1.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?
- APre-interaction phase
- BWorking phase
- COrientation phase
- DTermination phase
2.쉬움
In the stages of change model, a person who does not see their drinking as a problem and has no intention of changing is in which stage?
- AContemplation
- BPreparation
- CMaintenance of change
- DPrecontemplation
3.쉬움
What is a safety plan in suicide prevention?
- AA hospital rule that all patients must stay in their rooms after dark
- BA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
- CA legal document in which the patient promises never to harm themselves
- DA plan that the nurse writes alone and keeps from the patient
4.보통
신경이완제 악성 증후군을 시사하는 소견의 조합은 무엇인가요?
- A새로운 세로토닌성 약물 후 몇 시간 안에 나타나는 반사 항진, 간대성 경련, 설사, 동공 확대, 초조
- B고열, 심한 "납 파이프" 근육 경직, 혼돈, 불안정한 혈압, CK 상승
- C미세 떨림과 갈증 증가
- D체중 증가와 혈당 상승
5.보통
A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?
- A"I don't see anyone in the corner, but I know it seems real to you."
- B"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
- C"What does the man in the corner look like?"
- D"The man will go away if you ignore him."
6.보통
How should a patient with anorexia nervosa be weighed in hospital?
- AOnly when she asks to be weighed, to respect her wishes
- BAt the same time, on the same scale, in a gown, after emptying the bladder
- CAt a different time each day so that she cannot prepare for it
- DIn her own clothes and shoes after breakfast, so that she feels more comfortable
7.어려움
강박장애 환자가 오랜 손 씻기 의식을 하느라 아침 식사를 놓칩니다. 가장 좋은 초기 접근은 무엇인가요?
- A화장실을 잠근다
- B의식을 강제로 멈추게 한다
- C의식이 얼마나 쓸모없는지 지적하고 아침 식사 전에 즉시 멈추라고 고집한다
- D의식을 할 시간을 허용하고, 일정을 그에 맞춰 짜며 환자와 함께 서서히 제한한다
8.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
- BLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
- CAssume it is normal ageing and take no action
- DDiagnose late-onset schizophrenia and start an antipsychotic immediately
정답표
- 1. C · Orientation phase
- 2. D · Precontemplation
- 3. B · A written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
- 4. B · 고열, 심한 "납 파이프" 근육 경직, 혼돈, 불안정한 혈압, CK 상승
- 5. A · "I don't see anyone in the corner, but I know it seems real to you."
- 6. B · At the same time, on the same scale, in a gown, after emptying the bladder
- 7. D · 의식을 할 시간을 허용하고, 일정을 그에 맞춰 짜며 환자와 함께 서서히 제한한다
- 8. B · Look for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
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