精神科护理练习卷（附答案）

What is countertransference?

1. AThe nurse's emotional reaction to a patient, based on the nurse's own past experiences
2. BThe patient repeating the nurse's words and gestures without understanding their meaning
3. CThe transfer of a patient's care to another nurse at the end of a shift
4. DThe patient's feelings towards the nurse, based on earlier relationships

In DSM-5, gambling disorder is grouped with which category of disorders?

1. ANeurocognitive disorders such as dementia
2. BSubstance-related and addictive disorders
3. CPersonality disorders in Cluster B
4. DAnxiety disorders and phobias

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. AWeight gain and raised blood glucose
2. BExtrapyramidal side effects such as dystonia and pseudoparkinsonism
3. CLow white blood cell count
4. DRaised prolactin and breast enlargement

对于开始服用丙戊酸盐的患者，哪项监测很重要？

1. A肝功能和胰腺炎征象，以及关于妊娠风险的咨询
2. B肺功能和定期胸部 X 线，因为有肺纤维化的风险
3. C听力检查
4. D仅眼压

A young person who took LSD at a festival is frightened by what he is seeing. What is the most helpful nursing approach?

1. ALeave him alone in a dark room so that he can sleep it off
2. BStay with him in a calm, quiet place and reassure him that the effects are from the drug and will pass
3. CShine a bright light in his eyes every few minutes to check his pupils and keep him alert until it wears off
4. DArgue with him that what he sees is not real until he accepts it

氯氮平的哪项副作用可能危及生命，却常被忽视？

1. A严重便秘导致肠梗阻
2. B轻度体重增加
3. C嗜睡
4. D唾液增多

A new nurse asks why the therapeutic relationship is different from a social relationship. Which statement is correct?

1. AIt has no fixed end, and it can continue as a friendship after discharge if both the nurse and the patient want it to
2. BThe patient is responsible for setting the boundaries of the relationship
3. CIt is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
4. DBoth people share their needs equally, as in any friendship

A patient with somatic symptom disorder calls the nurse many times each shift to report different aches. Which approach is most helpful?

1. AArrange regular, planned contacts, assess any new symptoms and focus conversations on feelings and coping
2. BStop answering her calls, because the symptoms are imaginary
3. CTell her that her symptoms are all in her mind, so there is no need to assess them or treat them in any way
4. DAsk the doctor to order new tests every time she reports a symptom