1.简单
According to DSM-5, which feature is needed for a diagnosis of Tourette's disorder?
- ASeizures with loss of consciousness during sleep
- BInvoluntary swearing in almost every sentence as the main and only symptom
- CSeveral motor tics and at least one vocal tic for over a year, starting before 18
- DA single motor tic that lasts for 2 weeks in an adult
2.简单
What is anticipatory grief?
- AGrief that appears for the first time many years after a loss
- BGrief that begins before an expected loss, such as during a terminal illness
- CGrief that is hidden from others because the loss is not openly recognised or socially accepted
- DGrief that never ends and stops the person from functioning
3.简单
抑制与压抑有什么区别?
- A两者都是精神病的征象
- B两者始终都是有意识的
- C抑制是有意识的;压抑是无意识的
- D抑制是无意识的;压抑是有意识的
4.中等
在精神状态检查中,“自知力”评估的是什么?
- A患者对时间和地点的定向力
- B患者能否在金钱、饮食和自我照顾方面做出安全的日常决定
- C患者是否理解自己有精神健康问题并需要帮助
- D患者的语速
5.中等
In families of people with schizophrenia, which pattern of "high expressed emotion" is linked to a higher rate of relapse?
- ACalm, supportive and warm communication
- BFrequent criticism, hostility and emotional over-involvement
- CRegular contact with the care team and other families
- DEncouraging the patient to take part in activities
6.中等
A patient asks the nurse for her home phone number so they can keep in touch after discharge. What is the best response?
- A"I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
- B"That would be against the rules, so please stop asking about it."
- C"I'll give you my number, but please only call me at weekends when I'm not working, and keep it short."
- D"Of course, as long as you don't tell the other patients."
7.困难
A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?
- ATell her loudly in front of everyone that she must stop
- BCalmly cover her and guide her to her room or a quiet area
- CAsk the other patients to ignore her and carry on
- DCall security to remove her from the ward
8.困难
A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?
- ATry to persuade her to adopt the nurse's own beliefs
- BRespect the request, join in if comfortable, and offer to call the chaplain
- CTell her that religion has no place in hospital care
- DIgnore the request politely and change the subject to the procedure itself
答案
- 1. C · Several motor tics and at least one vocal tic for over a year, starting before 18
- 2. B · Grief that begins before an expected loss, such as during a terminal illness
- 3. C · 抑制是有意识的;压抑是无意识的
- 4. C · 患者是否理解自己有精神健康问题并需要帮助
- 5. B · Frequent criticism, hostility and emotional over-involvement
- 6. A · "I can't give you my number, because our relationship is a professional one. Let's talk about support you can contact after discharge."
- 7. B · Calmly cover her and guide her to her room or a quiet area
- 8. B · Respect the request, join in if comfortable, and offer to call the chaplain
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