精神科护理练习卷（附答案）

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

1. AVoicing doubt
2. BSummarising
3. CGiving advice
4. DRestating

How does binge-eating disorder differ from bulimia nervosa?

1. AThe person never feels a loss of control while eating
2. BThere are no regular compensatory behaviours, such as vomiting or laxative use
3. CBinges happen only once a year, so they are not a problem
4. DThe person always has a very low body weight and a fear of gaining weight

What is trichotillomania?

1. AHair loss caused by lithium treatment
2. BA fungal infection of the scalp that is common in people with OCD
3. CRepeatedly pulling out one's own hair, leading to hair loss
4. DA fear of hair, combs and hairdressers

According to Maslow's hierarchy of needs, which patient need should a nurse on a mental health ward address first?

1. AA patient who wants to improve her self-esteem
2. BA patient who wants to find a new hobby
3. CA patient who has not eaten or drunk anything for two days
4. DA patient who feels lonely and wants more visitors

A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?

1. A"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
2. B"That would be against the rules, so please stop asking about it."
3. C"Of course, as long as you don't tell the other patients."
4. D"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."

What is the Abnormal Involuntary Movement Scale (AIMS) used for?

1. ATo assess the risk of a patient becoming violent
2. BTo screen for and monitor tardive dyskinesia
3. CTo rate the severity of depression
4. DTo measure the severity of alcohol withdrawal

A patient with dementia with Lewy bodies is having vivid visual hallucinations. A new nurse suggests asking for haloperidol. What is the main concern?

1. AHaloperidol does not work in older patients at all
2. BThese patients can have severe, sometimes life-threatening, sensitivity reactions to antipsychotics
3. CThere is no concern, because haloperidol is the treatment of choice for hallucinations in all types of dementia
4. DHaloperidol will make his hallucinations more frequent

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. AIt is a sign of schizophrenia that needs antipsychotic medicine
2. BIt means she has delirium and needs urgent tests
3. CBrief experiences like this can be part of normal grief
4. DIt proves she has severe major depression with psychosis