精神科护理练习卷（附答案）

为什么苯二氮䓬类药物与酒精合用是危险的？

1. A这种组合会引起 5-羟色胺综合征
2. B酒精加速苯二氮䓬类药物的分解，使其失效
3. C两者都抑制中枢神经系统，可能导致呼吸抑制
4. D这种组合会引起高血压

抑制与压抑有什么区别？

1. A两者都是精神病的征象
2. B两者始终都是有意识的
3. C抑制是有意识的；压抑是无意识的
4. D抑制是无意识的；压抑是有意识的

Which group of features is typical of dementia with Lewy bodies?

1. AMemory loss only, with no other symptoms or changes in alertness for many years
2. BFluctuating alertness, detailed visual hallucinations and parkinsonism
3. CSudden step-by-step decline after small strokes
4. DEarly personality change and loss of social inhibition

应在何时采血测量患者的血锂水平？

1. A一天中的任何时间，因为没有区别
2. B早晨服药后立即
3. C末次服药后 1 小时
4. D末次服药后约 12 小时

一名患者要从 MAOI 换为 SSRI。什么是必不可少的？

1. A同一天开始使用 SSRI
2. B两种药物同服一个月
3. C起始时将 SSRI 剂量加倍
4. D在开始使用 SSRI 前有约 2 周的洗脱期

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

1. ATreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
2. BGive her a lot of extra attention for the rest of the day
3. CScold her for breaking the ward rules and remove all her privileges
4. DIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way

A 30-year-old who used cocaine an hour ago has crushing chest pain and sweating. What is the priority?

1. AReassure him that young people do not have heart problems
2. BLet him rest, because the pain will pass when the drug wears off
3. CTreat it as a possible heart attack, with an urgent ECG and medical review
4. DGive him a benzodiazepine for the anxiety and send him home to rest once he feels calmer

A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?

1. ABipolar I disorder
2. BSchizophrenia
3. CSchizophreniform disorder
4. DDelusional disorder