정답이 있는 정신건강간호학 학습지

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. ASeveral motor tics and at least one vocal tic for over a year, starting before 18
2. BSeizures with loss of consciousness during sleep
3. CA single motor tic that lasts for 2 weeks in an adult
4. DInvoluntary swearing in almost every sentence as the main and only symptom

What type of drug is methadone, used in the treatment of opioid dependence?

1. AA long-acting full opioid agonist
2. BA non-addictive stimulant that reduces opioid craving
3. CA benzodiazepine that reduces anxiety during withdrawal
4. DAn opioid antagonist that blocks all opioid effects

In a mental status examination, what does assessing orientation check?

1. AWhether the patient understands that they are ill and needs treatment for it
2. BWhether the patient's mood matches the facial expression and tone of voice
3. CWhether the patient knows the time, the place and who they are
4. DWhether the patient can interpret proverbs and explain their meaning

A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?

1. APositive reinforcement
2. BSplitting by the patient
3. CTransference
4. DDiagnostic overshadowing

Which information is essential when documenting the use of physical restraint?

1. AOnly the time the restraint started and the name of the nurse in charge of the shift
2. BThe full names of the other patients who saw the incident
3. CThe reason for it, alternatives tried, start and end times, and the observations made
4. DThe nurse's personal opinion of the patient's character and attitude

A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?

1. AThe diazepam will block the pain-relieving effect of oxycodone
2. BThere is no interaction between these two drugs
3. CThe combination will cause high blood pressure
4. DIncreased sedation and respiratory depression

A patient who believes he is a famous religious leader becomes upset when other patients laugh at him. What is the most appropriate nursing action?

1. AProtect him from ridicule, avoid arguing and focus on real activities
2. BAgree that he is the religious leader so that he feels respected
3. CEncourage the other patients to explain why the belief is wrong
4. DAsk him to prove his identity in front of the group, so that the laughing stops

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. ADiagnose late-onset schizophrenia and start an antipsychotic immediately
2. BAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
3. CAssume it is normal ageing and take no action
4. DLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder