1.쉬움
In substance use, what does "tolerance" mean?
- AFeeling a strong craving to use the substance after a long period without it
- BBeing able to stop using the substance at any time without symptoms
- CHaving withdrawal symptoms when the substance is stopped suddenly
- DNeeding more of the substance to get the same effect
2.쉬움
In behaviour therapy, what is positive reinforcement?
- AIgnoring all of the patient's behaviour so that the patient learns to cope alone without staff
- BRemoving a reward so that a behaviour becomes less likely
- CAdding an unpleasant consequence so that a behaviour stops
- DAdding a reward after a behaviour so that the behaviour becomes more likely
3.쉬움
Which statement about self-disclosure by the nurse is correct?
- AIt is helpful when the nurse shares personal problems in detail
- BIt is never allowed in any situation
- CIt should be used often to build friendship with the patient
- DIt should be brief, rare and used only to help the patient
4.보통
A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?
- AAgranulocytosis
- BSerotonin syndrome
- CLithium toxicity
- DHypertensive crisis from tyramine
5.보통
A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?
- AAsk her to close her eyes and think back to the worst moment of the trauma
- BLeave her alone until the episode has passed on its own
- CAsk her to name things she can see, hear and touch in the room right now
- DAsk her to describe the traumatic event in as much detail as she can
6.보통
A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?
- A"You know that isn't true at all."
- B"Why do you want to buy the hospital?"
- C"That sounds hard to believe."
- D"That's wonderful. When will you start?"
7.어려움
A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?
- AAsking the assistant to help a patient with personal hygiene
- BAsking the assistant to sit with a calm patient during a group art activity and report any concerns
- CAsking the assistant to take routine vital signs of a stable patient
- DAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
8.어려움
An older patient receiving haloperidol for agitation has an episode of fainting and palpitations. Which test does the nurse expect to be ordered first?
- AA liver function test
- BA serum lithium level
- CA white blood cell count with differential
- DAn ECG to look for a prolonged QT interval
정답표
- 1. D · Needing more of the substance to get the same effect
- 2. D · Adding a reward after a behaviour so that the behaviour becomes more likely
- 3. D · It should be brief, rare and used only to help the patient
- 4. B · Serotonin syndrome
- 5. C · Ask her to name things she can see, hear and touch in the room right now
- 6. C · "That sounds hard to believe."
- 7. D · Asking the assistant to decide whether a patient needs a second dose of a PRN sedative
- 8. D · An ECG to look for a prolonged QT interval
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