精神科护理练习卷（附答案）

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. ADepersonalisation
2. BDerealisation
3. CA visual hallucination
4. DA delusion of control

Why are benzodiazepines used with caution in older adults?

1. AThey have no effect on the brain in older people
2. BThey increase the risk of confusion, falls and fractures
3. CThey raise blood pressure to dangerous levels after a single dose
4. DThey cause rapid weight gain and diabetes in all older adults

Which side effects are typical of mirtazapine?

1. ASedation and increased appetite with weight gain
2. BHigh blood pressure and tremor
3. CInsomnia, agitation and weight loss
4. DPriapism and a dry cough

Which criteria are needed for a diagnosis of intellectual disability?

1. AMemory loss and confusion that start for the first time after the age of 65
2. BAn IQ score alone, measured at any time in adult life
3. CProblems with reading only, with normal everyday functioning
4. DLimits in both intellectual and adaptive functioning, starting in childhood

A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?

1. AYoung children often do not yet see death as permanent, so simple, honest words help
2. BThe child does not care about her grandmother and has not been affected by the death
3. CThe child is in denial and needs psychiatric treatment
4. DThe child should not be told anything about the death until she is older

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

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

While caring for a highly anxious patient, a nurse notices her own heart racing and her speech getting faster. What is most important?

1. ALeave the patient immediately and not return
2. BMatch the patient's level of anxiety to show empathy
3. CIgnore her own reaction, because the nurse's feelings do not matter in patient care
4. DRecognise that anxiety spreads between people, and calm herself first

After her house burned down, a woman developed delusions and disorganised speech. Ten days later the symptoms have gone completely and she is back to normal. Which diagnosis best fits?

1. ABrief psychotic disorder
2. BSchizophreniform disorder
3. CDelusional disorder
4. DSchizophrenia