精神科护理练习卷（附答案）

A patient says, "I couldn't sleep, and then I just stayed in bed all day." The nurse replies, "You stayed in bed all day?" Which technique is this?

1. AGiving advice
2. BVoicing doubt
3. CSummarising
4. DRestating

一名患者说：“我对明天的手术感到害怕。”护士的哪种回应是虚假安慰的例子？

1. A“别担心，一切都会好的。”
2. B“多跟我说说你的感受。”
3. C“听起来你很害怕。”
4. D“关于明天，你最担心什么？”

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否认
2. B抵消
3. C置换
4. D反向形成

Which communication approach is best with a patient who has paranoid personality disorder?

1. ATalk about the patient with colleagues in whispers within his sight
2. BAvoid explaining anything so that the patient does not become suspicious
3. CBe very warm and joke often to put the patient at ease
4. DBe clear, honest and business-like, and explain the reasons for actions

What should a patient taking chlorpromazine be taught about sun exposure?

1. ASunbathe for longer each day to improve mood
2. BSun exposure has no effect while taking this medicine
3. CAvoid going outside at all, even in winter, for the rest of his life
4. DUse sunscreen and protective clothing, because the skin may burn easily

A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?

1. A"Everyone here knows you well, so don't worry."
2. B"The doctor is very experienced, so you should trust her."
3. C"Why do you think the doctor is wrong about you?"
4. D"You feel that people here don't really know you?"

A patient with anorexia nervosa is found doing sit-ups in her room after every meal. What is the best nursing response?

1. ATell her she will be tube-fed if she does it again
2. BPraise her for being so active and motivated, because it shows she is taking care of her health
3. CCalmly follow the agreed care plan on activity and observation, without arguing or punishing
4. DIgnore it, because exercise is always healthy

A patient's mood changes several times a day, usually after conflicts with others. She has chronic feelings of emptiness and a strong fear of being abandoned. Which diagnosis is most likely?

1. ABipolar I disorder
2. BBorderline personality disorder
3. CPersistent depressive disorder
4. DSchizoid personality disorder with low mood