精神科护理练习卷（附答案）

What is a safety plan in suicide prevention?

1. AA plan that the nurse writes alone and keeps from the patient
2. BA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
3. CA legal document in which the patient promises never to harm themselves
4. DA hospital rule that all patients must stay in their rooms after dark

What are the two core areas affected in autism spectrum disorder?

1. ASocial communication and interaction, and restricted, repetitive behaviours or interests
2. BMemory and orientation to time and place
3. CMood and appetite, which change with the seasons
4. DReading and writing only, with completely normal social skills and play

What is the main mechanism of action of antipsychotic medicines?

1. AStimulating GABA receptors in the brain
2. BIncreasing the release of dopamine
3. CBlocking dopamine D₂ receptors
4. DBlocking the reuptake of serotonin only

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

1. ADrink enough fluids and avoid overheating, because the medicine can affect temperature control
2. BAvoid all fluids so that there is less need to find a toilet
3. CStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
4. DExercise as hard as possible in the heat to burn off the extra weight

Which item is part of a safety plan for a person experiencing domestic violence?

1. ATelling the abuser about plans to leave so that he can prepare
2. BAvoiding contact with friends and support services so as not to provoke him
3. CKeeping all important documents in the shared house
4. DKeeping an emergency bag with documents, money and keys somewhere safe

Which preparation is usual before electroconvulsive therapy (ECT)?

1. AFasting for several hours, because a brief general anaesthetic is given
2. BStopping all regular medicines for 2 weeks before the first treatment
3. CEating a large meal to prevent low blood sugar during the seizure
4. DNo preparation, because the patient stays fully awake during ECT

开始使用 SSRI 两周后，一名患者说：“这没有用。我要停药了。”最佳回应是什么？

1. A同意他立即停药，因为用了两周还没有帮助的抗抑郁药不太可能起效
2. B解释说通常需要几周才能完全起效，鼓励他继续服药，并监测他的情绪和安全
3. C告诉他抗抑郁药从来都没有用
4. D告诉他将剂量加倍

An older patient receiving haloperidol for agitation has an episode of fainting and palpitations. Which test does the nurse expect to be ordered first?

1. AAn ECG to look for a prolonged QT interval
2. BA white blood cell count with differential
3. CA liver function test
4. DA serum lithium level