精神科护理练习卷（附答案）

A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?

1. AParanoid
2. BAvoidant
3. CSchizoid
4. DHistrionic

In obsessive-compulsive disorder, what is an obsession?

1. AA repeated action done to reduce anxiety, such as checking a lock
2. BA recurrent, unwanted thought, urge or image that causes anxiety
3. CA false belief that is held firmly despite clear evidence that it is untrue
4. DA strong interest in a hobby that the person enjoys very much

Which sequence shows Tuckman's stages of group development?

1. AForming, storming, norming, performing, adjourning
2. BNorming, forming, storming, adjourning, performing
3. CStorming, forming, performing, norming, adjourning
4. DForming, performing, storming, norming, adjourning

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. ATreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
2. BScold her for breaking the ward rules and remove all her privileges
3. CIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
4. DGive her a lot of extra attention for the rest of the day

When is the best time to teach a patient with an anxiety disorder a relaxation technique?

1. AWhen the patient's anxiety is at a mild level
2. BWhen the patient's anxiety is severe, so that the effect can be seen clearly
3. CDuring a panic attack, when the patient needs it most
4. DOnly after the patient has been discharged from hospital

Which information is essential when documenting the use of physical restraint?

1. AThe full names of the other patients who saw the incident
2. BOnly the time the restraint started and the name of the nurse in charge of the shift
3. CThe nurse's personal opinion of the patient's character and attitude
4. DThe reason for it, alternatives tried, start and end times, and the observations made

一名患者请护士保证不要告诉任何人她正计划自杀。最佳回应是什么？

1. A亲切地解释你不能为她保守这个秘密，因为她的安全很重要，你需要告知团队
2. B转移话题
3. C承诺保密，让她继续说下去并信任你，不要记录在病历中，也不要告诉团队
4. D告诉她你会考虑一下

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe patient is reacting to the coming end of the relationship
2. BThe nurse has made an error and should cancel the discharge
3. CThe patient has developed a new psychotic illness
4. DThe patient no longer needs the sessions and should be discharged at once