精神科护理:速成包

公式表、每个专题的关键方法步骤和 6 道练习题,完整解答附在最后。

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1公式与方法

精神科护理

方法

  1. 判断是否存在即时风险:自杀、暴力、药物急症或躯体疾病。
  2. 先保障安全:观察、移除危险物品、缓和局面、停用有害药物、寻求帮助。
  3. 选择治疗性回应:承认感受、陈述现实,避免虚假的安慰和“为什么”式提问。
  4. 尊重权利:采用限制最少的方案,知情同意,以及保密及其限度。

2练习题

1.精神科护理中等

Why is the nurse's body language important in therapeutic communication?

  1. ABody language matters only when patients cannot speak the same language
  2. BPatients often respond more to non-verbal messages than to the words used
  3. CIt is only important during the termination phase
  4. DPatients with mental illness cannot understand non-verbal signals
2.精神科护理困难

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

  1. ATell him to go home now and come back tomorrow morning when he feels calmer and safer
  2. BLet him leave, because voluntary patients can always go when they want
  3. CStay with him and inform the team at once, so he can be urgently assessed under mental health law
  4. DAsk him to promise that he will not jump, and then let him go home on his own
3.临床心理学中等

素质—应激模型认为精神障碍源于:

  1. A仅仅是应激
  2. B潜在的易感性与环境应激相结合
  3. C仅仅是基因
  4. D仅仅是不良教养
4.临床心理学困难

艾伦和阿兹林在精神科病房引入了代币制。其主要发现和局限是什么?

  1. A该方法在几周内治愈了精神分裂症
  2. B目标行为增加,但效果往往不能泛化到病房之外
  3. C患者的幻觉永久消失,且出院后疗效仍然持续
  4. D代币对行为没有影响
5.药理学中等

A 19-year-old starts an SSRI for depression. Which is most important for the nurse to monitor during the first weeks?

  1. ABlood glucose before every meal and at bedtime
  2. BDaily bowel movements only
  3. CNew or worsening suicidal thoughts or agitation
  4. DHearing loss and tinnitus
6.药理学困难

A patient on disulfiram becomes flushed, nauseated and has palpitations after using a mouthwash. What is the most likely cause?

  1. ALow blood glucose from skipping breakfast
  2. BAn allergy to mint flavouring in the mouthwash
  3. CAlcohol in the mouthwash caused a disulfiram–alcohol reaction
  4. DDisulfiram toxicity from taking too many tablets by mistake

3溶液

1.精神科护理

答案: B · Patients often respond more to non-verbal messages than to the words used

为什么是这个答案

Posture, eye contact, facial expression and tone carry much of the message. When words and body language do not match, patients tend to believe the non-verbal message.

答案

B · Patients often respond more to non-verbal messages than to the words used
2.精神科护理

答案: C · Stay with him and inform the team at once, so he can be urgently assessed under mental health law

为什么是这个答案

A voluntary patient who shows immediate serious risk may need urgent assessment under mental health legislation, which often includes short-term holding powers for nurses. The nurse acts quickly to keep him safe.

答案

C · Stay with him and inform the team at once, so he can be urgently assessed under mental health law
3.临床心理学

答案: B · 潜在的易感性与环境应激相结合

为什么是这个答案

该模型认为,(生物或心理的)易感性只有在足够的应激触发下才会导致障碍。

答案

B · 潜在的易感性与环境应激相结合
4.临床心理学

答案: B · 目标行为增加,但效果往往不能泛化到病房之外

为什么是这个答案

代币制增加了长期住院患者的自理和劳动行为,但没有强化时这些改变往往会消退,而且这种方法引发了关于控制的伦理担忧。

答案

B · 目标行为增加,但效果往往不能泛化到病房之外
5.药理学

答案: C · New or worsening suicidal thoughts or agitation

为什么是这个答案

Antidepressants can increase suicidal thinking in young people, especially early in treatment or after dose changes. Close follow-up and a clear plan for reporting such thoughts are essential.

答案

C · New or worsening suicidal thoughts or agitation
6.药理学

答案: C · Alcohol in the mouthwash caused a disulfiram–alcohol reaction

为什么是这个答案

Disulfiram reactions can occur with small amounts of alcohol in mouthwash, cough syrups, sauces or aftershave. Patients are taught to check labels and avoid all alcohol-containing products.

答案

C · Alcohol in the mouthwash caused a disulfiram–alcohol reaction

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