1.简单
A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?
- AHistrionic
- BAvoidant
- CSchizoid
- DParanoid
2.简单
一名男子被一位同事吸引,却指责他的妻子想有外遇。这是哪种防御机制?
- A合理化
- B抑制
- C退行
- D投射
3.简单
为什么护士通常应避免问患者“为什么”的问题,如“你为什么那样做?”
- A它们太开放了
- B它们始终违法
- C这会让患者觉得被评判,从而产生防御心理
- D它们使评估更简短
4.中等
A patient taking valproate is starting lamotrigine. Why must lamotrigine be increased especially slowly?
- AThe two drugs together cause severe hair growth
- BValproate makes lamotrigine work faster, so the dose must be increased quickly
- CValproate raises lamotrigine levels, which increases the risk of a serious rash
- DLamotrigine will lower the valproate level until it has no effect
5.中等
What is the main difference between disulfiram and naltrexone in alcohol dependence?
- ABoth work in exactly the same way, so they are fully interchangeable
- BNaltrexone is used only for alcohol withdrawal; disulfiram is used only for treating an alcohol overdose
- CDisulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
- DDisulfiram reduces craving; naltrexone causes vomiting when alcohol is drunk
6.中等
哪个因素是未来自杀的最强预测因素之一?
- A已婚
- B既往自杀未遂
- C有稳定的工作
- D有坚定的宗教信仰
7.困难
An 83-year-old becomes confused and constipated and cannot pass urine. She takes amitriptyline, oxybutynin and an over-the-counter sleep aid with diphenhydramine. What is the most likely cause?
- AThe normal effects of ageing
- BThe combined anticholinergic effects of her medicines
- CSudden-onset Alzheimer's disease
- DA sign that she needs a higher dose of amitriptyline
8.困难
A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?
- AAlways give it as soon as she asks, without assessment
- BRefuse to give it, because she might become dependent
- CGive her a placebo tablet instead, without telling her, to see whether she really needs it
- DAssess her anxiety each time, offer other coping strategies and give it if indicated
答案
- 1. A · Histrionic
- 2. D · 投射
- 3. C · 这会让患者觉得被评判,从而产生防御心理
- 4. C · Valproate raises lamotrigine levels, which increases the risk of a serious rash
- 5. C · Disulfiram causes an unpleasant reaction to alcohol; naltrexone reduces craving and reward
- 6. B · 既往自杀未遂
- 7. B · The combined anticholinergic effects of her medicines
- 8. D · Assess her anxiety each time, offer other coping strategies and give it if indicated
完整分步解答:请在 examproblems.com 上练习本主题。