精神科护理练习卷（附答案）

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AWithin 3 months
2. BOnly after 2 years
3. CWithin 3 days
4. DOnly after 1 year

How does naltrexone help people with alcohol dependence?

1. AIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
2. BIt causes vomiting and flushing if the person drinks alcohol
3. CIt blocks opioid receptors and reduces the craving and pleasure from drinking
4. DIt replaces alcohol in the brain and prevents withdrawal seizures

Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?

1. AFeeling detached from family and friends
2. BBeing easily startled by loud noises
3. CAvoiding places that remind the person of the event
4. DFlashbacks of the traumatic event

一名患者说：“我一无是处。没有人关心我。”哪种回应最具治疗性？

1. A“你觉得没有人关心你。再多跟我说说。”
2. B“我们聊点更愉快的事吧。”
3. C“你不该说这样的话。”
4. D“这不是真的；这里每个人都关心你。”

In family systems theory, what is meant by the "identified patient"?

1. AThe family member who pays for the treatment
2. BThe member whose symptoms are seen as the family's problem
3. CThe patient whose identity has been checked against a wristband before treatment
4. DThe family member who has the most serious physical illness

一名患者坚持说工作人员在他的食物里下毒。最佳的初始应对方式是什么？

1. A承认他的恐惧，不对该信念进行争论，并把重点放在基于现实的话题上
2. B严肃地告诉他，除非停止指控，否则不给他任何食物
3. C同意他的说法，让他信任你
4. D理性地争辩，直到他承认自己错了

A patient with borderline personality disorder and frequent self-harm says, "I'm going to kill myself tonight," after an argument on the phone. A colleague says, "She always says that." What should the nurse do?

1. AAgree with the colleague and take no action at all
2. BTell the patient she is only seeking attention
3. CWait until the next morning to see if she still feels the same once the argument has settled down
4. DCarry out a full suicide risk assessment, as with any patient who expresses suicidal intent

For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?

1. ASpecific phobia
2. BGeneralised anxiety disorder
3. CAcute stress disorder after a recent trauma
4. DPanic disorder