1.简单
A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?
- AApraxia
- BAphasia
- CAgnosia
- DAtaxia
2.简单
Which pattern of decline is typical of vascular dementia?
- AStepwise, with sudden worsening after each new vascular event
- BRapid improvement after starting antipsychotic medicine
- CVery gradual and steady from the start, without sudden changes
- DComplete recovery within a few weeks
3.简单
A patient says, "My husband never listens to me." The nurse says, "You sound frustrated." Which technique is this?
- AChanging the subject
- BPresenting reality
- CGiving approval
- DReflecting feelings
4.中等
Which side effects should the nurse monitor for in a patient starting donepezil?
- ADry mouth, constipation and urinary retention
- BTremor, thirst and passing large amounts of urine
- CNausea, diarrhoea and a slow heart rate
- DWeight gain and high blood glucose
5.中等
A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?
- A"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
- B"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
- C"Of course, as long as you don't tell the other patients."
- D"That would be against the rules, so please stop asking about it."
6.中等
一名 19 岁的患者刚开始服用抗抑郁药。护士在最初几周应特别密切监测什么?
- A新出现或加重的自杀念头或行为
- B体重快速增加
- C眼睛颜色改变
- D脱发
7.困难
An 82-year-old started amitriptyline last week. Which finding is most concerning?
- AFeeling a little drowsy in the evening
- BNew confusion and difficulty passing urine
- CMild constipation that responds to extra fluids and fibre in the diet
- DA slightly dry mouth
8.困难
The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?
- ALong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere
- BFamily-based treatment, in which the parents take an active role in restoring the child's eating
- CLeaving the young person to decide on her own when to start eating more
- DMedicine alone, because therapy is not effective in adolescents
答案
- 1. B · Aphasia
- 2. A · Stepwise, with sudden worsening after each new vascular event
- 3. D · Reflecting feelings
- 4. C · Nausea, diarrhoea and a slow heart rate
- 5. B · "I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
- 6. A · 新出现或加重的自杀念头或行为
- 7. B · New confusion and difficulty passing urine
- 8. B · Family-based treatment, in which the parents take an active role in restoring the child's eating
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