精神科护理练习卷（附答案）

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. ASchizophrenia
2. BBorderline personality disorder
3. CAttention-deficit hyperactivity disorder
4. DAlzheimer's disease

A patient says, "If I make one mistake at work, I'll be fired, lose my flat and end up on the street." Which cognitive distortion is this?

1. AMind reading
2. BEmotional reasoning
3. CCatastrophising
4. DPersonalisation

Which statement about nicotine replacement therapy is correct?

1. AIt works by making cigarettes taste so unpleasant that the person no longer wants to smoke them
2. BIt provides nicotine without the harmful smoke, to reduce withdrawal and cravings
3. CIt must never be combined, for example a patch with gum
4. DIt contains tar and carbon monoxide in smaller amounts than cigarettes

What should a patient starting zolpidem for insomnia be taught to report?

1. AFeeling slightly more rested and alert the next morning than before starting the medicine
2. BDoing things while not fully awake, such as sleepwalking or driving, with no memory of it
3. CFeeling sleepy about 30 minutes after taking it at bedtime
4. DSleeping through the night without waking up

Which statement about benzodiazepines in anxiety disorders is correct?

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

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"I don't see anyone in the corner, but I know it seems real to you."
2. B"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
3. C"What does the man in the corner look like?"
4. D"The man will go away if you ignore him."

A caller says she is a patient's sister and asks how he is doing. The patient has not given consent to share information. What should the nurse do?

1. ANeither confirm nor deny that he is there, and offer to pass on a message
2. BAsk her to prove she is his sister and then share the details
3. CGive a full update, because she is a close family member
4. DTell her that he is on the ward but refuse to say anything else about his care or condition

A depressed patient says, "I don't enjoy anything any more, so there's no point in doing anything." Which intervention best reflects behavioural activation?

1. AWait until his mood improves before suggesting activities
2. BPlan small, scheduled activities with him and review how he felt afterwards
3. CTell him that his thoughts are irrational and he should stop thinking that way
4. DEncourage him to rest in bed as much as possible until the medicine works