精神科护理练习卷（附答案）

一名考试不及格的学生说：“题目不公平，所以无所谓。”这是哪种防御机制？

1. A认同
2. B合理化
3. C转换
4. D压抑

For which patients is clozapine mainly used?

1. APatients with mild anxiety who need a short-term sedative
2. BPatients with schizophrenia that has not responded to two other antipsychotics
3. CPatients having their very first episode of mild psychosis
4. DOlder patients with dementia who become agitated and restless in the evening

What is a psychiatric advance directive (advance statement)?

1. AA court order that allows a patient to be detained in hospital
2. BA contract in which the patient promises the team to take every prescribed medicine for life
3. CA document in which a person states their treatment wishes for a time when they may lack capacity
4. DA note from the doctor that lists the patient's diagnoses

A patient who has just been admitted says, "I don't want to talk to anyone." What is the best initial nursing approach?

1. ATell the patient that talking is required to be discharged
2. BLeave the patient alone until he asks to talk
3. CSpend short, regular periods with the patient without forcing conversation
4. DAsk a series of direct questions until he answers

一名患者说：“我一无是处。没有人关心我。”哪种回应最具治疗性？

1. A“你觉得没有人关心你。再多跟我说说。”
2. B“这不是真的；这里每个人都关心你。”
3. C“你不该说这样的话。”
4. D“我们聊点更愉快的事吧。”

Which feature helps distinguish normal grief from major depression?

1. AIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died
2. BIn grief, the person feels worthless and hopeless all the time
3. CGrief always lasts less than 2 weeks
4. DIn grief, painful feelings come in waves and self-esteem is usually kept

An older woman living with her son looks thin and unkempt. She says her son "looks after the money" and she is often hungry. What should the nurse do?

1. AIgnore it, because family finances are a private matter
2. BTalk to her privately, document the findings and raise an adult safeguarding concern
3. CAsk the son in front of her whether he is stealing her money
4. DTell her that she must move out of her son's home at once and stay with friends until the matter is sorted out

A man has odd beliefs about being able to read minds, dresses eccentrically and has few friends because others make him anxious. He has never had sustained hallucinations or delusions. Which diagnosis fits best?

1. AHistrionic personality disorder with odd dress
2. BSchizotypal personality disorder
3. CAntisocial personality disorder
4. DSchizophrenia