精神科护理练习卷（附答案）

What is the main focus of the recovery model in mental health care?

1. AComplete removal of all symptoms before the person can start to build a good and meaningful life
2. BHope, self-determination and living a meaningful life, even if some symptoms continue
3. CProfessionals making all decisions for patients for their own good
4. DLong-term hospital care for everyone with serious mental illness

Which advice is part of good sleep hygiene?

1. AUse a phone or tablet in bed until you feel tired enough to sleep
2. BGet up at the same time each day and avoid caffeine later in the day
3. CHave a large meal and a strong coffee just before going to bed
4. DTake long naps in the afternoon to make up for any lost sleep at night

How does naltrexone help people with alcohol dependence?

1. AIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
2. BIt causes vomiting and flushing if the person drinks alcohol
3. CIt replaces alcohol in the brain and prevents withdrawal seizures
4. DIt blocks opioid receptors and reduces the craving and pleasure from drinking

A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?

1. APositive reinforcement
2. BTransference
3. CSplitting by the patient
4. DDiagnostic overshadowing

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
2. BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
3. CThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
4. DThese are signs of an allergic reaction, so she should never take lithium again

What does the Mini-Cog screening test for cognitive impairment involve?

1. AMeasuring the level of alcohol in the blood
2. BA 30-minute brain scan
3. CA questionnaire about mood over the past 2 weeks
4. DRecall of three words and a clock-drawing task

A patient taking naltrexone for alcohol dependence is brought to the emergency department with a broken leg. Why should the nurse tell the team about the naltrexone?

1. ANaltrexone causes broken bones to heal more slowly
2. BNaltrexone blocks opioid analgesics, so pain relief needs to be planned differently
3. CNaltrexone makes opioids much stronger, so smaller doses must be used
4. DIt is not relevant, because naltrexone only affects the way the body responds to alcohol

A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?

1. AHelp him set a quit date for next week
2. BRefer him straight to a residential detox programme
3. COffer non-judgemental information and explore how drinking affects his life
4. DDiscuss detailed strategies to prevent a relapse after he has stopped drinking