精神科护理练习卷（附答案）

Which statement about nicotine replacement therapy is correct?

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

What is the main purpose of a debriefing after a physical restraint incident?

1. ATo review what happened, support those involved and learn how to prevent future restraint
2. BTo punish the patient for the behaviour that led to the restraint
3. CTo decide which staff member should be blamed for the incident
4. DTo agree how to avoid recording the incident in the patient's records so that the ward is not criticised

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. AHaloperidol
2. BLithium
3. CFluoxetine
4. DDantrolene

一名患者每天服用苯二氮䓬类药物已有数月。为什么不能突然停药？

1. A患者会对它过敏
2. B没有风险；苯二氮䓬类药物可以随时停用，无需逐渐减量
3. C会导致体重立即增加
4. D突然戒断可引起严重焦虑、失眠和惊厥

A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?

1. ASerotonin syndrome
2. BA relapse of her depression into a severe psychotic depression
3. CNeuroleptic malignant syndrome
4. DAntidepressant discontinuation syndrome

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. AExplain that it is a sign of an allergic reaction to the medicine
2. BTell him that it means the clozapine dose is too low and needs to be increased
3. CStop the clozapine immediately, because this is a sign of agranulocytosis
4. DRecognise it as a common side effect, report it and suggest a towel on the pillow

一名患者被发现无反应，呼吸频率 6 次/分，瞳孔针尖样。护士应首先做什么？

1. A给予氟马西尼
2. B给一大杯水
3. C呼救，开放气道并支持呼吸，并按处方或规程给予纳洛酮
4. D让患者呈复苏体位，等其自然醒来再通知他人

A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?

1. A"Smoking is only allowed in the garden, and that rule is the same for everyone."
2. B"I'll let you if you promise not to tell anyone else about it."
3. C"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."
4. D"Well, if the others let you, I suppose it's fine this once."