精神科护理练习卷（附答案）

What is anticipatory grief?

1. AGrief that appears for the first time many years after a loss
2. BGrief that never ends and stops the person from functioning
3. CGrief that begins before an expected loss, such as during a terminal illness
4. DGrief that is hidden from others because the loss is not openly recognised or socially accepted

哪项表现是躁狂发作的典型特征？

1. A言语和动作迟缓
2. B睡眠需求减少，精力充沛
3. C每天睡 14 个小时
4. D无价值感

下列哪项是精神分裂症的阴性症状？

1. A被害妄想
2. B意志缺乏（缺乏动力）
3. C行为紊乱
4. D听到声音

What is the main advantage of a long-acting injectable antipsychotic?

1. AIt cures schizophrenia after a fixed course of injections
2. BIt works faster than any oral antipsychotic in an acute crisis
3. CIt improves adherence because the patient does not need to take daily tablets
4. DIt has no side effects, unlike the oral forms of the same antipsychotic drugs

Which setting is best for an initial assessment interview with a new patient?

1. AA small office with the nurse sitting behind a high desk between herself and the door
2. BThe corridor, so that the interview can be done quickly
3. CThe busy day room, so that the patient feels part of the ward
4. DA quiet, private room with chairs at the same level and easy access to the door

A woman calls the emergency department after a sexual assault an hour ago. What advice helps to preserve forensic evidence?

1. AWait a few days at home until she feels ready to talk before seeking any medical care or forensic examination
2. BAvoid showering or changing clothes, and bring any clothing already removed in a paper bag
3. CShower and wash her clothes before coming in, so she feels cleaner
4. DPut all clothing in a sealed plastic bag

A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?

1. AIt would be inappropriate, because seclusion is only a last resort for serious risk of harm
2. BIt is acceptable as long as the patient agrees afterwards
3. CIt is acceptable, because it will make the ward quieter and safer for the other patients
4. DIt is acceptable as long as the seclusion lasts for less than an hour

A patient with an anxiety disorder speaks so quickly about her worries that the nurse cannot follow. Which response is most helpful?

1. A"Let me tell you what I think your problem is, and then we can talk."
2. B"Let's slow down and talk about one thing at a time. What worries you most right now?"
3. C"You're talking too fast, so we'll have to stop for today."
4. D"There's really nothing to worry about, so just try to relax."