1.쉬움
상사에게 꾸중을 들은 한 여성이 집에 와서 아이들에게 소리를 지릅니다. 이것은 어떤 방어기제인가요?
- A반동형성
- B취소
- C부정
- D전치
2.쉬움
조증 삽화에 전형적인 소견은 무엇인가요?
- A에너지가 넘치면서 수면 욕구가 줄어듦
- B무가치감
- C느려진 말과 움직임
- D하루 14시간 잠
3.쉬움
간호사가 괴로워하는 환자와 대화할 때 짧은 침묵을 사용하는 이유는 무엇인가요?
- A간호사가 동의하지 않는다는 것을 환자에게 보여 준다
- B대화가 끝났다는 신호이다
- C환자가 생각하고 자신의 속도로 이어 갈 시간을 준다
- D간호사가 잠시 적극적으로 듣기를 멈추고 다음 질문을 계획할 수 있다는 뜻이다
4.보통
A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?
- ASomatic
- BNihilistic
- CGrandiose
- DErotomanic
5.보통
A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?
- ANeuroleptic malignant syndrome
- BAntidepressant discontinuation syndrome
- CSerotonin syndrome
- DA relapse of her depression into a severe psychotic depression
6.보통
A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?
- AA dangerous rise in blood pressure after eating foods that contain tyramine
- BNew or worsening suicidal thoughts or unusual changes in mood or behaviour
- CSigns of physical dependence, because it is a controlled stimulant
- DSevere weight gain in the first week
7.어려움
A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?
- ATell her that religion has no place in hospital care
- BRespect the request, join in if comfortable, and offer to call the chaplain
- CTry to persuade her to adopt the nurse's own beliefs
- DIgnore the request politely and change the subject to the procedure itself
8.어려움
A patient who has taken haloperidol for many years now has repeated lip smacking and tongue movements. Which action is most appropriate?
- AGive benztropine, because it reliably reverses these movements
- BIncrease the haloperidol dose, because a higher dose suppresses the abnormal movements of the mouth and tongue
- CReport the movements, assess them with a scale such as the AIMS and ask for a medication review
- DReassure the patient that the movements will soon stop on their own
정답표
- 1. D · 전치
- 2. A · 에너지가 넘치면서 수면 욕구가 줄어듦
- 3. C · 환자가 생각하고 자신의 속도로 이어 갈 시간을 준다
- 4. C · Grandiose
- 5. B · Antidepressant discontinuation syndrome
- 6. B · New or worsening suicidal thoughts or unusual changes in mood or behaviour
- 7. B · Respect the request, join in if comfortable, and offer to call the chaplain
- 8. C · Report the movements, assess them with a scale such as the AIMS and ask for a medication review
자세한 단계별 풀이: examproblems.com에서 이 주제를 연습하세요.