1.쉬움
Which feature is central to antisocial personality disorder?
- AA pattern of disregard for the rights of others, often without remorse
- BA strong wish for close relationships combined with fear of rejection
- COdd beliefs, magical thinking, eccentric dress and unusual perceptual experiences
- DIntense fear of being abandoned by people close to them
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
- CAll-or-nothing thinking
- DCatastrophising
3.쉬움
A depressed patient moves and speaks very slowly and takes a long time to answer questions. What is this called?
- APsychomotor retardation
- BPsychomotor agitation
- CCatatonic excitement
- DAkathisia
4.보통
An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?
- AIt has no effects at all in people over 80, so it will not help her sleep
- BIt raises blood pressure to dangerous levels in older adults
- CIt is a strong opioid that causes severe dependence
- DIts anticholinergic effects can cause confusion, urine retention and falls
5.보통
A patient at risk of suicide is admitted. Which environmental check is most important?
- ARemove items that could be used for self-harm, such as belts, cords and sharp objects
- BPlace the patient in a room at the end of the corridor for privacy
- CMake sure the patient has a television in the room
- DLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home
6.보통
Which postpartum presentation is a psychiatric emergency?
- ATiredness and worry about feeding the baby in the first week
- BFeeling tearful at times but enjoying the baby and sleeping well when she can
- CConfusion, hallucinations and rapidly changing mood a few days after birth
- DTearfulness and mood swings on the third day after birth
7.어려움
A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?
- ADiscuss benefits and risks, decide together with the prescriber and agree a relapse plan
- BTell him he must take it for life and refuse to discuss it
- CAdvise him to stop it suddenly on his own and see what happens over the next month
- DReport him to the police and his employer for non-adherence to treatment
8.어려움
A woman arrives in the emergency department after a sexual assault and has a cut on her head that is bleeding. What is the priority?
- AAssess and treat her physical injuries, then offer forensic examination with her consent
- BCall the police and wait until they arrive before doing anything else, so that no evidence is lost by mistake
- CCollect forensic evidence before treating any injuries
- DAsk her for a detailed account of the assault before any care
정답표
- 1. A · A pattern of disregard for the rights of others, often without remorse
- 2. B · Personalisation
- 3. A · Psychomotor retardation
- 4. D · Its anticholinergic effects can cause confusion, urine retention and falls
- 5. A · Remove items that could be used for self-harm, such as belts, cords and sharp objects
- 6. C · Confusion, hallucinations and rapidly changing mood a few days after birth
- 7. A · Discuss benefits and risks, decide together with the prescriber and agree a relapse plan
- 8. A · Assess and treat her physical injuries, then offer forensic examination with her consent
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