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. AA delusion of control
2. BDerealisation
3. CA visual hallucination
4. DDepersonalisation

Bupropion is used as an antidepressant in some countries, such as the US. What else is it commonly used for?

1. AHelping people stop smoking
2. BTreating acute mania
3. CReversing opioid overdose
4. DTreating alcohol withdrawal seizures

How is lithium mainly removed from the body?

1. ABy the liver, in the bile
2. BThrough the skin, in sweat only
3. CBy the kidneys, in the urine
4. DThrough the lungs, in the breath

When is the risk of suicide particularly high for patients after psychiatric inpatient care?

1. AOnly while the patient is asleep in hospital
2. BIn the first weeks after discharge
3. CThere is no change in risk after discharge
4. DOnly after one year at home

Which communication approach is best with a patient who has paranoid personality disorder?

1. ABe very warm and joke often to put the patient at ease
2. BBe clear, honest and business-like, and explain the reasons for actions
3. CTalk about the patient with colleagues in whispers within his sight
4. DAvoid explaining anything so that the patient does not become suspicious

为什么不推荐把“不自杀协议”作为一种安全措施？

1. A它们太长太复杂，大多数患者读不下去，所以很少有患者签署
2. B它们在所有地方都是非法的
3. C它们只适用于儿童
4. D没有证据表明它们能预防自杀，而且可能带来虚假的安心感

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AWait for the next routine score in four hours before deciding
2. BEncourage him to drink a large glass of wine to settle the symptoms
3. CGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
4. DReduce monitoring, because a higher score on this scale means that his withdrawal is improving

一名 PTSD 患者突然显得惊恐万分，目光呆滞，呼吸急促，并说她“回到了那里”。护士应首先做什么？

1. A平静地说话，叫她的名字，并使用着陆技术把她的注意力带回当下
2. B离开房间，让她独自冷静下来
3. C要求她立即描述创伤的每一个细节，以便处理这段记忆
4. D从背后突然触碰她以引起她的注意