精神科护理练习卷（附答案）

A patient changes quickly from crying to laughing and back again within a few minutes, without an obvious reason. How is this affect described?

1. AFlat
2. BCongruent
3. CBlunted
4. DLabile

哪些副作用属于抗胆碱能作用？

1. A低血糖和体重减轻
2. B高热和皮疹
3. C腹泻、出汗、流泪和唾液分泌增多
4. D口干、便秘、尿潴留和视物模糊

哪些症状是锂中毒的早期征象？

1. A恶心、呕吐、腹泻和粗大震颤
2. B瘙痒和皮疹
3. C仅有体重增加和口干
4. D高血压、面部潮红和严重头痛

为什么不推荐把“不自杀协议”作为一种安全措施？

1. A它们太长太复杂，大多数患者读不下去，所以很少有患者签署
2. B它们只适用于儿童
3. C它们在所有地方都是非法的
4. D没有证据表明它们能预防自杀，而且可能带来虚假的安心感

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

1. ARestless pacing and an inability to sit still
2. BLip smacking, tongue thrusting and grimacing after years of treatment
3. CSudden muscle spasm of the neck with the eyes rolled upwards
4. DShuffling gait, mask-like face, rigidity and a resting tremor

血清锂浓度的哪个范围通常被引用为维持治疗的治疗范围？

1. A约 3.5 至 5.0 mmol/L
2. B约 0.01 至 0.05 mmol/L
3. C约 2.0 至 3.0 mmol/L（急性躁狂需要更高的水平）
4. D约 0.6 至 1.2 mmol/L（目标范围因指南而异）

A new nurse delegates several tasks to a healthcare assistant. Which delegation shows a need for further teaching?

1. AAsking the assistant to help a patient with personal hygiene
2. BAsking the assistant to decide whether a patient needs a second dose of a PRN sedative
3. CAsking the assistant to take routine vital signs of a stable patient
4. DAsking the assistant to sit with a calm patient during a group art activity and report any concerns

A patient who had been abstinent from alcohol for 6 months has started drinking again. He says, "I've failed completely. There's no point in trying." What is the most helpful response?

1. A"Relapse is common in recovery. Let's look at what led to it and what you learned."
2. B"Yes, I'm afraid you've wasted all of your hard work over the last six months."
3. C"You obviously weren't serious about stopping."
4. D"You'll have to start a completely new treatment from the beginning."