精神科护理练习卷（附答案）

What is agoraphobia?

1. AFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
2. BFear of being judged or embarrassed while speaking or eating in front of others
3. CFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
4. DFear of one specific object or animal, such as spiders, dogs or snakes

一名刚被诊断为癌症的患者说：“检查结果一定是错的；我感觉很好。”这是哪种防御机制？

1. A升华
2. B置换
3. C否认
4. D投射

What is the main aim of motivational interviewing?

1. ATo tell the person exactly what they must do to recover
2. BTo frighten the person with the worst possible health consequences of their drinking
3. CTo confront the person firmly until they admit they have a problem
4. DTo help the person explore and resolve their mixed feelings about change

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. CTransference by the patient towards the nurse, which is never the nurse's concern
4. DAn ideal therapeutic relationship

一名患者使用“glimpotrance”这个词，并解释说它的意思是控制他思想的力量。这是什么？

1. A新语症
2. B音联联想
3. C模仿言语
4. D病理性赘述

A patient at risk of suicide is admitted. Which environmental check is most important?

1. APlace the patient in a room at the end of the corridor for privacy
2. BLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home
3. CMake sure the patient has a television in the room
4. DRemove items that could be used for self-harm, such as belts, cords and sharp objects

A patient with dementia repeatedly walks towards the ward exit, saying he must go to work. What is the most appropriate action?

1. ALock him in his room so that he cannot leave
2. BTell him firmly that he has been retired for 20 years
3. CWalk with him, acknowledge his concern and gently redirect him to an activity
4. DUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit

After witnessing a serious accident, a woman suddenly cannot move her legs. Full investigations are normal. Which nursing approach is most appropriate?

1. ATell her that the paralysis is fake and that she should stand up
2. BFocus every conversation on the details of her leg weakness
3. CAccept that the symptom is real for her, help with mobility needs and gently explore recent stress
4. DIgnore her requests for help completely until she agrees to try to walk again on her own