精神科护理练习卷（附答案）

服用单胺氧化酶抑制剂（MAOI）的患者必须避免哪类食物？

1. A米饭和意大利面
2. B新鲜蔬菜
3. C酪胺含量高的食物，如陈年奶酪和腌制肉类
4. D鲜牛奶和原味酸奶，因为含钙

Which feature is typical of Korsakoff syndrome?

1. APinpoint pupils and slow breathing
2. BFever, rigidity and a high creatine kinase
3. CSevere memory loss with confabulation
4. DA flapping tremor of the hands caused by liver failure

A patient says that other people can hear his thoughts as if they were spoken aloud. What is this called?

1. AFlight of ideas
2. BEcholalia
3. CThought blocking
4. DThought broadcasting

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

1. AHer calmness shows that the assault did not happen
2. BA controlled response is a common reaction in the acute phase after assault
3. CShe is probably exaggerating the seriousness of what happened, because she does not seem upset
4. DShe is not distressed and does not need any support

Which findings suggest recent cannabis use?

1. ASlow heart rate, constricted pupils, drooling and watery eyes
2. BPinpoint pupils, slow breathing and drowsiness
3. CRed eyes, increased appetite, dry mouth and a fast heart rate
4. DDilated pupils, high fever and severe muscle rigidity

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. AThyroid function tests
2. BAn MRI of the knee
3. CUrine drug screen only
4. DSerum lithium level

一名每天服用高剂量苯二氮䓬类药物一年的患者告诉你，她 2 天前突然停药了。主要风险是什么？

1. A戒断性惊厥
2. B脱发
3. C低血糖
4. D体重增加

A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?

1. AReport the concerns through child protection procedures and ensure the child's safety
2. BAccept the parents' explanation, because babies often fall
3. CTell the parents that the nurse knows they are abusing the child
4. DDischarge the child quickly so that the parents do not become angry and stop bringing him for medical care