精神科护理练习卷（附答案）

Which early feature is most typical of frontotemporal dementia?

1. AVisual hallucinations of people and animals
2. BStepwise decline after a series of small strokes
3. CSevere memory loss as the very first symptom, with no change in behaviour
4. DChanges in personality and behaviour, such as loss of inhibition

一名患者说话很快，从一个话题跳到另一个话题，每个想法与前一个想法之间有松散的联系。这称为什么？

1. A思维阻滞
2. B持续言语
3. C思维奔逸
4. D言语贫乏

为什么护士通常应避免问患者“为什么”的问题，如“你为什么那样做？”

1. A它们太开放了
2. B它们始终违法
3. C它们使评估更简短
4. D这会让患者觉得被评判，从而产生防御心理

A child repeatedly eats paint flakes, soil and paper for more than a month. What is this called, and what is a key risk?

1. AAnorexia; dangerously low body weight and bradycardia
2. BARFID; the risk of choking on food
3. CPica; poisoning such as lead toxicity, or bowel obstruction
4. DBulimia; severe hypokalaemia from vomiting

A patient taking clozapine complains of drooling, especially at night. How should the nurse respond?

1. ATell him that it means the clozapine dose is too low and needs to be increased
2. BExplain that it is a sign of an allergic reaction to the medicine
3. CStop the clozapine immediately, because this is a sign of agranulocytosis
4. DRecognise it as a common side effect, report it and suggest a towel on the pillow

When is the best time to teach a patient with an anxiety disorder a relaxation technique?

1. AWhen the patient's anxiety is severe, so that the effect can be seen clearly
2. BOnly after the patient has been discharged from hospital
3. CDuring a panic attack, when the patient needs it most
4. DWhen the patient's anxiety is at a mild level

After witnessing a serious accident, a woman suddenly cannot move her legs. Full investigations are normal. Which nursing approach is most appropriate?

1. AIgnore her requests for help completely until she agrees to try to walk again on her own
2. BFocus every conversation on the details of her leg weakness
3. CTell her that the paralysis is fake and that she should stand up
4. DAccept that the symptom is real for her, help with mobility needs and gently explore recent stress

一名患者在出现暴力行为后刚被施以身体约束。哪项评估是最高优先级？

1. A患者的饮食偏好
2. B患者是否理解为什么使用约束
3. C患者是否准备好重新参加团体活动
4. D呼吸和循环，并持续观察