精神科护理练习卷（附答案）

Which measure has good evidence for reducing suicide deaths?

1. ARestricting access to lethal means, such as firearms or large supplies of medicines
2. BAsking the patient to sign a no-suicide contract
3. CGiving the patient a large supply of medicine at discharge so that they do not run out and stop treatment
4. DAvoiding the topic of suicide completely with people at risk

What is malingering?

1. AIntentionally faking or exaggerating symptoms for an external gain, such as money or avoiding prison
2. BProducing symptoms on purpose to take on the role of a sick person, without any external gain
3. CExcessive worry about having a serious illness despite repeated normal results and reassurance from doctors
4. DPhysical symptoms caused by stress that the person does not produce on purpose

A patient believes that the newsreader on television is sending him personal messages. What is this called?

1. AThought insertion
2. BA somatic delusion
3. CAn illusion
4. DAn idea of reference

Which communication approach is best for a patient with moderate dementia?

1. ASpeak loudly and quickly so that the patient stays alert
2. BUse abstract language and long explanations so the patient feels respected
3. CAsk several questions together to save time
4. DUse short, simple sentences and give one instruction at a time

In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?

1. AEncouraging the patient to take part in activities
2. BCalm, supportive and warm communication
3. CFrequent criticism, hostility and emotional over-involvement
4. DRegular contact with the care team and other families

除血锂水平外，长期锂盐治疗还需定期监测哪些检查？

1. A肾功能和甲状腺功能
2. B仅肺功能
3. C仅骨密度
4. D听力检查

A woman taking carbamazepine for bipolar disorder uses an oral contraceptive pill. What should the nurse teach?

1. ACarbamazepine can make the pill less effective, so she should discuss contraception with the prescriber
2. BShe should take the pill and the carbamazepine at exactly the same time each day so that both of them stay fully effective
3. CCarbamazepine increases the effect of the pill, so she can take it every other day
4. DThe two drugs do not interact in any way

A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?

1. ATake the statement seriously, assess her risk and explain that nursing assignments are decided by the team
2. BTell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
3. CIgnore the threat, because she is only trying to manipulate staff
4. DAgree to assign Anna to her every day so that she stays safe