精神科护理练习卷（附答案）

Which symptom belongs to the intrusion (re-experiencing) group of PTSD symptoms?

1. ABeing easily startled by loud noises
2. BFeeling detached from family and friends
3. CFlashbacks of the traumatic event
4. DAvoiding places that remind the person of the event

In behaviour therapy, what is negative reinforcement?

1. AIgnoring a behaviour so that it slowly disappears over time
2. BAdding a reward after a behaviour so that it happens more often
3. CPunishing a behaviour with an unpleasant consequence so that it becomes less likely
4. DTaking away something unpleasant after a behaviour, which makes it more likely

For which patients is clozapine mainly used?

1. APatients with mild anxiety who need a short-term sedative
2. BPatients with schizophrenia that has not responded to two other antipsychotics
3. COlder patients with dementia who become agitated and restless in the evening
4. DPatients having their very first episode of mild psychosis

一名患者使用“glimpotrance”这个词，并解释说它的意思是控制他思想的力量。这是什么？

1. A新语症
2. B模仿言语
3. C病理性赘述
4. D音联联想

When is the best time to teach a patient with an anxiety disorder a relaxation technique?

1. AWhen the patient's anxiety is at a mild level
2. BDuring a panic attack, when the patient needs it most
3. COnly after the patient has been discharged from hospital
4. DWhen the patient's anxiety is severe, so that the effect can be seen clearly

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
2. BThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
3. CThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
4. DThese are signs of an allergic reaction, so she should never take lithium again

A man with schizophrenia who has been well for 2 years wants to stop his antipsychotic. Which approach best reflects recovery-oriented care?

1. ATell him he must take it for life and refuse to discuss it
2. BReport him to the police and his employer for non-adherence to treatment
3. CAdvise him to stop it suddenly on his own and see what happens over the next month
4. DDiscuss benefits and risks, decide together with the prescriber and agree a relapse plan

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. ASchizophreniform disorder
2. BBipolar I disorder
3. CSchizophrenia
4. DDelusional disorder