精神科护理练习卷（附答案）

According to Peplau, in which phase of the nurse–patient relationship are the rules, such as the time, place and length of meetings, agreed?

1. AWorking phase
2. BTermination phase
3. COrientation phase
4. DPre-interaction phase

What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar I involves only depression; bipolar II involves only mania
2. BBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
3. CBipolar II is always more severe than bipolar I
4. DBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults

谵妄与痴呆通常有何不同？

1. A它们是同一种疾病
2. B谵妄在数年内缓慢发展；痴呆突然起病且每小时都有波动
3. C痴呆总是突然起病
4. D谵妄突然起病且有波动；痴呆则在数月或数年内逐渐发展

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. AUrine drug screen only
2. BSerum lithium level
3. CAn MRI of the knee
4. DThyroid function tests

A patient who is detained under mental health legislation does not return from escorted leave. What should the nurse do?

1. ADo nothing, because patients are allowed to leave whenever they want
2. BStart the missing patient procedure at once, informing the team and, if required, the police
3. CRemove his name from the ward list and give his bed to a new patient who is waiting for admission
4. DWait until the next day, because he will probably return on his own

哪些体征是阿片类药物戒断的典型表现？

1. A末次服药后一天内出现高热、铅管样强直和意识模糊
2. B沉睡和便秘
3. C针尖样瞳孔和呼吸变慢
4. D打哈欠、流鼻涕、瞳孔散大、起鸡皮疙瘩和腹泻

使用氟哌啶醇后不久，一名患者的头扭向一侧，双眼固定向上，并诉说喉咙发紧。护士应首先做什么？

1. A紧急寻求医疗帮助并给予处方的抗胆碱能药，同时观察气道
2. B鼓励他伸展颈部
3. C再给一剂氟哌啶醇
4. D安慰他这是对新药的焦虑，让他一个人安静休息

A patient in DBT feels a strong urge to self-harm after a distressing phone call. Which DBT skill module is designed to help her get through this moment without making things worse?

1. ADistress tolerance
2. BSystematic desensitisation
3. CCognitive restructuring of core beliefs
4. DInterpersonal effectiveness