精神科护理练习卷（附答案）

What is anhedonia?

1. ARapid, pressured speech that is hard to interrupt
2. BLoss of interest or pleasure in activities that were enjoyed before
3. CA belief that one's body is diseased or rotting
4. DAn inability to fall asleep at night despite feeling very tired during the day

Which question is open-ended?

1. A"Have you taken your medicine yet?"
2. B"Did you sleep well last night?"
3. C"What has been on your mind today?"
4. D"Are you feeling sad today?"

Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?

1. ASexual dysfunction
2. BHair loss
3. CSevere constipation
4. DExcessive hunger

为什么不推荐把“不自杀协议”作为一种安全措施？

1. A它们太长太复杂，大多数患者读不下去，所以很少有患者签署
2. B它们在所有地方都是非法的
3. C没有证据表明它们能预防自杀，而且可能带来虚假的安心感
4. D它们只适用于儿童

Which finding in a patient with anorexia nervosa is most concerning?

1. AConstipation for the past few days
2. BDry skin and brittle hair
3. CA resting heart rate of 38/min
4. DFeeling cold in a warm room

A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?

1. ALeave her alone until the episode has passed on its own
2. BAsk her to describe the traumatic event in as much detail as she can
3. CAsk her to name things she can see, hear and touch in the room right now
4. DAsk her to close her eyes and think back to the worst moment of the trauma

A patient who had been abstinent from alcohol for 6 months has started drinking again. He says, "I've failed completely. There's no point in trying." What is the most helpful response?

1. A"You'll have to start a completely new treatment from the beginning."
2. B"Yes, I'm afraid you've wasted all of your hard work over the last six months."
3. C"You obviously weren't serious about stopping."
4. D"Relapse is common in recovery. Let's look at what led to it and what you learned."

A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?

1. ADehydration caused by anticholinergic side effects
2. BA worsening of his psychosis that needs a higher dose of antipsychotic
3. CWater intoxication from psychogenic polydipsia
4. DNeuroleptic malignant syndrome from his antipsychotic medicine