精神科护理练习卷（附答案）

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. AAlzheimer's disease
2. BBorderline personality disorder
3. CSchizophrenia
4. DAttention-deficit hyperactivity disorder

What is malingering?

1. APhysical symptoms caused by stress that the person does not produce on purpose
2. BProducing symptoms on purpose to take on the role of a sick person, without any external gain
3. CIntentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
4. DExcessive worry about having a serious illness despite repeated normal results and reassurance from doctors

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. ALow white blood cell count
2. BRaised prolactin and breast enlargement
3. CExtrapyramidal side effects such as dystonia and pseudoparkinsonism
4. DWeight gain and raised blood glucose

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
2. B"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
3. C"That would be against the rules, so please stop asking about it."
4. D"Of course, as long as you don't tell the other patients."

The nurse notices that she is spending much longer with one patient than with the others and feels she is the only one who can help him. What does this most likely indicate?

1. AThat the patient needs to be transferred to another unit
2. BPossible boundary problems that she should discuss in supervision
3. CAn ideal therapeutic relationship
4. DTransference by the patient towards the nurse, which is never the nurse's concern

How does memantine work in Alzheimer's disease?

1. AIt inhibits the breakdown of acetylcholine
2. BIt blocks dopamine D₂ receptors
3. CIt blocks NMDA glutamate receptors
4. DIt increases serotonin by blocking its reuptake

A patient who used methamphetamine heavily for weeks stopped 2 days ago. He sleeps most of the day, is very low and says life is pointless. What is the priority?

1. AEncourage him to exercise hard to raise his energy
2. BWake him often so that his sleep pattern returns to normal
3. CAssess his suicide risk
4. DGive a stimulant to relieve the low mood

The family of a patient with schizophrenia asks how they can tell if he is becoming unwell again. Which signs should the nurse teach them to watch for?

1. AA better appetite and more interest in his hobbies
2. BPoor sleep, withdrawal from others and increasing suspiciousness
3. CMild dry mouth in the first week of a new medicine
4. DTalking more openly with his family about his feelings and his plans for the future