精神科护理练习卷（附答案）

What is systematic desensitisation?

1. ASudden and prolonged exposure to the most feared situation at once
2. BTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again
3. CA medicine that reduces anxiety within minutes of being taken
4. DGradual exposure to a feared situation, step by step, while using relaxation

According to Selye's general adaptation syndrome, what are the three stages of the stress response?

1. AForming, storming and norming
2. BAlarm, resistance and exhaustion
3. CDenial, anger and acceptance
4. DOrientation, working and termination

The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?

1. ARecent memory
2. BJudgement
3. COrientation
4. DPerception

According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?

1. AA patient who wants to improve her self-esteem
2. BA patient who has not eaten or drunk anything for two days
3. CA patient who wants to find a new hobby
4. DA patient who feels lonely and wants more visitors

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"Of course, as long as you don't tell the other patients."
2. B"That would be against the rules, so please stop asking about it."
3. C"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
4. D"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."

How should the nurse position herself when talking to an agitated patient?

1. ADirectly face to face, as close as possible, to show confidence
2. BBetween the patient and the wall, so the patient can leave easily
3. CAt a safe distance, slightly to the side, with a clear exit available
4. DBehind the patient and close to him, so that the patient does not feel threatened by eye contact

A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?

1. AThat she needs an antipsychotic to control her behaviour
2. BThat she is trying to manipulate the staff
3. CThat the behaviour is part of her disability and needs no assessment
4. DA physical cause such as dental pain, an ear infection or constipation

An 8-year-old taking methylphenidate for 6 months has dropped from the 50th to the 25th centile for weight. What is the most appropriate nursing action?

1. AStop the medicine immediately without telling the prescriber
2. BReport the finding, review his eating pattern and suggest giving the medicine after breakfast
3. CIgnore it, because weight changes in children are always normal
4. DAdvise giving a double dose at night instead, so that the medicine does not affect his appetite during the day