精神科护理练习卷（附答案）

Which medicine can reduce some physical symptoms of opioid withdrawal, such as sweating, anxiety and a fast heart rate?

1. ADisulfiram
2. BClonidine
3. CFlumazenil
4. DNaloxone

Which measure has good evidence for reducing suicide deaths?

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

Which level of anxiety involves disorganised thinking, an inability to communicate clearly and possible loss of contact with reality?

1. APanic
2. BNormal everyday anxiety
3. CModerate anxiety
4. DMild anxiety

A patient shouts at the nurse, "You're useless! You never help me!" Which response is most therapeutic?

1. A"You shouldn't talk to people like that."
2. B"That's not true. I've helped you all day."
3. C"If you speak to me like that, I'm leaving."
4. D"You sound very angry. Tell me what has happened."

Which activity is most suitable for a patient in an acute manic episode?

1. AA complicated board game such as chess with other patients
2. BA competitive team game of volleyball
3. CA walk with a staff member
4. DA long group discussion in the day room

A 78-year-old woman who started citalopram two weeks ago is newly confused and drowsy. Which laboratory result would best explain this?

1. AA high serum potassium
2. BA low serum cholesterol
3. CA low serum sodium
4. DA high haemoglobin

During a ward community meeting, several patients complain that the ward is too noisy at night. What reflects a therapeutic milieu?

1. AAsk the patients to write their complaints down and then do nothing
2. BTell the patients that the rules cannot be changed
3. CEnd the meeting so the complaint is not discussed further
4. DDiscuss the problem openly and involve patients in finding a solution

A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?

1. A"I'll let you if you promise not to tell anyone else about it."
2. B"Smoking is only allowed in the garden, and that rule is the same for everyone."
3. C"Well, if the others let you, I suppose it's fine this once."
4. D"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."