精神科护理练习卷（附答案）

A patient says, "They're all against me, everything is wrong." The nurse says, "I'm not sure I follow. Who is against you?" Which technique is this?

1. AGiving recognition
2. BReflecting feelings
3. COffering self
4. DSeeking clarification

In a mental status examination, what does assessing orientation check?

1. AWhether the patient can interpret proverbs and explain their meaning
2. BWhether the patient understands that they are ill and needs treatment for it
3. CWhether the patient knows the time, the place and who they are
4. DWhether the patient's mood matches the facial expression and tone of voice

A patient believes that the newsreader on television is sending him personal messages. What is this called?

1. AThought insertion
2. BAn idea of reference
3. CAn illusion
4. DA somatic delusion

An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?

1. AOffer the oral medicine first, before considering an injection
2. BHide the medicine in his drink without telling him
3. CPlace him in seclusion and then decide about medicine later
4. DGive an intramuscular injection at once without offering any choice

一名患者要从 MAOI 换为 SSRI。什么是必不可少的？

1. A同一天开始使用 SSRI
2. B两种药物同服一个月
3. C起始时将 SSRI 剂量加倍
4. D在开始使用 SSRI 前有约 2 周的洗脱期

哪一组表现提示抗精神病药恶性综合征？

1. A在使用新的 5-羟色胺能药物后数小时内出现反射亢进、阵挛、腹泻、瞳孔扩大和激越
2. B高热、严重的“铅管样”肌强直、意识模糊、血压不稳和 CK 升高
3. C细微震颤和口渴加重
4. D体重增加和血糖升高

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. ADiscuss with the prescriber whether he can take it in the morning instead
2. BTake a double dose at night to make him sleepy
3. CDrink a small glass of wine or beer before bed to help him fall asleep
4. DStop the fluoxetine at once and tell the prescriber at his next appointment

A patient says, "I'm such a failure. My wife left me and I lost my job." The nurse answers, "Don't worry, things will get better soon." What is wrong with this response?

1. AIt uses the technique of presenting reality wrongly
2. BIt is too direct and confronting
3. CIt is false reassurance that dismisses the patient's feelings
4. DIt explores the problem too deeply too early