1.쉬움
Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?
- AExtrapyramidal side effects such as dystonia and pseudoparkinsonism
- BLow white blood cell count
- CRaised prolactin and breast enlargement
- DWeight gain and raised blood glucose
2.쉬움
A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?
- AEmotional reasoning
- BPersonalisation
- CCatastrophising
- DAll-or-nothing thinking
3.쉬움
What are the core features of attention-deficit hyperactivity disorder (ADHD)?
- AInattention, hyperactivity and impulsivity
- BObsessions, compulsions and repeated checking
- CDelusions, hallucinations and disorganised speech
- DLow mood, loss of interest and poor sleep
4.보통
The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?
- AAn ideal therapeutic relationship
- BPossible boundary problems that she should discuss in supervision
- CTransference by the patient towards the nurse, which is never the nurse's concern
- DThat the patient needs to be transferred to another unit
5.보통
A patient with narcissistic personality disorder demands that only the senior doctor should speak to him, because the nurses are "beneath him". What is the best approach?
- ARespond respectfully but firmly, and keep the same expectations as for other patients
- BTell him that he is not as important as he thinks he is
- CAvoid him as much as possible, because he is rude and unpleasant to the nursing staff
- DArrange for only the senior doctor to see him from now on
6.보통
양극성장애로 라모트리진을 복용하는 환자에게 새로운 발진이 생깁니다. 간호사는 어떻게 해야 하나요?
- A심각한 피부 반응의 시작일 수 있으므로 즉시 보고한다
- B용량을 두 배로 한다
- C발진은 항상 무해하므로 무시한다
- D보습제를 바르고 발진은 흔하므로 약을 평소대로 계속한다
7.어려움
공황장애가 알려진 환자가 흉통과 호흡곤란을 호소합니다. 간호사가 가장 먼저 해야 할 행동은 무엇인가요?
- A또 다른 공황 발작일 뿐이라고 말한다
- B종이봉투에 천천히 숨 쉬게 하고 공황장애에서는 늘 그렇듯 가라앉을 때까지 혼자 둔다
- C공황이라고 단정하기 전에 활력징후를 포함해 신체적으로 사정하고 정책에 따라 심전도를 시행한다
- D인지 재구성에 대해 강의한다
8.어려움
A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?
- AWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- BThiamine quickly lowers the blood alcohol level
- CThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
- DThiamine prevents all alcohol withdrawal seizures
정답표
- 1. A · Extrapyramidal side effects such as dystonia and pseudoparkinsonism
- 2. B · Personalisation
- 3. A · Inattention, hyperactivity and impulsivity
- 4. B · Possible boundary problems that she should discuss in supervision
- 5. A · Respond respectfully but firmly, and keep the same expectations as for other patients
- 6. A · 심각한 피부 반응의 시작일 수 있으므로 즉시 보고한다
- 7. C · 공황이라고 단정하기 전에 활력징후를 포함해 신체적으로 사정하고 정책에 따라 심전도를 시행한다
- 8. A · Wernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
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