精神科护理练习卷（附答案）

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

1. AAvoidant
2. BSchizoid
3. CParanoid
4. DHistrionic

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

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

What is separation anxiety disorder in a child?

1. AFear of social situations in which other children may laugh at them
2. BNormal crying when a baby meets a stranger for the first time
3. CExcessive, developmentally inappropriate fear of being apart from attachment figures
4. DA lack of interest in parents and other close carers, with no distress when they leave

对于关于早餐的提问，一名患者回答：“鸡蛋来自母鸡，母鸡住在农场，我叔叔有个农场，他开一辆红色拖拉机……”却始终没有回答问题。这称为什么？

1. A思维阻滞
2. B病理性赘述（circumstantiality）
3. C离题（切题障碍，tangentiality）
4. D语词杂拌

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
2. BIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential
3. CIt is safe in pregnancy and needs no special precautions
4. DIt must be taken with grapefruit juice to be absorbed

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
2. BThe combination is completely safe because they act on different systems
3. CIbuprofen will make the sertraline work faster
4. DIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction

The daughter of a man with moderate dementia says she is exhausted, is not sleeping and feels guilty for getting angry with him. What is the most helpful nursing response?

1. ATell her that good daughters do not get angry with their parents
2. BAdvise her to take on more responsibility for his care so that she feels less guilty
3. CSuggest that she stops visiting him for a few months so that she can rest and forget about her guilt
4. DAcknowledge her strain and discuss support such as respite care and carers' groups

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

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