精神科护理练习卷（附答案）

The SOLER approach is a guide to which aspect of communication?

1. AAssessing the risk of suicide
2. BWriting nursing care plans
3. CNon-verbal attending behaviour
4. DDocumenting patient records accurately

Which side effect of SSRIs most often leads patients to stop taking them in long-term treatment?

1. ASevere constipation
2. BHair loss
3. CSexual dysfunction
4. DExcessive hunger

What is "enabling" in the context of substance use?

1. AGiving the person information about the effects of the substance
2. BBehaviour by others that protects the person from the consequences of their use
3. CSetting firm limits on what behaviour the family will accept in the home from now on
4. DHelping the person to attend a treatment programme on time

Which side effects are most common with quetiapine?

1. AInsomnia and severe weight loss
2. BA cough and swollen ankles
3. CSedation, dizziness when standing and weight gain
4. DHigh prolactin with breast enlargement in almost every patient

Which preparation is usual before electroconvulsive therapy (ECT)?

1. AFasting for several hours, because a brief general anaesthetic is given
2. BNo preparation, because the patient stays fully awake during ECT
3. CEating a large meal to prevent low blood sugar during the seizure
4. DStopping all regular medicines for 2 weeks before the first treatment

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
2. BIt is safe in pregnancy and needs no special precautions
3. CIt must be taken with grapefruit juice to be absorbed
4. DIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential

A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?

1. ASay nothing, because one dose will not cause harm
2. BAssess the patient, including his vital signs and level of sedation
3. CGive the patient his own prescribed medicine as well, to stay on schedule
4. DFill in an incident report before checking the patient

A patient says, "I'm such a failure. My wife left me and I lost my job." The nurse answers, "Don't worry, things will get better soon." What is wrong with this response?

1. AIt uses the technique of presenting reality wrongly
2. BIt explores the problem too deeply too early
3. CIt is false reassurance that dismisses the patient's feelings
4. DIt is too direct and confronting