1.쉬움
What is the main mechanism of action of antipsychotic medicines?
- ABlocking the reuptake of serotonin only
- BIncreasing the release of dopamine
- CBlocking dopamine D2 receptors
- DStimulating GABA receptors in the brain
2.쉬움
Which advice is part of good sleep hygiene?
- AUse a phone or tablet in bed until you feel tired enough to sleep
- BHave a large meal and a strong coffee just before going to bed
- CTake long naps in the afternoon to make up for any lost sleep at night
- DGet up at the same time each day and avoid caffeine later in the day
3.쉬움
The nurse says to a withdrawn patient, "I'll sit with you for a while." Which technique is this?
- APlacing the event in sequence
- BPresenting reality
- CGiving advice
- DOffering self
4.보통
A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?
- ANew or worsening suicidal thoughts or unusual changes in mood or behaviour
- BSigns of physical dependence, because it is a controlled stimulant
- CSevere weight gain in the first week
- DA dangerous rise in blood pressure after eating foods that contain tyramine
5.보통
An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?
- AHide the medicine in his drink without telling him
- BPlace him in seclusion and then decide about medicine later
- CGive an intramuscular injection at once without offering any choice
- DOffer the oral medicine first, before considering an injection
6.보통
Which treatment is recommended first-line for chronic insomnia in adults?
- ALong-term daily benzodiazepines
- BStaying in bed for longer each morning
- CDrinking alcohol in the evening to fall asleep
- DCognitive behavioural therapy for insomnia (CBT-I)
7.어려움
During a panic attack, a patient breathes very fast and complains of light-headedness and tingling in her fingers and around her mouth. What should the nurse do?
- AAsk her to breathe into a paper bag for at least 10 minutes
- BLeave her alone so that she can calm down without anyone watching
- CGive her oxygen at a high flow rate through a mask
- DStay with her and coach her to breathe slowly and steadily
8.어려움
클로자핀을 복용하는 환자의 체온이 38.5 °C이고 인후통이 있습니다. 우선순위는 무엇인가요?
- A다음 정기 혈액 검사까지 기다린다
- B파라세타몰을 주고 클로자핀을 평소대로 계속한다
- C아마 감기일 것이라고 말하고 수분을 권하며 클로자핀을 평소대로 계속한다
- D다음 용량 전에 호중구를 포함한 전혈구 검사를 할 수 있도록 긴급히 보고한다
정답표
- 1. C · Blocking dopamine D2 receptors
- 2. D · Get up at the same time each day and avoid caffeine later in the day
- 3. D · Offering self
- 4. A · New or worsening suicidal thoughts or unusual changes in mood or behaviour
- 5. D · Offer the oral medicine first, before considering an injection
- 6. D · Cognitive behavioural therapy for insomnia (CBT-I)
- 7. D · Stay with her and coach her to breathe slowly and steadily
- 8. D · 다음 용량 전에 호중구를 포함한 전혈구 검사를 할 수 있도록 긴급히 보고한다
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