精神科护理练习卷（附答案）

In DSM-5, an adjustment disorder begins within what time after an identifiable stressor?

1. AOnly after 2 years
2. BWithin 3 months
3. COnly after 1 year
4. DWithin 3 days

What is the main aim of motivational interviewing?

1. ATo frighten the person with the worst possible health consequences of their drinking
2. BTo confront the person firmly until they admit they have a problem
3. CTo tell the person exactly what they must do to recover
4. DTo help the person explore and resolve their mixed feelings about change

一名住院的 6 岁男孩又开始吮拇指和尿床。这是哪种防御机制？

1. A升华
2. B理智化
3. C退行
4. D投射

关于用于焦虑的丁螺环酮，哪项说法是正确的？

1. A必须与酒精一起服用
2. B它的成瘾性很高
3. C它需要数周才起效，不适合作为按需使用的药物
4. D它像苯二氮䓬类药物一样，在惊恐发作时几分钟内起效

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. ALet each nurse decide on the day whether to apply the rules
2. BGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
3. CState the rule and the consequence clearly, and make sure all staff apply it consistently
4. DChange the rules for this patient to avoid conflict

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. ASerotonin syndrome
2. BAgranulocytosis
3. CHyperthyroidism
4. DHypothyroidism

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. AStop the fluoxetine at once and tell the prescriber at his next appointment
2. BTake a double dose at night to make him sleepy
3. CDiscuss with the prescriber whether he can take it in the morning instead
4. DDrink a small glass of wine or beer before bed to help him fall asleep

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. AIt proves she has severe major depression with psychosis
2. BIt is a sign of schizophrenia that needs antipsychotic medicine
3. CIt means she has delirium and needs urgent tests
4. DBrief experiences like this can be part of normal grief