精神科护理练习卷（附答案）

Which sequence describes the cycle of violence often seen in intimate partner abuse?

1. ATension-building, acute violence, then reconciliation (the "honeymoon" phase)
2. BReconciliation, acute violence, then tension-building with no further violence
3. CTension-building, then a calm phase that lasts for the rest of the relationship
4. DAcute violence, then permanent separation of the partners

哪些副作用属于抗胆碱能作用？

1. A低血糖和体重减轻
2. B高热和皮疹
3. C口干、便秘、尿潴留和视物模糊
4. D腹泻、出汗、流泪和唾液分泌增多

What is conversion disorder (functional neurological symptom disorder)?

1. ADeliberately faking symptoms to get money or avoid work
2. BNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
3. CA belief that one has a serious illness without having any symptoms
4. DA condition in which the person has two or more distinct identities, with gaps in memory between them

A severely depressed older patient says, "My insides have rotted away; I am already dead." Which type of delusion is this?

1. AGrandiose
2. BErotomanic
3. CNihilistic
4. DPersecutory

Which pattern suggests premenstrual dysphoric disorder?

1. ALow mood throughout the whole month that is not linked to the menstrual cycle
2. BMild bloating the day before a period, without any mood changes
3. CMarked mood symptoms in the week before menstruation that improve within a few days after it starts
4. DMood symptoms that begin only after the menopause and last for several years

哪项原则适用于身体约束的使用？

1. A不需要记录
2. B可以作为违反规定的惩罚
3. C可以在忙碌的班次为方便工作人员而使用，只要事后记录并经团队复查即可
4. D这是限制较少的措施失败后的最后手段，需密切监测，并在安全时尽快解除

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

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

A patient who has taken haloperidol for many years now has repeated lip smacking and tongue movements. Which action is most appropriate?

1. AReassure the patient that the movements will soon stop on their own
2. BIncrease the haloperidol dose, because a higher dose suppresses the abnormal movements of the mouth and tongue
3. CGive benztropine, because it reliably reverses these movements
4. DReport the movements, assess them with a scale such as the AIMS and ask for a medication review