1.简单
In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?
- A2 months
- B2 years
- C6 weeks
- D2 weeks
2.简单
What is "sundowning" in a person with dementia?
- AImproved memory and calmness as darkness falls each evening
- BSleeping all day and staying awake all night from the start of the illness
- CSensitivity of the skin to sunlight caused by dementia medicines
- DIncreased confusion and agitation in the late afternoon and evening
3.简单
Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?
- AA dry cough
- BDarkening of the skin on the hands and face
- CA painful erection that does not go away
- DRinging in the ears
4.中等
一名服用抗精神病药的患者不停地来回踱步,并说他无法静坐。这称为什么?
- A迟发性运动障碍
- B静坐不能
- C紧张症
- D假性帕金森综合征
5.中等
A patient who has started chlorpromazine feels dizzy when she gets out of bed. What should the nurse teach her?
- ADrink a cup of strong coffee before getting out of bed each morning
- BStop the medicine if the dizziness happens more than once
- CSit on the edge of the bed for a moment and then stand up slowly
- DGet up quickly to get the blood flowing to the brain
6.中等
How does aripiprazole differ from most other antipsychotics?
- AIt is a partial agonist at dopamine D2 receptors
- BIt has no effect on dopamine at all
- CIt is a benzodiazepine with antipsychotic effects
- DIt needs weekly white blood cell counts for safety
7.困难
A patient with anorexia nervosa is admitted with a BMI of 14, dizziness and low potassium. Which goal is the priority in the first days?
- AGaining insight into family relationships through therapy
- BPlanning her return to university and her studies after discharge
- CImproving body image through group discussions
- DMedical stabilisation, with careful refeeding and correction of electrolytes
8.困难
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?
- AAcknowledge her strain and discuss support such as respite care and carers' groups
- BSuggest that she stops visiting him for a few months so that she can rest and forget about her guilt
- CAdvise her to take on more responsibility for his care so that she feels less guilty
- DTell her that good daughters do not get angry with their parents
答案
- 1. B · 2 years
- 2. D · Increased confusion and agitation in the late afternoon and evening
- 3. C · A painful erection that does not go away
- 4. B · 静坐不能
- 5. C · Sit on the edge of the bed for a moment and then stand up slowly
- 6. A · It is a partial agonist at dopamine D2 receptors
- 7. D · Medical stabilisation, with careful refeeding and correction of electrolytes
- 8. A · Acknowledge her strain and discuss support such as respite care and carers' groups
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