1.쉬움
정신상태검사에서 기분(mood)과 정동(affect)의 차이는 무엇인가요?
- A기분과 정동은 완전히 같은 뜻이다
- B기분은 환자가 느낀다고 말하는 것이고, 정동은 간호사가 관찰하는 정서이다
- C기분은 간호사가 환자에게서 관찰하는 것이고, 정동은 환자가 느낀다고 말하는 것이다
- D기분은 사고를 설명하고, 정동은 기억을 설명한다
2.쉬움
섬망은 보통 치매와 어떻게 다른가요?
- A섬망은 몇 년에 걸쳐 서서히 진행하고, 치매는 갑자기 시작해 시간마다 변동한다
- B섬망은 갑자기 시작해 변동하고, 치매는 몇 달~몇 년에 걸쳐 서서히 진행한다
- C치매는 항상 갑자기 시작한다
- D둘은 같은 질환이다
3.쉬움
입원한 6세 남아가 다시 엄지손가락을 빨고 이불에 소변을 보기 시작합니다. 이것은 어떤 방어기제인가요?
- A승화
- B주지화
- C투사
- D퇴행
4.보통
A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?
- APut him in a busy bay with lots of noise and activity to keep him stimulated
- BChange his daily routine often, to help him get used to change
- CAvoid his parents' advice, because staff know best how to care for him
- DKeep to his usual routines where possible and prepare him for any changes
5.보통
A newly admitted patient asks, "Do you think I'm crazy?" Which response is most therapeutic?
- A"Yes, but you're in the right place now."
- B"You seem worried about what being here means. Can you tell me more?"
- C"Everyone here is a bit crazy in some way, so there's really nothing for you to worry about."
- D"Of course not. Only crazy people would ask that."
6.보통
How should a patient with anorexia nervosa be weighed in hospital?
- AIn her own clothes and shoes after breakfast, so that she feels more comfortable
- BAt a different time each day so that she cannot prepare for it
- CAt the same time, on the same scale, in a gown, after emptying the bladder
- DOnly when she asks to be weighed, to respect her wishes
7.어려움
The nurse receives handover for four patients. Which patient should she see first?
- AA newly admitted man with depression who says he has given away his dog and written letters to his children
- BA woman with anorexia nervosa who is due to be weighed and have her blood taken in two hours
- CA woman with bipolar disorder who wants to talk about her discharge plans for next week
- DA man with schizophrenia who is asking for his PRN laxative
8.어려움
세르트랄린을 복용하는 환자에게 통증으로 트라마돌이 투여되었습니다. 몇 시간 뒤 환자가 초조해하고 땀을 흘리며 떨고 발목에 간대성 경련이 있습니다. 가장 가능성이 높은 문제는 무엇인가요?
- A오피오이드 금단
- B알코올 금단
- C신경이완제 악성 증후군
- D세로토닌 증후군
정답표
- 1. B · 기분은 환자가 느낀다고 말하는 것이고, 정동은 간호사가 관찰하는 정서이다
- 2. B · 섬망은 갑자기 시작해 변동하고, 치매는 몇 달~몇 년에 걸쳐 서서히 진행한다
- 3. D · 퇴행
- 4. D · Keep to his usual routines where possible and prepare him for any changes
- 5. B · "You seem worried about what being here means. Can you tell me more?"
- 6. C · At the same time, on the same scale, in a gown, after emptying the bladder
- 7. A · A newly admitted man with depression who says he has given away his dog and written letters to his children
- 8. D · 세로토닌 증후군
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