精神科护理练习卷（附答案）

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？”

1. A它们太开放了
2. B它们始终违法
3. C这会让患者觉得被评判，从而产生防御心理
4. D它们使评估更简短

一个人对邻居怀有强烈的敌意，却对他过分友好和慷慨。这是哪种防御机制？

1. A补偿
2. B否认
3. C置换
4. D反向形成

Which question is open-ended?

1. A"Did you sleep well last night?"
2. B"What has been on your mind today?"
3. C"Have you taken your medicine yet?"
4. D"Are you feeling sad today?"

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt needs a general anaesthetic and causes a seizure, like ECT
2. BIt is given as a daily tablet that contains tiny magnetic particles
3. CIt involves surgically implanting electrodes deep in the brain under anaesthetic
4. DIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure

Which criteria are needed for a diagnosis of intellectual disability?

1. AProblems with reading only, with normal everyday functioning
2. BLimits in both intellectual and adaptive functioning, starting in childhood
3. CMemory loss and confusion that start for the first time after the age of 65
4. DAn IQ score alone, measured at any time in adult life

A patient with limited English needs a mental health assessment. Who should interpret?

1. AThe nurse, using an online translation app on her phone for the whole assessment
2. BThe patient's 12-year-old son
3. CA trained professional interpreter
4. DAnother patient on the ward who speaks the language

Which patient has the highest risk of suicide?

1. AA 20-year-old student with exam stress who has no thoughts of suicide and good friends
2. BA 72-year-old widowed man with alcohol dependence who has a gun at home and a plan
3. CA 30-year-old woman with mild anxiety who has a supportive family
4. DA 45-year-old man with well-controlled hypertension who works full time

A 10-year-old eats only a few foods and refuses others because he fears choking after a frightening episode. He is losing weight but has no concerns about body shape. Which diagnosis fits best?

1. ABulimia nervosa
2. BAnorexia nervosa
3. CAvoidant/restrictive food intake disorder (ARFID)
4. DBinge-eating disorder with secret eating