rebound hypertension, so it is tapered gradually.
ExamProblems · examproblems.com/courses/mental-health-nursing