精神科护理练习卷（附答案）

What is a psychiatric advance directive (advance statement)?

1. AA court order that allows a patient to be detained in hospital
2. BA note from the doctor that lists the patient's diagnoses
3. CA document in which a person states their treatment wishes for a time when they may lack capacity
4. DA contract in which the patient promises the team to take every prescribed medicine for life

What is separation anxiety disorder in a child?

1. AA lack of interest in parents and other close carers, with no distress when they leave
2. BExcessive, developmentally inappropriate fear of being apart from attachment figures
3. CFear of social situations in which other children may laugh at them
4. DNormal crying when a baby meets a stranger for the first time

What are the core features of attention-deficit hyperactivity disorder (ADHD)?

1. ADelusions, hallucinations and disorganised speech
2. BObsessions, compulsions and repeated checking
3. CLow mood, loss of interest and poor sleep
4. DInattention, hyperactivity and impulsivity

What does the Mini-Cog screening test for cognitive impairment involve?

1. AMeasuring the level of alcohol in the blood
2. BRecall of three words and a clock-drawing task
3. CA 30-minute brain scan
4. DA questionnaire about mood over the past 2 weeks

Which pattern suggests premenstrual dysphoric disorder?

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

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"A sudden severe headache is a reason to get help straight away."
2. B"I'll avoid aged cheese and cured meats."
3. C"I can take any cold and flu remedy from the pharmacy."
4. D"I'll tell any new doctor or dentist that I take an MAOI."

开始使用氯氮平三周后，一名患者出现胸痛、静息心率 125 次/分和发热。护士应怀疑什么？

1. A焦虑发作
2. B心肌炎，需要紧急医疗评估
3. C会自行缓解的正常副作用
4. D便秘

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

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