精神科护理练习卷（附答案）

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. ACatastrophising
2. BAll-or-nothing thinking
3. CEmotional reasoning
4. DPersonalisation

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ADarkening of the skin on the hands and face
2. BA painful erection that does not go away
3. CRinging in the ears
4. DA dry cough

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. AEmotional reasoning
2. BCatastrophising
3. CPersonalisation
4. DMind reading

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 common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
4. DThese are signs of an allergic reaction, so she should never take lithium again

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. BSomatic
3. CErotomanic
4. DGrandiose

An older man has poor concentration, memory complaints and low mood that started after his wife died. Why is careful assessment important?

1. ALow mood after the loss of a partner is always normal grief and never needs any assessment
2. BMemory complaints in older adults are always caused by dementia
3. COlder adults cannot be treated for depression
4. DDepression in older adults can look like dementia and is treatable

A patient who had been abstinent from alcohol for 6 months has started drinking again. He says, "I've failed completely. There's no point in trying." What is the most helpful response?

1. A"Yes, I'm afraid you've wasted all of your hard work over the last six months."
2. B"Relapse is common in recovery. Let's look at what led to it and what you learned."
3. C"You'll have to start a completely new treatment from the beginning."
4. D"You obviously weren't serious about stopping."

A community nurse visits an older woman with hoarding disorder whose home is so cluttered that the exits are blocked. What is the most appropriate approach?

1. AWork with her to clear the exits first, then agree a gradual plan together
2. BIgnore the clutter, because it is her own home
3. CArrange for the whole house to be cleared while she is out
4. DTell her that she will be evicted unless everything is thrown away today