精神科护理练习卷（附答案）

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AHistrionic, dependent and schizoid
2. BAvoidant, dependent and obsessive-compulsive
3. CAntisocial, borderline, histrionic and narcissistic
4. DParanoid, schizoid and schizotypal

What is trichotillomania?

1. AA fear of hair, combs and hairdressers
2. BA fungal infection of the scalp that is common in people with OCD
3. CRepeatedly pulling out one's own hair, leading to hair loss
4. DHair loss caused by lithium treatment

How does naltrexone help people with alcohol dependence?

1. AIt replaces alcohol in the brain and prevents withdrawal seizures
2. BIt blocks opioid receptors and reduces the craving and pleasure from drinking
3. CIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
4. DIt causes vomiting and flushing if the person drinks alcohol

A patient who has taken lithium for 3 years reports tiredness, weight gain, feeling cold and constipation. Which problem should be checked?

1. ASerotonin syndrome
2. BHypothyroidism
3. CHyperthyroidism
4. DAgranulocytosis

Which side effects should the nurse monitor for in a patient starting donepezil?

1. ATremor, thirst and passing large amounts of urine
2. BDry mouth, constipation and urinary retention
3. CWeight gain and high blood glucose
4. DNausea, diarrhoea and a slow heart rate

A student avoids eating in the canteen and speaking in seminars because she fears others will judge her or see her blush. Which disorder does this suggest?

1. AGeneralised anxiety disorder
2. BSocial anxiety disorder
3. CObsessive-compulsive disorder
4. DAgoraphobia

A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?

1. ADelusional disorder
2. BSchizophrenia
3. CBipolar I disorder
4. DSchizophreniform disorder

A patient in alcohol withdrawal had a CIWA-Ar score of 8 four hours ago. It is now 22, and he is sweating heavily and very anxious. What should the nurse do?

1. AReduce monitoring, because a higher score on this scale means that his withdrawal is improving
2. BGive the prescribed symptom-triggered benzodiazepine, increase monitoring and inform the prescriber
3. CEncourage him to drink a large glass of wine to settle the symptoms
4. DWait for the next routine score in four hours before deciding