精神科护理练习卷（附答案）

一名患者说话很快，从一个话题跳到另一个话题，每个想法与前一个想法之间有松散的联系。这称为什么？

1. A言语贫乏
2. B思维阻滞
3. C思维奔逸
4. D持续言语

What is "sundowning" in a person with dementia?

1. AIncreased confusion and agitation in the late afternoon and evening
2. BImproved memory and calmness as darkness falls each evening
3. CSleeping all day and staying awake all night from the start of the illness
4. DSensitivity of the skin to sunlight caused by dementia medicines

哪项特征是神经性厌食的核心？

1. A进食非食物物品
2. B反复暴食，没有任何代偿行为，并对暴食感到明显痛苦
3. C对健康饮食的正常关注
4. D限制进食，极度害怕体重增加，并有扭曲的身体意象

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

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

哪种药物最可能升高患者的血锂水平？

1. A阿莫西林
2. B奥美拉唑
3. C布洛芬
4. D对乙酰氨基酚（扑热息痛）

A patient in a manic episode makes repeated sexual comments to a nurse. What is the most appropriate response?

1. ACalmly say that the comments are not acceptable and redirect him
2. BLaugh at the comments so he does not feel rejected
3. CAvoid the patient for the rest of the shift
4. DRespond with similar comments to build rapport

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. AAssume it is normal ageing and take no action
2. BAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
3. CLook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
4. DDiagnose late-onset schizophrenia and start an antipsychotic immediately

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe patient no longer needs the sessions and should be discharged at once
2. BThe patient has developed a new psychotic illness
3. CThe patient is reacting to the coming end of the relationship
4. DThe nurse has made an error and should cancel the discharge