精神科护理练习卷（附答案）

Which medicine is commonly used to treat antipsychotic-induced akathisia?

1. AHaloperidol
2. BPropranolol
3. CLithium
4. DBupropion

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

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

Which signs suggest acute cocaine intoxication?

1. APinpoint pupils, slow breathing and drowsiness
2. BDilated pupils, a fast heart rate and high blood pressure
3. CRed eyes, increased appetite, dry mouth and slowed reactions
4. DSlurred speech, an unsteady gait and a strong smell of alcohol on the breath

A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?

1. AAnorexia; dangerously low body weight and bradycardia
2. BBulimia; severe hypokalaemia from vomiting
3. CPica; poisoning such as lead toxicity, or bowel obstruction
4. DARFID; the risk of choking on food

Which treatment is recommended first-line for chronic insomnia in adults?

1. ADrinking alcohol in the evening to fall asleep
2. BLong-term daily benzodiazepines
3. CStaying in bed for longer each morning
4. DCognitive behavioural therapy for insomnia (CBT-I)

一名服用抗精神病药的患者不停地来回踱步，并说他无法静坐。这称为什么？

1. A迟发性运动障碍
2. B紧张症
3. C静坐不能
4. D假性帕金森综合征

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AThat the plan has failed and should be stopped immediately
2. BThat the child needs firm punishment for each tantrum instead
3. CAn extinction burst, which is expected before the behaviour decreases
4. DThat the tantrums are caused by a physical illness

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. ATreat it as a possible heart attack, with an urgent ECG and medical review
2. BLet him rest, because the pain will pass when the drug wears off
3. CReassure him that young people do not have heart problems
4. DGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer