精神科护理练习卷（附答案）

What is a psychiatric advance directive (advance statement)?

1. AA contract in which the patient promises the team to take every prescribed medicine for life
2. BA document in which a person states their treatment wishes for a time when they may lack capacity
3. CA note from the doctor that lists the patient's diagnoses
4. DA court order that allows a patient to be detained in hospital

According to DSM-5, generalised anxiety disorder involves excessive worry on more days than not for at least how long?

1. A2 years
2. B2 weeks
3. C1 month
4. D6 months

锂盐主要用于治疗：

1. A惊恐发作（作为速效药物）
2. B精神分裂症（作为一线药物）
3. C酒精戒断
4. D双相障碍

Which measurement should be monitored regularly in a patient taking venlafaxine?

1. AVisual acuity
2. BBlood pressure
3. CPeak expiratory flow
4. DSerum lithium level

Which feature helps distinguish normal grief from major depression?

1. AIn grief, the person feels worthless and hopeless all the time
2. BGrief always lasts less than 2 weeks
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 woman was assaulted 10 days ago. She has nightmares, avoids the area and feels detached. According to DSM-5, which diagnosis fits the timing best?

1. AAcute stress disorder
2. BPost-traumatic stress disorder
3. CAdjustment disorder with anxiety
4. DGeneralised anxiety disorder

An 81-year-old woman's memory has slowly worsened over 2 years. She repeats questions and gets lost in familiar places, but she is alert and her attention is normal. Which condition is most likely?

1. ADelirium
2. BA neurocognitive disorder such as Alzheimer's disease
3. CBrief psychotic disorder in later life
4. DNormal ageing with mild forgetfulness

A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?

1. AHelp him set a quit date for next week
2. BRefer him straight to a residential detox programme
3. CDiscuss detailed strategies to prevent a relapse after he has stopped drinking
4. DOffer non-judgemental information and explore how drinking affects his life