1.쉬움
To which drug class does donepezil belong?
- ACholinesterase inhibitors
- BDopamine antagonists
- CSelective serotonin reuptake inhibitors
- DBenzodiazepines
2.쉬움
A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?
- ARationalisation
- BSuppression
- CIdentification
- DProjection
3.쉬움
A boy who is not good at sport works very hard to become the best student in his class. Which defence mechanism is this?
- ARegression
- BCompensation
- CUndoing
- DDisplacement
4.보통
세로토닌 증후군을 시사하는 소견의 조합은 무엇인가요?
- A체중 증가와 입마름
- B항정신병약물 투여 후 며칠에 걸쳐 서서히 생기는 경직, 감소한 반사, 고열
- C약물 변경 후 몇 시간 안에 시작되는 초조, 발한, 떨림, 반사 항진, 간대성 경련
- D낮은 체온과 느린 심박수
5.보통
A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?
- AThe diazepam will block the pain-relieving effect of oxycodone
- BIncreased sedation and respiratory depression
- CThe combination will cause high blood pressure
- DThere is no interaction between these two drugs
6.보통
An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?
- AThe normal ageing process
- BAn infection such as a urinary tract infection, or a medicine side effect
- CA sudden onset of Alzheimer's disease
- DA first episode of schizophrenia caused by moving into the home
7.어려움
A patient in a mental health unit asks to read his own health records. What is the correct general principle?
- AOnly his family can request access to his records on his behalf
- BPsychiatric patients are never allowed to see their records
- CThe nurse should give him the records immediately without following any procedure
- DPatients generally have a right of access, with limited exceptions to prevent serious harm
8.어려움
A nurse suspects that a patient is hiding his tablets in his cheek and later spitting them out. What is the best approach?
- AStop giving him his medicine at all, because he is not taking it anyway, and record that he refused
- BAccuse him in front of other patients so that he is embarrassed and stops
- CCrush all his tablets into his food without telling him
- DCheck his mouth after each dose, as policy allows, and explore why he does not want it
정답표
- 1. A · Cholinesterase inhibitors
- 2. C · Identification
- 3. B · Compensation
- 4. C · 약물 변경 후 몇 시간 안에 시작되는 초조, 발한, 떨림, 반사 항진, 간대성 경련
- 5. B · Increased sedation and respiratory depression
- 6. B · An infection such as a urinary tract infection, or a medicine side effect
- 7. D · Patients generally have a right of access, with limited exceptions to prevent serious harm
- 8. D · Check his mouth after each dose, as policy allows, and explore why he does not want it
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