精神科护理练习卷（附答案）

Anticholinergic drugs such as benztropine or procyclidine are given to patients taking antipsychotics to treat which problem?

1. AWeight gain and raised blood glucose
2. BExtrapyramidal side effects such as dystonia and pseudoparkinsonism
3. CRaised prolactin and breast enlargement
4. DLow white blood cell count

一名女性被经理批评后，回家对孩子们大喊大叫。这是哪种防御机制？

1. A反向形成
2. B抵消
3. C否认
4. D置换

A patient says she feels as if she is watching herself from outside her body, as if in a film. What is this called?

1. ADerealisation
2. BA delusion of control
3. CDepersonalisation
4. DA visual hallucination

How should a patient take sublingual buprenorphine-naloxone tablets?

1. AChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
2. BSwallow the tablet whole with a large glass of water
3. CLet the tablet dissolve completely under the tongue without chewing or swallowing it
4. DCrush the tablet and mix it with a spoonful of soft food such as yoghurt

为什么不推荐把“不自杀协议”作为一种安全措施？

1. A它们在所有地方都是非法的
2. B它们只适用于儿童
3. C没有证据表明它们能预防自杀，而且可能带来虚假的安心感
4. D它们太长太复杂，大多数患者读不下去，所以很少有患者签署

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

1. AShe is probably exaggerating the seriousness of what happened, because she does not seem upset
2. BShe is not distressed and does not need any support
3. CA controlled response is a common reaction in the acute phase after assault
4. DHer calmness shows that the assault did not happen

A young man spends hours a day checking his nose in mirrors and has asked for several operations, although others see nothing unusual about it. What is the most likely diagnosis?

1. AAnorexia nervosa
2. BIllness anxiety disorder
3. CDelusional disorder, jealous type
4. DBody dysmorphic disorder

A patient asks the nurse to pray with her before her ECT. The nurse does not share her religion. What is the most appropriate response?

1. AIgnore the request politely and change the subject to the procedure itself
2. BTell her that religion has no place in hospital care
3. CRespect the request, join in if comfortable, and offer to call the chaplain
4. DTry to persuade her to adopt the nurse's own beliefs