精神科护理练习卷（附答案）

哪种防御机制被认为是健康、成熟的？

1. A升华：把攻击性情绪引导到体育运动中
2. B分裂：把人看作要么全好要么全坏
3. C否认：几个月来拒绝接受诊断
4. D投射：把自己的感受归咎于他人

Haloperidol belongs to which group of antipsychotics?

1. ASecond-generation (atypical) antipsychotics
2. BSelective serotonin reuptake inhibitors used for psychosis
3. CBenzodiazepines with an added antipsychotic effect
4. DFirst-generation (typical) antipsychotics

一名住院的 6 岁男孩又开始吮拇指和尿床。这是哪种防御机制？

1. A理智化
2. B投射
3. C升华
4. D退行

Which measurement should be monitored regularly in a patient taking venlafaxine?

1. ASerum lithium level
2. BPeak expiratory flow
3. CBlood pressure
4. DVisual acuity

Which question is the best way to ask a patient about suicidal thoughts?

1. A"You're not thinking of doing anything silly, are you?"
2. B"Things aren't that bad, are they?"
3. C"Are you having thoughts of killing yourself?"
4. D"You wouldn't hurt yourself, would you?"

A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?

1. ARespond with similar comments to build rapport
2. BAvoid the patient for the rest of the shift
3. CLaugh at the comments so he does not feel rejected
4. DCalmly say that the comments are not acceptable and redirect him

A patient taking naltrexone for alcohol dependence is brought to the emergency department with a broken leg. Why should the nurse tell the team about the naltrexone?

1. ANaltrexone makes opioids much stronger, so smaller doses must be used
2. BNaltrexone causes broken bones to heal more slowly
3. CNaltrexone blocks opioid analgesics, so pain relief needs to be planned differently
4. DIt is not relevant, because naltrexone only affects the way the body responds to alcohol

一名服用锂盐的患者已呕吐和腹泻 2 天。她现在出现粗大震颤并意识模糊。护士应首先做什么？

1. A暂停下一次给药，并紧急通知开医嘱者，以便检测血锂水平
2. B鼓励低盐饮食
3. C给予下一剂并多喝水
4. D给予止泻药并照常继续使用锂盐，饮食中多加盐