1.简单
What is a safety plan in suicide prevention?
- AA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
- BA plan that the nurse writes alone and keeps from the patient
- CA legal document in which the patient promises never to harm themselves
- DA hospital rule that all patients must stay in their rooms after dark
2.简单
一名阿片类药物过量的患者经纳洛酮逆转后，现已清醒。为什么仍须密切观察？
- A纳洛酮在被分解数小时后自身会引起呼吸变慢
- B纳洛酮的作用可能先于阿片类药物消退，因此他的呼吸可能再次变慢
- C一旦清醒就无需再观察
- D纳洛酮使阿片类药物的作用时间延长一倍
3.简单
Why are benzodiazepines used with caution in older adults?
- AThey raise blood pressure to dangerous levels after a single dose
- BThey increase the risk of confusion, falls and fractures
- CThey have no effect on the brain in older people
- DThey cause rapid weight gain and diabetes in all older adults
4.中等
What is the main difference between disulfiram and naltrexone in alcohol dependence?
- ADisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
- BNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
- CBoth work in exactly the same way, so they are fully interchangeable
- DDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
5.中等
A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?
- ANihilistic
- BSomatic
- CErotomanic
- DGrandiose
6.中等
According to DSM-5, how long must signs of the disturbance last before schizophrenia can be diagnosed?
- AAt least 6 months, including at least 1 month of active symptoms
- BAt least 2 years, including 6 months of active symptoms
- CAt least 2 weeks of continuous symptoms
- DAt least 1 month, with no further time required
7.困难
一名患者在出现暴力行为后刚被施以身体约束。哪项评估是最高优先级？
- A呼吸和循环，并持续观察
- B患者的饮食偏好
- C患者是否准备好重新参加团体活动
- D患者是否理解为什么使用约束
8.困难
An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?
- AA sign that she needs a higher dose of amitriptyline
- BThe normal effects of ageing
- CThe combined anticholinergic effects of her medicines
- DSudden-onset Alzheimer's disease
答案
- 1. A · A written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
- 2. B · 纳洛酮的作用可能先于阿片类药物消退，因此他的呼吸可能再次变慢
- 3. B · They increase the risk of confusion, falls and fractures
- 4. A · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
- 5. D · Grandiose
- 6. A · At least 6 months, including at least 1 month of active symptoms
- 7. A · 呼吸和循环，并持续观察
- 8. C · The combined anticholinergic effects of her medicines
完整分步解答：请在 examproblems.com 上练习本主题。