精神科护理练习卷（附答案）

Dialectical behaviour therapy (DBT) was developed mainly for people with which condition?

1. ABorderline personality disorder
2. BAttention-deficit hyperactivity disorder
3. CAlzheimer's disease
4. DSchizophrenia

在精神状态检查中，心境与情感有什么区别？

1. A心境和情感含义完全相同
2. B心境是患者自述的感受；情感是护士观察到的情绪表现
3. C心境描述思维；情感描述记忆
4. D心境是护士观察到的患者表现；情感是患者自述的感受

According to Erikson, what is the main psychosocial task of adolescence?

1. AIdentity versus role confusion
2. BIndustry versus inferiority
3. CIntegrity versus despair
4. DTrust versus mistrust

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"The man will go away if you ignore him."
2. B"What does the man in the corner look like?"
3. C"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
4. D"I don't see anyone in the corner, but I know it seems real to you."

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

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

一名患者要从 MAOI 换为 SSRI。什么是必不可少的？

1. A起始时将 SSRI 剂量加倍
2. B同一天开始使用 SSRI
3. C两种药物同服一个月
4. D在开始使用 SSRI 前有约 2 周的洗脱期

A patient with dementia repeatedly walks towards the ward exit, saying he must go to work. What is the most appropriate action?

1. AUse a physical restraint in a chair for the rest of the day so that he stays safe and cannot reach the exit
2. BLock him in his room so that he cannot leave
3. CTell him firmly that he has been retired for 20 years
4. DWalk with him, acknowledge his concern and gently redirect him to an activity

Six weeks after losing his job, a man feels low and worried and is sleeping a little less, but he still enjoys time with his children and does not meet the criteria for major depression. Which diagnosis fits best?

1. ABipolar II disorder
2. BMajor depressive disorder
3. CPersistent depressive disorder
4. DAdjustment disorder with depressed mood