精神科护理练习卷（附答案）

什么是迟发性运动障碍？

1. A最初几天出现的坐立不安、无法静坐
2. B长期使用抗精神病药物后出现的不自主运动，常见于口、舌和面部
3. C首次用药后数小时或数日内出现的颈部、舌或眼部突发性疼痛性肌肉痉挛
4. D高热伴肌肉强直

What is "enabling" in the context of substance use?

1. AHelping the person to attend a treatment programme on time
2. BSetting firm limits on what behaviour the family will accept in the home from now on
3. CBehaviour by others that protects the person from the consequences of their use
4. DGiving the person information about the effects of the substance

A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?

1. AGiving recognition
2. BSeeking clarification
3. CReflecting feelings
4. DOffering self

为什么三环类抗抑郁药过量时特别危险？

1. A只引起轻度嗜睡
2. B仅轻微降低血压，很少需要治疗
3. C过量时没有任何作用
4. D可引起致命的心律失常和惊厥

应教导服用氯氮平的患者立即报告什么？

1. A夜间唾液增多
2. B想多吃东西
3. C晚间服药后轻度嗜睡
4. D发热、咽痛或其他感染征象

In the termination phase of the nurse–patient relationship, which behaviour is common and should be expected?

1. AThe patient finally begins to share their problems for the first time
2. BThe patient asks for the relationship to start again from the beginning
3. CThe patient may show anger, sadness or a return of earlier symptoms
4. DThe patient always feels relieved and shows no feelings

A nurse feels strong irritation every time she cares for a patient who reminds her of her abusive father. What is the most appropriate action?

1. ATell the patient that he reminds her of her father
2. BAvoid the patient and let other staff do all of his care
3. CRecognise this as countertransference and discuss it in clinical supervision
4. DIgnore the feeling, because feelings do not affect nursing care

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