1.쉬움
Which feature is typical of Korsakoff syndrome?
- AFever, rigidity and a high creatine kinase
- BPinpoint pupils and slow breathing
- CSevere memory loss with confabulation
- DA flapping tremor of the hands caused by liver failure
2.쉬움
전이(transference)란 무엇인가요?
- A환자를 다른 병동으로 옮기는 것
- B환자가 과거 누군가에 대한 감정을 무의식적으로 간호사에게 향하는 것
- C무의식적인 불안이 마비 같은 신체 증상으로 바뀌는 방어기제
- D환자에 대한 간호사의 감정
3.쉬움
A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?
- ASchizoid
- BHistrionic
- CParanoid
- DAvoidant
4.보통
When is the best time to teach a patient with an anxiety disorder a relaxation technique?
- AOnly after the patient has been discharged from hospital
- BWhen the patient's anxiety is severe, so that the effect can be seen clearly
- CWhen the patient's anxiety is at a mild level
- DDuring a panic attack, when the patient needs it most
5.보통
A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?
- ALeave the patient alone until he asks to talk
- BAsk a series of direct questions until he answers
- CTell the patient that talking is required to be discharged
- DSpend short, regular periods with the patient without forcing conversation
6.보통
The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?
- AGive it just before bedtime so that it works overnight
- BIt causes weight gain, so offer fewer snacks during the day
- CIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
- DGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
7.어려움
의사결정 능력이 있는 환자가 ECT 치료 과정에 동의서를 작성했습니다. 두 번의 회기 후 그만두고 싶다고 말합니다. 올바른 것은 무엇인가요?
- A언제든지 동의를 철회할 수 있으며, 그 결정은 존중되고 팀에 보고되어야 한다
- B서명한 동의는 첫 회기 이후 구속력을 가지므로 합의한 치료 과정을 이제 끝까지 마쳐야 한다
- C가족이 동의해야만 그만둘 수 있다
- D서명했으므로 치료 과정을 끝까지 마쳐야 한다
8.어려움
On the fourth day after giving birth, a mother is tearful and moody but is caring for her baby, eating and sleeping when she can. What is the most appropriate nursing response?
- AArrange an emergency psychiatric admission today
- BTell her that antidepressants must be started at once
- CAdvise her to stop breastfeeding and let others feed the baby at night so that she can rest and recover
- DExplain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
정답표
- 1. C · Severe memory loss with confabulation
- 2. B · 환자가 과거 누군가에 대한 감정을 무의식적으로 간호사에게 향하는 것
- 3. B · Histrionic
- 4. C · When the patient's anxiety is at a mild level
- 5. D · Spend short, regular periods with the patient without forcing conversation
- 6. D · Give it in the morning, and watch for poor appetite, weight loss and trouble sleeping
- 7. A · 언제든지 동의를 철회할 수 있으며, 그 결정은 존중되고 팀에 보고되어야 한다
- 8. D · Explain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
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