精神科护理练习卷（附答案）

In obsessive-compulsive disorder, what is an obsession?

1. AA repeated action done to reduce anxiety, such as checking a lock
2. BA strong interest in a hobby that the person enjoys very much
3. CA recurrent, unwanted thought, urge or image that causes anxiety
4. DA false belief that is held firmly despite clear evidence that it is untrue

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. AFluoxetine
2. BHaloperidol
3. CDantrolene
4. DLithium

What is the main goal of crisis intervention?

1. ATo admit every person in crisis to hospital for several months
2. BTo change the person's personality so that crises never happen again
3. CTo explore the person's childhood experiences in depth over many years
4. DTo help the person return at least to their level of functioning before the crisis

A patient at high risk of suicide is placed on constant (one-to-one) observation. What does this mean?

1. AThe patient is seen once a shift by the nurse in charge, and otherwise checked by camera from the office when staff are free
2. BThe patient can be left alone while asleep
3. CThe patient is checked every hour during the day only
4. DA staff member stays with the patient at all times, at the distance set by policy, including in the bathroom

How should a patient with anorexia nervosa be weighed in hospital?

1. AIn her own clothes and shoes after breakfast, so that she feels more comfortable
2. BOnly when she asks to be weighed, to respect her wishes
3. CAt the same time, on the same scale, in a gown, after emptying the bladder
4. DAt a different time each day so that she cannot prepare for it

A woman with advanced dementia keeps asking for her mother, who died many years ago. Which response is most appropriate?

1. A"Your mother will visit you later this afternoon."
2. B"Your mother died 30 years ago. You know that."
3. C"You're thinking about your mother. Tell me about her."
4. D"Please stop asking about her now and finish your lunch before it gets cold."

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

Six weeks after losing his job, a man feels low and worried and is sleeping a little less, but he still enjoys time with his children and does not meet the criteria for major depression. Which diagnosis fits best?

1. APersistent depressive disorder
2. BAdjustment disorder with depressed mood
3. CMajor depressive disorder
4. DBipolar II disorder