1.简单
Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?
- AFlumazenil
- BNaloxone
- CDisulfiram
- DClonidine
2.简单
What is "sundowning" in a person with dementia?
- ASensitivity of the skin to sunlight caused by dementia medicines
- BImproved memory and calmness as darkness falls each evening
- CIncreased confusion and agitation in the late afternoon and evening
- DSleeping all day and staying awake all night from the start of the illness
3.简单
What type of drug is methadone, used in the treatment of opioid dependence?
- AA benzodiazepine that reduces anxiety during withdrawal
- BAn opioid antagonist that blocks all opioid effects
- CA non-addictive stimulant that reduces opioid craving
- DA long-acting full opioid agonist
4.中等
A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?
- AA high serum potassium
- BA low serum sodium
- CA low serum cholesterol
- DA high haemoglobin
5.中等
在精神状态检查中,哪项发现记录在思维内容项下?
- A强迫观念和妄想
- B言语急迫
- C思维奔逸
- D联想松弛
6.中等
一名处于躁狂发作的患者太忙,坐不下来吃饭。支持其营养摄入的最佳方式是什么?
- A坚持让患者坐在桌旁 1 小时
- B等患者自己要食物
- C在忙碌的餐厅,在通常的固定用餐时间提供丰盛的三道菜大餐
- D提供可边走边吃的高热量手抓食物和饮料
7.困难
一名服用锂盐的患者已呕吐和腹泻 2 天。她现在出现粗大震颤并意识模糊。护士应首先做什么?
- A鼓励低盐饮食
- B给予下一剂并多喝水
- C暂停下一次给药,并紧急通知开医嘱者,以便检测血锂水平
- D给予止泻药并照常继续使用锂盐,饮食中多加盐
8.困难
A man with gambling disorder has lost his savings and has large debts. He tells the nurse, "My family would be better off without me." What should the nurse do?
- AChange the subject to his gambling triggers and how to avoid the betting shop
- BFocus only on helping him create a budget
- CReassure him that his family will forgive him
- DAsk directly about suicidal thoughts and plans, and assess his risk
答案
- 1. D · Clonidine
- 2. C · Increased confusion and agitation in the late afternoon and evening
- 3. D · A long-acting full opioid agonist
- 4. B · A low serum sodium
- 5. A · 强迫观念和妄想
- 6. D · 提供可边走边吃的高热量手抓食物和饮料
- 7. C · 暂停下一次给药,并紧急通知开医嘱者,以便检测血锂水平
- 8. D · Ask directly about suicidal thoughts and plans, and assess his risk
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