精神科护理练习卷（附答案）

What is a token economy?

1. AA system that lets patients pay for their own medicines and snacks while on the ward
2. BA programme in which patients earn tokens for target behaviours and swap them for rewards
3. CA form of punishment in which a privilege is removed for every ward rule that the patient breaks
4. DA method of group therapy based on discussing money problems

Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?

1. AExcessive hunger
2. BSevere constipation
3. CSexual dysfunction
4. DHair loss

What is agoraphobia?

1. AFear of having a serious, undiagnosed illness despite many normal medical test results and reassurance
2. BFear of being judged or embarrassed while speaking or eating in front of others
3. CFear of situations where escape might be difficult or help unavailable, such as crowds or public transport
4. DFear of one specific object or animal, such as spiders, dogs or snakes

How does aripiprazole differ from most other antipsychotics?

1. AIt is a benzodiazepine with antipsychotic effects
2. BIt has no effect on dopamine at all
3. CIt needs weekly white blood cell counts for safety
4. DIt is a partial agonist at dopamine D₂ receptors

应教导服用双硫仑的患者什么？

1. A避免一切酒精，包括某些漱口水和酱汁等隐蔽来源
2. B一剂即可治愈酒精依赖
3. C只有同时饮酒它才起作用，所以每天需要喝少量葡萄酒
4. D少量啤酒是安全的

A woman is convinced that a famous actor she has never met is secretly in love with her and sends her signals through his films. Which type of delusion is this?

1. ANihilistic
2. BErotomanic
3. CGrandiose
4. DSomatic

A school nurse is teaching about inhalant use such as sniffing glue or aerosols. Which risk should be stressed?

1. ASudden death from a heart arrhythmia, even on the first use
2. BInhalants are only dangerous if they are mixed with alcohol
3. CInhalants cause only a mild headache and nothing else
4. DThere is no physical risk, because the substances are legal

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?

1. AAgree with the colleague and take no action at all
2. BWait until the next morning to see if she still feels the same once the argument has settled down
3. CTell the patient she is only seeking attention
4. DCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent