1.简单
Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?
- AAttention-deficit hyperactivity disorder
- BAlzheimer's disease
- CSchizophrenia
- DBorderline personality disorder
2.简单
In DSM-5, gambling disorder is grouped with which category of disorders?
- AAnxiety disorders and phobias
- BPersonality disorders in Cluster B
- CSubstance-related and addictive disorders
- DNeurocognitive disorders such as dementia
3.简单
Bupropion is used as an antidepressant in some countries, such as the US. What else is it commonly used for?
- ATreating alcohol withdrawal seizures
- BReversing opioid overdose
- CHelping people stop smoking
- DTreating acute mania
4.中等
Which side effects are most common with quetiapine?
- ASedation, dizziness when standing and weight gain
- BHigh prolactin with breast enlargement in almost every patient
- CA cough and swollen ankles
- DInsomnia and severe weight loss
5.中等
一名 19 岁的患者刚开始服用抗抑郁药。护士在最初几周应特别密切监测什么?
- A脱发
- B体重快速增加
- C新出现或加重的自杀念头或行为
- D眼睛颜色改变
6.中等
A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?
- AExplore the experience in her cultural context before calling it a symptom
- BTell her that her beliefs are not real
- CAvoid asking about it, because culture is not relevant to mental health
- DRecord it immediately as a command hallucination
7.困难
A man with gambling disorder has lost his savings and has large debts. He tells the nurse, "My family would be better off without me." What should the nurse do?
- AChange the subject to his gambling triggers and how to avoid the betting shop
- BReassure him that his family will forgive him
- CAsk directly about suicidal thoughts and plans, and assess his risk
- DFocus only on helping him create a budget
8.困难
A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?
- ACarry out a full suicide risk assessment, as with any patient who expresses suicidal intent
- BTell the patient she is only seeking attention
- CAgree with the colleague and take no action at all
- DWait until the next morning to see if she still feels the same once the argument has settled down
答案
- 1. D · Borderline personality disorder
- 2. C · Substance-related and addictive disorders
- 3. C · Helping people stop smoking
- 4. A · Sedation, dizziness when standing and weight gain
- 5. C · 新出现或加重的自杀念头或行为
- 6. A · Explore the experience in her cultural context before calling it a symptom
- 7. C · Ask directly about suicidal thoughts and plans, and assess his risk
- 8. A · Carry out a full suicide risk assessment, as with any patient who expresses suicidal intent
完整分步解答:请在 examproblems.com 上练习本主题。