정답이 있는 기본간호학 학습지

What is the 4AT used for?

1. AMeasuring the risk of malnutrition
2. BRapid screening for delirium
3. CAssessing the risk of pressure ulcers
4. DScoring pain in children

What is extravasation?

1. ALeakage of plain saline from the cannula into the tissue around the vein
2. BA cannula that has slipped deeper into the vein
3. CBleeding from the site after the cannula is removed
4. DLeakage of an irritant (vesicant) drug into the tissue around the vein

Which ageing change makes older adults' skin tear more easily?

1. AThe skin gains more fat underneath
2. BThe skin becomes thicker, oilier and better at holding water
3. CThe skin becomes thinner and less elastic
4. DThe skin produces more collagen

공감과 동정의 차이는?

1. A동정은 완전히 중립을 지키는 것이다
2. B공감은 환자의 관점에서 환자의 감정을 이해하는 것이다
3. C공감은 환자를 안쓰럽게 여기며 환자의 괴로움에 휩쓸리는 것이다
4. D둘 사이에는 차이가 없다

How is a pulse deficit measured?

1. AThe pulse oximeter rate is compared with the blood pressure reading
2. BOne nurse counts the radial pulse twice and compares the two counts
3. CTwo nurses count the apical and radial pulse at the same time for one minute
4. DOne nurse counts the apical pulse for 15 seconds and multiplies by four

When measuring a wound, how is the length usually taken?

1. AIn the head-to-toe direction across the longest part
2. BAround the edge of the wound with a tape measure
3. CFrom the wound to the nearest joint
4. DIn whichever direction is shortest

Which statement about the use of physical restraint is correct?

1. AIt is a last resort, uses the least restrictive option and needs regular checks
2. BIt is the best way to stop older patients from falling
3. CIt never needs to be documented if it is used only overnight
4. DIt can be used whenever a patient is confused, without further assessment

정신능력법(Mental Capacity Act 2005, 잉글랜드와 웨일스)에서 사람이 결정을 내릴 수 있는지에 대한 판단 기준에 포함되는 것은?

1. A65세 이상인지
2. B정보를 이해하고, 기억하고, 저울질하며, 결정을 전달할 수 있는지
3. C의사와 간호팀이 한 조언과 그 사람의 결정이 일치하는지
4. D치매 진단을 받았는지