1.쉬움
What is a safety plan in suicide prevention?
- AA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
- BA hospital rule that all patients must stay in their rooms after dark
- CA plan that the nurse writes alone and keeps from the patient
- DA legal document in which the patient promises never to harm themselves
2.쉬움
According to Erikson, what is the main psychosocial task of adolescence?
- ATrust versus mistrust
- BIdentity versus role confusion
- CIntegrity versus despair
- DIndustry versus inferiority
3.쉬움
What is conversion disorder (functional neurological symptom disorder)?
- ADeliberately faking symptoms to get money or avoid work
- BA condition in which the person has two or more distinct identities, with gaps in memory between them
- CNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
- DA belief that one has a serious illness without having any symptoms
4.보통
A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?
- AArgue with him that what he sees is not real until he accepts it
- BShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
- CStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
- DLeave him alone in a dark room so that he can sleep it off
5.보통
A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?
- ARecognise it as a common side effect, report it and suggest a towel on the pillow
- BExplain that it is a sign of an allergic reaction to the medicine
- CStop the clozapine immediately, because this is a sign of agranulocytosis
- DTell him that it means the clozapine dose is too low and needs to be increased
6.보통
The parents of a 9-year-old starting methylphenidate ask about side effects. What should the nurse teach?
- AIt is sedating, so expect the child to sleep more and to be drowsy during lessons at school
- BIt causes weight gain, so offer fewer snacks during the day
- CGive it in the morning, and watch for poor appetite, weight loss and trouble sleeping
- DGive it just before bedtime so that it works overnight
7.어려움
A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?
- AShe should be told that cutting is only attention-seeking behaviour
- BSelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
- CSelf-injury without suicidal intent never needs any assessment
- DNon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
8.어려움
PTSD 환자가 갑자기 겁에 질려 응시하고 빠르게 숨 쉬며 "그때로 돌아갔다"고 말합니다. 간호사가 가장 먼저 해야 할 행동은 무엇인가요?
- A주의를 끌려고 뒤에서 갑자기 건드린다
- B혼자 진정하도록 방을 나간다
- C기억을 처리하도록 외상의 모든 세부 사항을 즉시 묘사하게 한다
- D차분하게 말하고 이름을 부르며 현재로 주의를 돌리는 접지 기법을 사용한다
정답표
- 1. A · A written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
- 2. B · Identity versus role confusion
- 3. C · Neurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
- 4. C · Stay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
- 5. A · Recognise it as a common side effect, report it and suggest a towel on the pillow
- 6. C · Give it in the morning, and watch for poor appetite, weight loss and trouble sleeping
- 7. D · Non-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time
- 8. D · 차분하게 말하고 이름을 부르며 현재로 주의를 돌리는 접지 기법을 사용한다
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