精神科护理练习卷（附答案）

Which feature is central to antisocial personality disorder?

1. AOdd beliefs, magical thinking, eccentric dress and unusual perceptual experiences
2. BA pattern of disregard for the rights of others, often without remorse
3. CIntense fear of being abandoned by people close to them
4. DA strong wish for close relationships combined with fear of rejection

What is Russell's sign, seen in some patients with eating disorders?

1. ASwelling of the ankles and feet during the first days of refeeding in hospital
2. BFine, downy hair growing on the face and back
3. CCalluses or scars on the back of the hand from inducing vomiting
4. DYellowing of the skin from eating a lot of carrots

According to crisis theory, how long does an acute crisis usually last before it resolves in some way?

1. AAbout 1 year
2. BAbout 4–6 weeks
3. CAbout 2–3 hours
4. DAbout 5 years

哪个因素是未来自杀的最强预测因素之一？

1. A已婚
2. B有坚定的宗教信仰
3. C既往自杀未遂
4. D有稳定的工作

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey give rapid relief but are generally used only short-term because of tolerance and dependence
2. BThey are the preferred long-term treatment for generalised anxiety disorder
3. CThey are safe to stop suddenly after many months of daily use
4. DThey take 4–6 weeks to have any effect on anxiety, like antidepressants

What must a patient be told for consent to a new psychotropic medicine to be valid?

1. ANothing at all, because psychiatric patients cannot give consent
2. BOnly the name of the medicine and the time of day it will be given
3. COnly the benefits, so that the patient is not frightened by the side effects
4. DThe expected benefits, the main risks and the alternatives, including no treatment

A patient who was admitted after a serious suicide attempt says, "I'm angry they saved me. Next time I'll do it properly." What should the nurse do?

1. ATell him that he should be grateful to be alive and think about how his family would feel
2. BMaintain close observation, report the statement and reassess the risk with the team
3. CReduce observation because he is talking openly about his feelings
4. DChange the subject to something more positive, such as his family and his plans for after discharge

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