精神科护理练习卷（附答案）

The nurse says to a withdrawn patient, "I'll sit with you for a while." Which technique is this?

1. AOffering self
2. BPlacing the event in sequence
3. CPresenting reality
4. DGiving advice

Why are benzodiazepines used with caution in older adults?

1. AThey increase the risk of confusion, falls and fractures
2. BThey cause rapid weight gain and diabetes in all older adults
3. CThey have no effect on the brain in older people
4. DThey raise blood pressure to dangerous levels after a single dose

What are the core features of attention-deficit hyperactivity disorder (ADHD)?

1. ADelusions, hallucinations and disorganised speech
2. BInattention, hyperactivity and impulsivity
3. CLow mood, loss of interest and poor sleep
4. DObsessions, compulsions and repeated checking

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. AOlder adults cannot be treated for depression
2. BMemory complaints in older adults are always caused by dementia
3. CDepression in older adults can look like dementia and is treatable
4. DLow mood after the loss of a partner is always normal grief and never needs any assessment

In family systems theory, what is meant by the "identified patient"?

1. AThe family member who pays for the treatment
2. BThe patient whose identity has been checked against a wristband before treatment
3. CThe family member who has the most serious physical illness
4. DThe member whose symptoms are seen as the family's problem

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. CSedation, dizziness when standing and weight gain
4. DInsomnia and severe weight loss

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. AStop the fluoxetine at once and tell the prescriber at his next appointment
2. BTake a double dose at night to make him sleepy
3. CDrink a small glass of wine or beer before bed to help him fall asleep
4. DDiscuss with the prescriber whether he can take it in the morning instead

An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?

1. ANormal ageing with mild forgetfulness
2. BA neurocognitive disorder such as Alzheimer's disease
3. CBrief psychotic disorder in later life
4. DDelirium