1.쉬움
섬망은 보통 치매와 어떻게 다른가요?
- A둘은 같은 질환이다
- B섬망은 몇 년에 걸쳐 서서히 진행하고, 치매는 갑자기 시작해 시간마다 변동한다
- C치매는 항상 갑자기 시작한다
- D섬망은 갑자기 시작해 변동하고, 치매는 몇 달~몇 년에 걸쳐 서서히 진행한다
2.쉬움
환자가 "내일 수술이 무서워요"라고 말합니다. 거짓 안심에 해당하는 간호사의 반응은 무엇인가요?
- A"걱정하지 마세요, 다 잘될 거예요."
- B"기분이 어떤지 더 말씀해 주세요."
- C"무서워하시는 것 같네요."
- D"내일 무엇이 가장 걱정되세요?"
3.쉬움
벤조디아제핀과 알코올을 함께 쓰면 위험한 이유는 무엇인가요?
- A둘 다 중추신경계를 억제하여 호흡 억제를 일으킬 수 있다
- B알코올이 벤조디아제핀의 분해를 빠르게 하여 약효가 사라진다
- C이 조합은 고혈압을 일으킨다
- D이 조합은 세로토닌 증후군을 일으킨다
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?
- AErotomanic
- BSomatic
- CGrandiose
- DNihilistic
5.보통
When is the risk of suicide particularly high for patients after psychiatric inpatient care?
- AThere is no change in risk after discharge
- BIn the first weeks after discharge
- COnly while the patient is asleep in hospital
- DOnly after one year at home
6.보통
A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?
- ASerotonin syndrome
- BHyperthyroidism
- CAgranulocytosis
- DHypothyroidism
7.어려움
A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?
- AStay with him and inform the team at once, so he can be urgently assessed under mental health law
- BAsk him to promise that he will not jump, and then let him go home on his own
- CTell him to go home now and come back tomorrow morning when he feels calmer and safer
- DLet him leave, because voluntary patients can always go when they want
8.어려움
An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?
- AThe normal effects of ageing
- BSudden-onset Alzheimer's disease
- CThe combined anticholinergic effects of her medicines
- DA sign that she needs a higher dose of amitriptyline
정답표
- 1. D · 섬망은 갑자기 시작해 변동하고, 치매는 몇 달~몇 년에 걸쳐 서서히 진행한다
- 2. A · "걱정하지 마세요, 다 잘될 거예요."
- 3. A · 둘 다 중추신경계를 억제하여 호흡 억제를 일으킬 수 있다
- 4. C · Grandiose
- 5. B · In the first weeks after discharge
- 6. D · Hypothyroidism
- 7. A · Stay with him and inform the team at once, so he can be urgently assessed under mental health law
- 8. C · The combined anticholinergic effects of her medicines
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