精神科护理练习卷（附答案）

Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?

1. AFlumazenil
2. BClonidine
3. CNaloxone
4. DDisulfiram

Which side effects are typical of mirtazapine?

1. AHigh blood pressure and tremor
2. BPriapism and a dry cough
3. CInsomnia, agitation and weight loss
4. DSedation and increased appetite with weight gain

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

1. AIndustry versus inferiority
2. BIdentity versus role confusion
3. CTrust versus mistrust
4. DIntegrity versus despair

A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?

1. AAnorexia; dangerously low body weight and bradycardia
2. BARFID; the risk of choking on food
3. CBulimia; severe hypokalaemia from vomiting
4. DPica; poisoning such as lead toxicity, or bowel obstruction

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"The man will go away if you ignore him."
2. B"I don't see anyone in the corner, but I know it seems real to you."
3. C"What does the man in the corner look like?"
4. D"That's just your illness talking, so there's nothing to worry about. Try to think of something else."

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

1. A"You shouldn't talk to people like that."
2. B"You sound very angry. Tell me what has happened."
3. C"If you speak to me like that, I'm leaving."
4. D"That's not true. I've helped you all day."

A patient who was admitted after a serious suicide attempt says, "I'm angry they saved me. Next time I'll do it properly." What should the nurse do?

1. AReduce observation because he is talking openly about his feelings
2. BTell him that he should be grateful to be alive and think about how his family would feel
3. CChange the subject to something more positive, such as his family and his plans for after discharge
4. DMaintain close observation, report the statement and reassess the risk with the team

A resident with Alzheimer's disease becomes very agitated and hits out when staff try to help him bathe. What is the best approach?

1. AStop, try again later or in a different way, and explain each step calmly
2. BSkip bathing for the rest of his stay
3. CGet more staff to hold him so the bath can be finished quickly
4. DAsk the doctor for a sedative to be given before every bath so that he stays calm and cooperative