1.쉬움
A patient believes that the newsreader on television is sending him personal messages. What is this called?
- AAn idea of reference
- BAn illusion
- CThought insertion
- DA somatic delusion
2.쉬움
In Freud's theory of personality, what is the role of the ego?
- ATo balance the demands of the id, the superego and reality
- BTo store all forgotten memories from childhood
- CTo act as the moral conscience that creates guilt
- DTo seek immediate pleasure regardless of the consequences
3.쉬움
상사에게 꾸중을 들은 한 여성이 집에 와서 아이들에게 소리를 지릅니다. 이것은 어떤 방어기제인가요?
- A전치
- B반동형성
- C취소
- D부정
4.보통
What should a patient starting zolpidem for insomnia be taught to report?
- AFeeling slightly more rested and alert the next morning than before starting the medicine
- BSleeping through the night without waking up
- CFeeling sleepy about 30 minutes after taking it at bedtime
- DDoing things while not fully awake, such as sleepwalking or driving, with no memory of it
5.보통
디설피람을 복용하는 환자에게 무엇을 가르쳐야 하나요?
- A알코올과 함께 마셔야만 작용하므로 매일 소량의 와인이 필요하다
- B소량의 맥주는 안전하다
- C한 번 복용하면 알코올 의존이 완치된다
- D일부 구강 청결제와 소스 같은 숨은 원천을 포함해 모든 알코올을 피한다
6.보통
A patient lies awake in bed for hours worrying about not sleeping. Which stimulus control advice is correct?
- AIf still awake after about 20 minutes, get up, do something calm and return when sleepy
- BDo vigorous exercise in the bedroom until tired enough to fall asleep straight away
- CStay in bed and watch television or use a phone until sleep finally comes
- DLook at the clock often to check how much sleep is being lost
7.어려움
A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?
- AAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
- BDiagnose late-onset schizophrenia and start an antipsychotic immediately
- CLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
- DAssume it is normal ageing and take no action
8.어려움
A patient taking venlafaxine has started a second serotonergic medicine. She is restless, sweating, has a fast pulse and twitching muscles. What should the nurse do first?
- AHold the serotonergic medicines and inform the prescriber urgently
- BGive paracetamol (acetaminophen) and check her again tomorrow
- CGive the next dose of venlafaxine as planned
- DEncourage her to walk or exercise in the garden to relieve the restlessness and muscle twitching
정답표
- 1. A · An idea of reference
- 2. A · To balance the demands of the id, the superego and reality
- 3. A · 전치
- 4. D · Doing things while not fully awake, such as sleepwalking or driving, with no memory of it
- 5. D · 일부 구강 청결제와 소스 같은 숨은 원천을 포함해 모든 알코올을 피한다
- 6. A · If still awake after about 20 minutes, get up, do something calm and return when sleepy
- 7. C · Look for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
- 8. A · Hold the serotonergic medicines and inform the prescriber urgently
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