精神科护理练习卷（附答案）

哪项表现是躁狂发作的典型特征？

1. A言语和动作迟缓
2. B每天睡 14 个小时
3. C无价值感
4. D睡眠需求减少，精力充沛

哪种防御机制被认为是健康、成熟的？

1. A分裂：把人看作要么全好要么全坏
2. B升华：把攻击性情绪引导到体育运动中
3. C否认：几个月来拒绝接受诊断
4. D投射：把自己的感受归咎于他人

The nurse asks, "What would you do if you smelled smoke in a cinema?" Which part of the mental status examination does this assess?

1. AJudgement
2. BPerception
3. CRecent memory
4. DOrientation

Which preparation is usual before electroconvulsive therapy (ECT)?

1. ANo preparation, because the patient stays fully awake during ECT
2. BFasting for several hours, because a brief general anaesthetic is given
3. CStopping all regular medicines for 2 weeks before the first treatment
4. DEating a large meal to prevent low blood sugar during the seizure

A patient taking fluoxetine says she has started taking St John's wort to feel even better. What is the main risk?

1. ASerotonin syndrome
2. BHypertensive crisis from tyramine
3. CLithium toxicity
4. DAgranulocytosis

哪种药物最可能升高患者的血锂水平？

1. A奥美拉唑
2. B阿莫西林
3. C布洛芬
4. D对乙酰氨基酚（扑热息痛）

A patient says, "I'm such a failure. My wife left me and I lost my job." The nurse answers, "Don't worry, things will get better soon." What is wrong with this response?

1. AIt is false reassurance that dismisses the patient's feelings
2. BIt uses the technique of presenting reality wrongly
3. CIt explores the problem too deeply too early
4. DIt is too direct and confronting

一名服用氯氮平已一年的患者戒烟了。为什么这很重要？

1. A完全无关紧要
2. B氯氮平水平急剧下降，因此通常需要将剂量加倍以预防精神病复发
3. C氯氮平完全失效
4. D氯氮平水平可能升高，增加镇静和惊厥等副作用的风险