1.简单
下列哪项是精神分裂症的阴性症状?
- A意志缺乏(缺乏动力)
- B被害妄想
- C行为紊乱
- D听到声音
2.简单
To which drug class does donepezil belong?
- ACholinesterase inhibitors
- BDopamine antagonists
- CBenzodiazepines
- DSelective serotonin reuptake inhibitors
3.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
4.中等
Which finding in a patient with anorexia nervosa is most concerning?
- AFeeling cold in a warm room
- BA resting heart rate of 38/min
- CDry skin and brittle hair
- DConstipation for the past few days
5.中等
A patient with PTSD begins to dissociate during a conversation. Which grounding technique can the nurse use?
- AAsk her to close her eyes and think back to the worst moment of the trauma
- BAsk her to describe the traumatic event in as much detail as she can
- CLeave her alone until the episode has passed on its own
- DAsk her to name things she can see, hear and touch in the room right now
6.中等
A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?
- ASerum lithium level
- BAn MRI of the knee
- CThyroid function tests
- DUrine drug screen only
7.困难
A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?
- ATell him to go home now and come back tomorrow morning when he feels calmer and safer
- BLet him leave, because voluntary patients can always go when they want
- CStay with him and inform the team at once, so he can be urgently assessed under mental health law
- DAsk him to promise that he will not jump, and then let him go home on his own
8.困难
On the fourth day after giving birth, a mother is tearful and moody but is caring for her baby, eating and sleeping when she can. What is the most appropriate nursing response?
- ATell her that antidepressants must be started at once
- BExplain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
- CAdvise her to stop breastfeeding and let others feed the baby at night so that she can rest and recover
- DArrange an emergency psychiatric admission today
答案
- 1. A · 意志缺乏(缺乏动力)
- 2. A · Cholinesterase inhibitors
- 3. D · 投射
- 4. B · A resting heart rate of 38/min
- 5. D · Ask her to name things she can see, hear and touch in the room right now
- 6. C · Thyroid function tests
- 7. C · Stay with him and inform the team at once, so he can be urgently assessed under mental health law
- 8. B · Explain that these "baby blues" are common, offer support and advise her to seek help if they last more than about 2 weeks
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