1.简单
What are the core features of attention-deficit hyperactivity disorder (ADHD)?
- AObsessions, compulsions and repeated checking
- BDelusions, hallucinations and disorganised speech
- CLow mood, loss of interest and poor sleep
- DInattention, hyperactivity and impulsivity
2.简单
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?
- ASummarising
- BVoicing doubt
- CRestating
- DGiving advice
3.简单
In a dark room, a patient mistakes a coat hanging on the door for a man standing there. What is this called?
- AAn illusion
- BA delusion
- CA hallucination
- DAn idea of reference
4.中等
A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?
- A"That sounds hard to believe."
- B"Why do you want to buy the hospital?"
- C"You know that isn't true at all."
- D"That's wonderful. When will you start?"
5.中等
An 84-year-old asks for an over-the-counter sleep aid containing diphenhydramine. What is the main concern?
- AIt raises blood pressure to dangerous levels in older adults
- BIts anticholinergic effects can cause confusion, urine retention and falls
- CIt is a strong opioid that causes severe dependence
- DIt has no effects at all in people over 80, so it will not help her sleep
6.中等
一名患者坚持说工作人员在他的食物里下毒。最佳的初始应对方式是什么?
- A严肃地告诉他,除非停止指控,否则不给他任何食物
- B理性地争辩,直到他承认自己错了
- C同意他的说法,让他信任你
- D承认他的恐惧,不对该信念进行争论,并把重点放在基于现实的话题上
7.困难
出院前一天,一名抑郁症患者说:“很快我终于可以安息了,不会再拖累任何人。”护士应怎么做?
- A将这番话记录在病历中,让出院按计划进行,不采取进一步行动
- B以为她的意思是回家让她感到轻松
- C说她回家后会感觉好些
- D直接询问她是否在想自杀,并在出院前告知团队
8.困难
A patient with alcohol dependence is confused, unsteady on his feet and has abnormal eye movements. Why is it urgent to give thiamine?
- AThiamine quickly lowers the blood alcohol level
- BWernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
- CThiamine will make him dislike the taste of alcohol in the future, which helps prevent a relapse
- DThiamine prevents all alcohol withdrawal seizures
答案
- 1. D · Inattention, hyperactivity and impulsivity
- 2. C · Restating
- 3. A · An illusion
- 4. A · "That sounds hard to believe."
- 5. B · Its anticholinergic effects can cause confusion, urine retention and falls
- 6. D · 承认他的恐惧,不对该信念进行争论,并把重点放在基于现实的话题上
- 7. D · 直接询问她是否在想自杀,并在出院前告知团队
- 8. B · Wernicke's encephalopathy can be reversed if treated early, but may otherwise lead to permanent Korsakoff syndrome
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