1.쉬움
What is lanugo, which may be seen in severe anorexia nervosa?
- AFine, soft hair that grows on the body as it tries to conserve heat
- BThickening of the skin on the knuckles caused by repeated vomiting
- CPainful swelling of the salivary glands in front of the ears caused by repeated vomiting
- DLoss of tooth enamel caused by repeated contact with stomach acid
2.쉬움
What type of drug is methadone, used in the treatment of opioid dependence?
- AAn opioid antagonist that blocks all opioid effects
- BA long-acting full opioid agonist
- CA non-addictive stimulant that reduces opioid craving
- DA benzodiazepine that reduces anxiety during withdrawal
3.쉬움
A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?
- AInvestigate the family alone at home before reporting
- BConfront the parents and ask them directly whether they hurt the child
- CReport the concern according to child protection procedures
- DWait until there is clear proof before telling anyone
4.보통
Which nurse statement is most consistent with motivational interviewing?
- A"If you don't stop drinking now, you'll die."
- B"I've decided that you need to stop drinking completely."
- C"What would be different for you if you drank less?"
- D"You're an alcoholic, and you need to admit it."
5.보통
A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?
- AThe patient is checked every hour during the day only
- BThe patient can be left alone while asleep
- CThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
- DA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
6.보통
A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?
- ALow thyroid hormone
- BLow blood sodium
- CRaised blood calcium
- DRaised prolactin
7.어려움
A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?
- A"If I get a sore throat or fever, I'll tell someone straight away."
- B"The tests are done because clozapine can lower my white cells."
- C"After a few months I can stop having blood tests."
- D"I'll need regular blood tests for as long as I take clozapine."
8.어려움
SSRI를 시작한 지 2주 뒤 환자가 "효과가 없어요. 그만 먹을래요"라고 말합니다. 가장 좋은 반응은 무엇인가요?
- A항우울제는 결코 효과가 없다고 말한다
- B충분히 작용하기까지 흔히 몇 주가 걸린다고 설명하고, 계속 복용하도록 격려하며 기분과 안전을 감시한다
- C2주가 지나도 도움이 되지 않은 항우울제는 앞으로도 효과가 없을 가능성이 높으니 즉시 중단하는 데 동의한다
- D용량을 두 배로 하라고 말한다
정답표
- 1. A · Fine, soft hair that grows on the body as it tries to conserve heat
- 2. B · A long-acting full opioid agonist
- 3. C · Report the concern according to child protection procedures
- 4. C · "What would be different for you if you drank less?"
- 5. D · A staff member stays with the patient at all times, at the distance set by policy, including in the bathroom
- 6. D · Raised prolactin
- 7. C · "After a few months I can stop having blood tests."
- 8. B · 충분히 작용하기까지 흔히 몇 주가 걸린다고 설명하고, 계속 복용하도록 격려하며 기분과 안전을 감시한다
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