精神科护理练习卷（附答案）

Which personality disorders belong to Cluster A, the "odd or eccentric" cluster?

1. AParanoid, schizoid and schizotypal
2. BAntisocial, borderline, histrionic and narcissistic
3. CAvoidant, dependent and obsessive-compulsive
4. DBorderline, avoidant and paranoid

直接询问患者是否有自杀念头会增加其自杀风险吗？

1. A仅对青少年才是安全的
2. B会；这只应由精神科医生在全面评估后进行
3. C不会；直接询问是安全的，有助于评估风险
4. D会；这会把这个想法灌输给他们

What is hoarding disorder?

1. ARepeated checking that all the doors and windows are locked before leaving the house each day
2. BPersistent difficulty throwing things away, so that clutter fills the living space
3. CCollecting a few favourite objects as a hobby that the person enjoys
4. DFear of leaving the home because of crowds and public transport

A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?

1. AThe child should not be told anything about the death until she is older
2. BThe child does not care about her grandmother and has not been affected by the death
3. CThe child is in denial and needs psychiatric treatment
4. DYoung children often do not yet see death as permanent, so simple, honest words help

What is the main difference between disulfiram and naltrexone in alcohol dependence?

1. ADisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
2. BNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
3. CDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
4. DBoth work in exactly the same way, so they are fully interchangeable

Which communication approach is best with a patient who has paranoid personality disorder?

1. ABe very warm and joke often to put the patient at ease
2. BBe clear, honest and business-like, and explain the reasons for actions
3. CTalk about the patient with colleagues in whispers within his sight
4. DAvoid explaining anything so that the patient does not become suspicious

A 15-year-old tells the school nurse she has been cutting herself and asks her not to tell her parents. What is the best response?

1. ATell her that cutting is a phase that many teenagers go through and it needs no help
2. BExplain that safety information must be shared, and involve her in how this is done
3. CPhone her parents at once without telling her
4. DPromise never to tell anyone about it, so that she keeps trusting the school nurse

A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?

1. AGive the patient his own prescribed medicine as well, to stay on schedule
2. BSay nothing, because one dose will not cause harm
3. CAssess the patient, including his vital signs and level of sedation
4. DFill in an incident report before checking the patient