精神科护理练习卷（附答案）

A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?

1. AEchopraxia
2. BAkathisia
3. CWaxy flexibility
4. DTardive dyskinesia

Which level of anxiety involves disorganised thinking, an inability to communicate clearly and possible loss of contact with reality?

1. APanic
2. BModerate anxiety
3. CNormal everyday anxiety
4. DMild anxiety

What are the two core areas affected in autism spectrum disorder?

1. AReading and writing only, with completely normal social skills and play
2. BSocial communication and interaction, and restricted, repetitive behaviours or interests
3. CMood and appetite, which change with the seasons
4. DMemory and orientation to time and place

When is the best time to teach a patient with an anxiety disorder a relaxation technique?

1. ADuring a panic attack, when the patient needs it most
2. BWhen the patient's anxiety is severe, so that the effect can be seen clearly
3. COnly after the patient has been discharged from hospital
4. DWhen the patient's anxiety is at a mild level

Which finding in a patient with anorexia nervosa is most concerning?

1. ADry skin and brittle hair
2. BConstipation for the past few days
3. CFeeling cold in a warm room
4. DA resting heart rate of 38/min

哪一组表现提示抗精神病药恶性综合征？

1. A细微震颤和口渴加重
2. B体重增加和血糖升高
3. C在使用新的 5-羟色胺能药物后数小时内出现反射亢进、阵挛、腹泻、瞳孔扩大和激越
4. D高热、严重的“铅管样”肌强直、意识模糊、血压不稳和 CK 升高

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

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. AReassure him that young people do not have heart problems
2. BTreat it as a possible heart attack, with an urgent ECG and medical review
3. CGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer
4. DLet him rest, because the pain will pass when the drug wears off