精神科护理练习卷（附答案）

什么是幻觉？

1. A对真实刺激的错误解释
2. B话题之间快速转换
3. C没有外部刺激的感知觉
4. D固定的错误信念

What is a safety plan in suicide prevention?

1. AA legal document in which the patient promises never to harm themselves
2. BA hospital rule that all patients must stay in their rooms after dark
3. CA plan that the nurse writes alone and keeps from the patient
4. DA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer

一名阿片类药物过量的患者经纳洛酮逆转后，现已清醒。为什么仍须密切观察？

1. A纳洛酮的作用可能先于阿片类药物消退，因此他的呼吸可能再次变慢
2. B纳洛酮在被分解数小时后自身会引起呼吸变慢
3. C一旦清醒就无需再观察
4. D纳洛酮使阿片类药物的作用时间延长一倍

哪种药物最可能升高患者的血锂水平？

1. A对乙酰氨基酚（扑热息痛）
2. B布洛芬
3. C奥美拉唑
4. D阿莫西林

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
2. BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
3. CThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
4. DThese are signs of an allergic reaction, so she should never take lithium again

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. AHide the medicine in his drink without telling him
2. BPlace him in seclusion and then decide about medicine later
3. COffer the oral medicine first, before considering an injection
4. DGive an intramuscular injection at once without offering any choice

An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?

1. AAllow him to stay at home until he wants to go back
2. BLet a parent stay with him in class every day for the rest of the year
3. CTell him that he is being silly and must go
4. DSupport a gradual, planned return to school with a consistent goodbye routine

Six weeks after losing his job, a man feels low and worried and is sleeping a little less, but he still enjoys time with his children and does not meet the criteria for major depression. Which diagnosis fits best?

1. ABipolar II disorder
2. BAdjustment disorder with depressed mood
3. CPersistent depressive disorder
4. DMajor depressive disorder