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持续言语
2. B思维阻滞
3. C思维奔逸
4. D言语贫乏

A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?

1. AAmnesia
2. BApraxia
3. CAkathisia
4. DAphasia

Which group of features is typical of dementia with Lewy bodies?

1. AMemory loss only, with no other symptoms or changes in alertness for many years
2. BEarly personality change and loss of social inhibition
3. CFluctuating alertness, detailed visual hallucinations and parkinsonism
4. DSudden step-by-step decline after small strokes

Which feature helps distinguish normal grief from major depression?

1. AGrief always lasts less than 2 weeks
2. BIn grief, the person feels worthless and hopeless all the time
3. CIn grief, painful feelings come in waves and self-esteem is usually kept
4. DIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. AA relapse of her depression into a severe psychotic depression
2. BNeuroleptic malignant syndrome
3. CAntidepressant discontinuation syndrome
4. DSerotonin syndrome

How should a nurse screen a patient for intimate partner violence?

1. AAsk in private, without the partner or family present
2. BAsk the partner instead of the patient
3. COnly ask patients who have visible injuries
4. DAsk in front of the partner to see how he reacts

A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?

1. AReport him to the police and his employer for non-adherence to treatment
2. BAdvise him to stop it suddenly on his own and see what happens over the next month
3. CTell him he must take it for life and refuse to discuss it
4. DDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan

一名有行为能力的患者已签署同意接受一个疗程的 ECT。两次治疗后，她说想停止。哪项是正确的？

1. A她签署的同意书在第一次治疗后就具有约束力，所以现在必须完成约定的疗程
2. B只有她的家人同意，她才能停止
3. C她一旦签字就必须完成整个疗程
4. D她可以随时撤回同意，她的决定必须得到尊重并告知团队