1.쉬움
What is a safety plan in suicide prevention?
- AA legal document in which the patient promises never to harm themselves
- 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 written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
2.쉬움
Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?
- ASexual dysfunction
- BSevere constipation
- CHair loss
- DExcessive hunger
3.쉬움
What are the two core areas affected in autism spectrum disorder?
- AReading and writing only, with completely normal social skills and play
- BMemory and orientation to time and place
- CMood and appetite, which change with the seasons
- DSocial communication and interaction, and restricted, repetitive behaviours or interests
4.보통
Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?
- AIt causes a dangerous rise in blood sugar
- BIt makes the benzodiazepine effect much stronger
- CIt can cause sudden withdrawal and seizures
- DIt causes permanent memory loss after a single dose
5.보통
What is the main advantage of a long-acting injectable antipsychotic?
- AIt cures schizophrenia after a fixed course of injections
- BIt works faster than any oral antipsychotic in an acute crisis
- CIt improves adherence because the patient does not need to take daily tablets
- DIt has no side effects, unlike the oral forms of the same antipsychotic drugs
6.보통
An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?
- AA sudden onset of Alzheimer's disease
- BA first episode of schizophrenia caused by moving into the home
- CThe normal ageing process
- DAn infection such as a urinary tract infection, or a medicine side effect
7.어려움
A patient in acute mania has slept for 2 hours in 3 nights, is losing weight and is pacing constantly. Which nursing concern is the priority?
- ADisturbed relationships with her family
- BLack of knowledge about the illness
- CLow self-esteem
- DRisk of physical exhaustion and injury
8.어려움
A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?
- ALook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
- BDiagnose late-onset schizophrenia and start an antipsychotic immediately
- CAssume it is normal ageing and take no action
- DAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
정답표
- 1. D · A written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
- 2. A · Sexual dysfunction
- 3. D · Social communication and interaction, and restricted, repetitive behaviours or interests
- 4. C · It can cause sudden withdrawal and seizures
- 5. C · It improves adherence because the patient does not need to take daily tablets
- 6. D · An infection such as a urinary tract infection, or a medicine side effect
- 7. D · Risk of physical exhaustion and injury
- 8. A · Look for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
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