精神科护理练习卷（附答案）

How does naltrexone help people with alcohol dependence?

1. AIt replaces alcohol in the brain and prevents withdrawal seizures
2. BIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
3. CIt blocks opioid receptors and reduces the craving and pleasure from drinking
4. DIt causes vomiting and flushing if the person drinks alcohol

哪些症状是锂中毒的早期征象？

1. A高血压、面部潮红和严重头痛
2. B恶心、呕吐、腹泻和粗大震颤
3. C仅有体重增加和口干
4. D瘙痒和皮疹

How is lithium mainly removed from the body?

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

A patient intoxicated with phencyclidine (PCP) is agitated and has nystagmus and high blood pressure. Which nursing approach is best?

1. AProvide a quiet, low-stimulation environment and keep staff and patient safe
2. BTry to talk the patient down by discussing his feelings in detail
3. CPut him in a busy area so that staff can watch him more easily
4. DEncourage him to walk around the ward and join in activities to help burn off the drug

血清锂浓度的哪个范围通常被引用为维持治疗的治疗范围？

1. A约 0.6 至 1.2 mmol/L（目标范围因指南而异）
2. B约 2.0 至 3.0 mmol/L（急性躁狂需要更高的水平）
3. C约 3.5 至 5.0 mmol/L
4. D约 0.01 至 0.05 mmol/L

How does memantine work in Alzheimer's disease?

1. AIt inhibits the breakdown of acetylcholine
2. BIt increases serotonin by blocking its reuptake
3. CIt blocks dopamine D₂ receptors
4. DIt blocks NMDA glutamate receptors

Which intervention is most appropriate for an older patient with delirium?

1. AUse physical restraints at night to prevent falls
2. BMove the patient to a different room each day
3. CKeep the lights on and the television loud all night to keep her alert and stop her from sleeping too much
4. DProvide orientation cues, make sure glasses and hearing aids are used, and involve the family

A caller says she is a patient's sister and asks how he is doing. The patient has not given consent to share information. What should the nurse do?

1. AAsk her to prove she is his sister and then share the details
2. BTell her that he is on the ward but refuse to say anything else about his care or condition
3. CGive a full update, because she is a close family member
4. DNeither confirm nor deny that he is there, and offer to pass on a message