精神科护理练习卷（附答案）

什么是移情（transference）？

1. A把患者转到另一个病房
2. B患者无意识地将对过去某个人的感情投向护士
3. C护士对患者的感情
4. D一种防御机制，将无意识的焦虑转化为瘫痪等躯体症状

According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?

1. AInvoluntary swearing in almost every sentence as the main and only symptom
2. BSeveral motor tics and at least one vocal tic for over a year, starting before 18
3. CA single motor tic that lasts for 2 weeks in an adult
4. DSeizures with loss of consciousness during sleep

According to DSM-5, generalised anxiety disorder involves excessive worry on more days than not for at least how long?

1. A2 years
2. B2 weeks
3. C1 month
4. D6 months

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. ALet the patient eat alone in her room for privacy
2. BTalk with the patient at length about calories during the meal
3. CSupervise the meal and observe the patient for an agreed period afterwards
4. DAllow the patient to choose to skip meals if she says she feels full or unwell

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I can take any cold and flu remedy from the pharmacy."
2. B"I'll avoid aged cheese and cured meats."
3. C"A sudden severe headache is a reason to get help straight away."
4. D"I'll tell any new doctor or dentist that I take an MAOI."

Which side effects are most common with quetiapine?

1. AHigh prolactin with breast enlargement in almost every patient
2. BA cough and swollen ankles
3. CInsomnia and severe weight loss
4. DSedation, dizziness when standing and weight gain

A community nurse visits an older woman with hoarding disorder whose home is so cluttered that the exits are blocked. What is the most appropriate approach?

1. AWork with her to clear the exits first, then agree a gradual plan together
2. BArrange for the whole house to be cleared while she is out
3. CTell her that she will be evicted unless everything is thrown away today
4. DIgnore the clutter, because it is her own home

An 82-year-old started amitriptyline last week. Which finding is most concerning?

1. AA slightly dry mouth
2. BNew confusion and difficulty passing urine
3. CFeeling a little drowsy in the evening
4. DMild constipation that responds to extra fluids and fibre in the diet