精神科护理练习卷（附答案）

哪项特征是神经性厌食的核心？

1. A反复暴食，没有任何代偿行为，并对暴食感到明显痛苦
2. B进食非食物物品
3. C限制进食，极度害怕体重增加，并有扭曲的身体意象
4. D对健康饮食的正常关注

What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar II is always more severe than bipolar I
2. BBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
3. CBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
4. DBipolar I involves only depression; bipolar II involves only mania

In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?

1. A2 years
2. B2 weeks
3. C2 months
4. D6 weeks

What is the CIWA-Ar scale used for?

1. AMeasuring the risk of falls in hospital
2. BRating the severity of alcohol withdrawal to guide treatment
3. CScreening for dementia in older adults
4. DMeasuring the depth of sedation in patients on a ventilator in intensive care

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. AProvide a quiet, low-stimulation environment and keep staff and patient safe
2. BTry to talk the patient down by discussing his feelings in detail
3. CPut him in a busy area so that staff can watch him more easily
4. DEncourage him to walk around the ward and join in activities to help burn off the drug

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. ACalm, supportive and warm communication
2. BFrequent criticism, hostility and emotional over-involvement
3. CEncouraging the patient to take part in activities
4. DRegular contact with the care team and other families

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. ALet him leave, because voluntary patients can always go when they want
2. BTell him to go home now and come back tomorrow morning when he feels calmer and safer
3. CAsk him to promise that he will not jump, and then let him go home on his own
4. DStay with him and inform the team at once, so he can be urgently assessed under mental health law

一名处于隔离中的患者似乎睡着了。护士应怎么做？

1. A把患者留到下一个班次
2. B因为患者睡着了就停止观察
3. C每 5 分钟叫醒患者，询问感觉如何并检查其呼吸
4. D按要求的频率继续观察，检查呼吸和健康状况