1.쉬움
In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?
- A6 weeks
- B2 weeks
- C2 months
- D2 years
2.쉬움
According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?
- ATermination phase
- BPre-interaction phase
- COrientation phase
- DWorking phase
3.쉬움
In obsessive-compulsive disorder, what is an obsession?
- AA repeated action done to reduce anxiety, such as checking a lock
- BA strong interest in a hobby that the person enjoys very much
- CA false belief that is held firmly despite clear evidence that it is untrue
- DA recurrent, unwanted thought, urge or image that causes anxiety
4.보통
An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?
- AThe normal ageing process
- BA first episode of schizophrenia caused by moving into the home
- CA sudden onset of Alzheimer's disease
- DAn infection such as a urinary tract infection, or a medicine side effect
5.보통
세로토닌 증후군을 시사하는 소견의 조합은 무엇인가요?
- A낮은 체온과 느린 심박수
- 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
- D체중 증가와 입마름
6.보통
A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?
- AEncourage him to walk around the ward and join in activities to help burn off the drug
- BProvide a quiet, low-stimulation environment and keep staff and patient safe
- CPut him in a busy area so that staff can watch him more easily
- DTry to talk the patient down by discussing his feelings in detail
7.어려움
A nurse suspects that a patient is hiding his tablets in his cheek and later spitting them out. What is the best approach?
- ACheck his mouth after each dose, as policy allows, and explore why he does not want it
- BAccuse him in front of other patients so that he is embarrassed and stops
- CStop giving him his medicine at all, because he is not taking it anyway, and record that he refused
- DCrush all his tablets into his food without telling him
8.어려움
오피오이드 의존 치료를 받는 환자가 첫 부프레노르핀 용량을 투여받으려 합니다. 그는 2시간 전에 마지막으로 헤로인을 사용했습니다. 위험은 무엇인가요?
- A완전 작용제가 아직 작용 중일 때 투여하면 부프레노르핀이 촉발성 금단을 일으킬 수 있다
- B부프레노르핀이 헤로인에 더해져 호흡 억제를 동반한 위험한 오피오이드 과다복용을 일으킨다
- C부프레노르핀은 전혀 효과가 없다
- D위험이 없으며 즉시 투여해야 한다
정답표
- 1. D · 2 years
- 2. C · Orientation phase
- 3. D · A recurrent, unwanted thought, urge or image that causes anxiety
- 4. D · An infection such as a urinary tract infection, or a medicine side effect
- 5. C · 약물 변경 후 몇 시간 안에 시작되는 초조, 발한, 떨림, 반사 항진, 간대성 경련
- 6. B · Provide a quiet, low-stimulation environment and keep staff and patient safe
- 7. A · Check his mouth after each dose, as policy allows, and explore why he does not want it
- 8. A · 완전 작용제가 아직 작용 중일 때 투여하면 부프레노르핀이 촉발성 금단을 일으킬 수 있다
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