精神科护理练习卷（附答案）

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. AA visual hallucination
2. BDepersonalisation
3. CDerealisation
4. DA delusion of control

Which sequence shows the five stages of grief described by Kübler-Ross?

1. AAnger, denial, acceptance, bargaining, depression
2. BAcceptance, bargaining, anger, depression, denial
3. CDenial, anger, bargaining, depression, acceptance
4. DShock, guilt, hope, sadness, recovery

Which phrase uses person-first language that helps reduce stigma?

1. A"A schizophrenic patient"
2. B"A mental case"
3. C"A person with schizophrenia"
4. D"A psycho"

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. BGrandiose
3. CSomatic
4. DErotomanic

A teenager is starting atomoxetine for ADHD. What should the nurse teach the family to watch for?

1. ANew or worsening suicidal thoughts or unusual changes in mood or behaviour
2. BSigns of physical dependence, because it is a controlled stimulant
3. CA dangerous rise in blood pressure after eating foods that contain tyramine
4. DSevere weight gain in the first week

In a therapy group, one member talks constantly and interrupts others. What should the group leader do?

1. ACriticise the member in front of the whole group so that she learns to stay quiet
2. BAsk the member to leave the group permanently so that others can speak
3. CAcknowledge the member's contribution and invite others to share their views
4. DLet the member continue, because she has a lot to say

A patient with depression and a family history of bipolar disorder started an antidepressant 2 weeks ago. He now sleeps 3 hours a night, talks rapidly and is spending large amounts of money. What should the nurse suspect?

1. AA switch into mania or hypomania triggered by the antidepressant
2. BNormal relief and extra energy now that his depression has finally lifted after the treatment
3. CThe expected improvement in mood from the antidepressant
4. DSerotonin syndrome caused by a high dose

A patient with an anxiety disorder speaks so quickly about her worries that the nurse cannot follow. Which response is most helpful?

1. A"There's really nothing to worry about, so just try to relax."
2. B"Let's slow down and talk about one thing at a time. What worries you most right now?"
3. C"You're talking too fast, so we'll have to stop for today."
4. D"Let me tell you what I think your problem is, and then we can talk."