1.简单
In obsessive-compulsive disorder, what is an obsession?
- AA false belief that is held firmly despite clear evidence that it is untrue
- BA repeated action done to reduce anxiety, such as checking a lock
- CA recurrent, unwanted thought, urge or image that causes anxiety
- DA strong interest in a hobby that the person enjoys very much
2.简单
What is "enabling" in the context of substance use?
- AHelping the person to attend a treatment programme on time
- BBehaviour by others that protects the person from the consequences of their use
- CSetting firm limits on what behaviour the family will accept in the home from now on
- DGiving the person information about the effects of the substance
3.简单
Which sequence shows Tuckman's stages of group development?
- AForming, performing, storming, norming, adjourning
- BStorming, forming, performing, norming, adjourning
- CNorming, forming, storming, adjourning, performing
- DForming, storming, norming, performing, adjourning
4.中等
A patient on a mental health ward insists that he is a famous inventor whose ideas were stolen by the government. Which type of delusion is the main one here?
- AErotomanic
- BSomatic
- CGrandiose
- DNihilistic
5.中等
A patient taking oxycodone for chronic pain has also been prescribed diazepam. What is the main safety concern?
- AThere is no interaction between these two drugs
- BIncreased sedation and respiratory depression
- CThe combination will cause high blood pressure
- DThe diazepam will block the pain-relieving effect of oxycodone
6.中等
Which pattern suggests premenstrual dysphoric disorder?
- AMarked mood symptoms in the week before menstruation that improve within a few days after it starts
- BLow mood throughout the whole month that is not linked to the menstrual cycle
- CMood symptoms that begin only after the menopause and last for several years
- DMild bloating the day before a period, without any mood changes
7.困难
开始使用 SSRI 两周后,一名患者说:“这没有用。我要停药了。”最佳回应是什么?
- A解释说通常需要几周才能完全起效,鼓励他继续服药,并监测他的情绪和安全
- B告诉他将剂量加倍
- C告诉他抗抑郁药从来都没有用
- D同意他立即停药,因为用了两周还没有帮助的抗抑郁药不太可能起效
8.困难
A patient with dementia repeatedly walks towards the ward exit, saying he must go to work. What is the most appropriate action?
- ALock him in his room so that he cannot leave
- BTell him firmly that he has been retired for 20 years
- CWalk with him, acknowledge his concern and gently redirect him to an activity
- DUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit
答案
- 1. C · A recurrent, unwanted thought, urge or image that causes anxiety
- 2. B · Behaviour by others that protects the person from the consequences of their use
- 3. D · Forming, storming, norming, performing, adjourning
- 4. C · Grandiose
- 5. B · Increased sedation and respiratory depression
- 6. A · Marked mood symptoms in the week before menstruation that improve within a few days after it starts
- 7. A · 解释说通常需要几周才能完全起效,鼓励他继续服药,并监测他的情绪和安全
- 8. C · Walk with him, acknowledge his concern and gently redirect him to an activity
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