精神科护理练习卷（附答案）

Which side effects are typical of mirtazapine?

1. AInsomnia, agitation and weight loss
2. BPriapism and a dry cough
3. CSedation and increased appetite with weight gain
4. DHigh blood pressure and tremor

一名患者说：“我对明天的手术感到害怕。”护士的哪种回应是虚假安慰的例子？

1. A“关于明天，你最担心什么？”
2. B“别担心，一切都会好的。”
3. C“多跟我说说你的感受。”
4. D“听起来你很害怕。”

A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?

1. AAphasia
2. BAgnosia
3. CAtaxia
4. DApraxia

A woman calls the emergency department after a sexual assault an hour ago. What advice helps to preserve forensic evidence?

1. AShower and wash her clothes before coming in, so she feels cleaner
2. BAvoid showering or changing clothes, and bring any clothing already removed in a paper bag
3. CWait a few days at home until she feels ready to talk before seeking any medical care or forensic examination
4. DPut all clothing in a sealed plastic bag

哪项一般原则适用于依据精神卫生法律被非自愿收治的患者？

1. A只要一名医生认为有必要，就可以无限期留院而无需任何独立审查
2. B他们保留自己的权利，法律明确限制的除外，并且必须被告知自己的权利
3. C他们永远不能拒绝任何治疗
4. D他们丧失所有权利

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. ALithium toxicity
2. BHypertensive crisis from tyramine
3. CAgranulocytosis
4. DSerotonin syndrome

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AIgnore it, because weight changes in children are always normal
2. BAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day
3. CReport the finding, review his eating pattern and suggest giving the medicine after breakfast
4. DStop the medicine immediately without telling the prescriber

在末次饮酒后的第二天，一名患者出现明显震颤，看到墙上有昆虫，心率 124 次/分，血压 170/100 mmHg，并大量出汗。优先事项是什么？

1. A限制他的液体摄入
2. B按可能的震颤谵妄处理：紧急寻求医疗帮助，按处方给予苯二氮䓬类药物，并确保他的安全
3. C给他少量酒精以缓解症状，然后让他在关着门的安静侧室里睡一觉
4. D解释说昆虫不是真的，让他休息