精神科护理练习卷（附答案）

What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar II is always more severe than bipolar I
2. BBipolar I involves only depression; bipolar II involves only mania
3. CBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
4. DBipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults

Haloperidol belongs to which group of antipsychotics?

1. ASelective serotonin reuptake inhibitors used for psychosis
2. BBenzodiazepines with an added antipsychotic effect
3. CFirst-generation (typical) antipsychotics
4. DSecond-generation (atypical) antipsychotics

In a mental status examination, what does assessing orientation check?

1. AWhether the patient understands that they are ill and needs treatment for it
2. BWhether the patient's mood matches the facial expression and tone of voice
3. CWhether the patient knows the time, the place and who they are
4. DWhether the patient can interpret proverbs and explain their meaning

一名边缘型人格障碍患者称赞某一位护士是“唯一理解我的人”，并说其他护士都没用。团队最佳的应对是什么？

1. A告诉患者其他护士也没用
2. B回避该患者
3. C让受偏爱的护士为该患者做出所有决定
4. D全团队商定一致的规则和回应方式

A patient taking phenelzine, an MAOI, is being taught before discharge. Which statement shows a need for further teaching?

1. A"I'll avoid aged cheese and cured meats."
2. B"I'll tell any new doctor or dentist that I take an MAOI."
3. C"I can take any cold and flu remedy from the pharmacy."
4. D"A sudden severe headache is a reason to get help straight away."

What is the main difference between disulfiram and naltrexone in alcohol dependence?

1. ADisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
2. BDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
3. CNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
4. DBoth work in exactly the same way, so they are fully interchangeable

一名接受阿片类药物依赖治疗的患者即将接受首剂丁丙诺啡。他 2 小时前最后一次使用海洛因。风险是什么？

1. A如果在完全激动剂仍然起作用时给予丁丙诺啡，可引起诱发性戒断
2. B没有风险；应立即给药
3. C丁丙诺啡会与海洛因叠加，引起伴有呼吸抑制的危险的阿片类药物过量
4. D丁丙诺啡完全不起作用

A patient starting clozapine is being taught about blood tests. Which statement shows a need for further teaching?

1. A"If I get a sore throat or fever, I'll tell someone straight away."
2. B"I'll need regular blood tests for as long as I take clozapine."
3. C"The tests are done because clozapine can lower my white cells."
4. D"After a few months I can stop having blood tests."