精神科护理练习卷（附答案）

哪种药物是选择性 5-羟色胺再摄取抑制剂（SSRI）？

1. A舍曲林
2. B锂盐
3. C氟哌啶醇
4. D地西泮

什么是移情（transference）？

1. A患者无意识地将对过去某个人的感情投向护士
2. B护士对患者的感情
3. C一种防御机制，将无意识的焦虑转化为瘫痪等躯体症状
4. D把患者转到另一个病房

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言语贫乏
2. B思维阻滞
3. C思维奔逸
4. D持续言语

Which pattern suggests premenstrual dysphoric disorder?

1. AMarked mood symptoms in the week before menstruation that improve within a few days after it starts
2. BMood symptoms that begin only after the menopause and last for several years
3. CMild bloating the day before a period, without any mood changes
4. DLow mood throughout the whole month that is not linked to the menstrual cycle

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

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

How does obsessive-compulsive personality disorder differ from obsessive-compulsive disorder?

1. APeople with it always feel that their behaviour is senseless and unwanted
2. BIt is a lasting pattern of perfectionism and control without true obsessions and compulsions
3. CIt always involves repeated hand washing and checking rituals
4. DIt starts suddenly in later life after a stressful event and goes away on its own within a few months

In the second session of a new therapy group, members argue about rules and one member challenges the leader's authority. How should the leader interpret this?

1. AThe leader should avoid all conflict by making every decision alone
2. BIt is a normal stage of group development, to be handled openly and calmly
3. CThe group has failed and should be ended before anyone is upset
4. DThe member who challenged the leader should be removed

A woman who takes lithium for bipolar disorder tells the nurse she would like to become pregnant. What is the best response?

1. A"Stop the lithium today so that it is out of your body before you get pregnant."
2. B"Please don't stop your lithium on your own. Let's arrange for you to plan this with your prescriber before you conceive."
3. C"You'll need to choose between treating your bipolar disorder and having a baby."
4. D"Lithium is completely safe in pregnancy, so there is no need to change anything at all."