精神科护理练习卷（附答案）

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AAntisocial, borderline, histrionic and narcissistic
2. BHistrionic, dependent and schizoid
3. CAvoidant, dependent and obsessive-compulsive
4. DParanoid, schizoid and schizotypal

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AInvestigate the family alone at home before reporting
2. BWait until there is clear proof before telling anyone
3. CReport the concern according to child protection procedures
4. DConfront the parents and ask them directly whether they hurt the child

What is the difference between empathy and sympathy?

1. AEmpathy is understanding feelings from the patient's view; sympathy is feeling sorry for them
2. BEmpathy is feeling sorry for a patient; sympathy is understanding their point of view
3. CEmpathy is used only with children and teenagers; sympathy is used only with adult patients
4. DEmpathy and sympathy mean exactly the same thing in nursing

Which side effects are most common with quetiapine?

1. ASedation, dizziness when standing and weight gain
2. BA cough and swollen ankles
3. CHigh prolactin with breast enlargement in almost every patient
4. DInsomnia and severe weight loss

关于用于焦虑的丁螺环酮，哪项说法是正确的？

1. A它的成瘾性很高
2. B它像苯二氮䓬类药物一样，在惊恐发作时几分钟内起效
3. C必须与酒精一起服用
4. D它需要数周才起效，不适合作为按需使用的药物

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

1. AA controlled response is a common reaction in the acute phase after assault
2. BShe is not distressed and does not need any support
3. CShe is probably exaggerating the seriousness of what happened, because she does not seem upset
4. DHer calmness shows that the assault did not happen

哪项发现最有助于区分 5-羟色胺综合征与抗精神病药恶性综合征？

1. A意识模糊只见于抗精神病药恶性综合征，从不见于 5-羟色胺综合征
2. B出汗只见于抗精神病药恶性综合征
3. C起病迅速的反射亢进和阵挛提示 5-羟色胺综合征
4. D只有 5-羟色胺综合征才有发热

The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?

1. AFamily-based treatment, in which the parents take an active role in restoring the child's eating
2. BMedicine alone, because therapy is not effective in adolescents
3. CLeaving the young person to decide on her own when to start eating more
4. DLong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere