精神科护理练习卷（附答案）

The SOLER approach is a guide to which aspect of communication?

1. AWriting nursing care plans
2. BDocumenting patient records accurately
3. CNon-verbal attending behaviour
4. DAssessing the risk of suicide

According to Erikson, what is the main psychosocial task of adolescence?

1. AIntegrity versus despair
2. BIdentity versus role confusion
3. CTrust versus mistrust
4. DIndustry versus inferiority

According to DSM-5, generalised anxiety disorder involves excessive worry on more days than not for at least how long?

1. A2 years
2. B1 month
3. C2 weeks
4. D6 months

一名精神分裂症患者说：“那些声音在说我是邪恶的。”哪种回应最好？

1. A“那些声音不是真的，别理它们就是了。”
2. B“如果你听到声音，你一定病得很重。”
3. C“我们先不谈那些声音。说说你的家人和你的打算吧。”
4. D“我听不到那些声音，但我能看出它们让你很难受。它们在对你说什么？”

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
2. BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
3. CThese are signs of an allergic reaction, so she should never take lithium again
4. DThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored

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

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

A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?

1. AAlways give it as soon as she asks, without assessment
2. BAssess her anxiety each time, offer other coping strategies and give it if indicated
3. CRefuse to give it, because she might become dependent
4. DGive her a placebo tablet instead, without telling her, to see whether she really needs it

开始使用氯氮平三周后，一名患者出现胸痛、静息心率 125 次/分和发热。护士应怀疑什么？

1. A便秘
2. B心肌炎，需要紧急医疗评估
3. C会自行缓解的正常副作用
4. D焦虑发作