精神科护理练习卷（附答案）

A patient says, "I feel so alone since my wife died." Which nurse response belittles the patient's feelings?

1. A"It sounds very lonely without her."
2. B"Losing your wife must have been very hard for you."
3. C"Everybody feels that way sometimes. You'll get over it."
4. D"Tell me what it has been like since she died."

一名患者说话很快，从一个话题跳到另一个话题，每个想法与前一个想法之间有松散的联系。这称为什么？

1. A持续言语
2. B思维阻滞
3. C思维奔逸
4. D言语贫乏

Which medicine may be used as part of the treatment of neuroleptic malignant syndrome?

1. ADantrolene
2. BFluoxetine
3. CHaloperidol
4. DLithium

A patient at risk of suicide is admitted. Which environmental check is most important?

1. APlace the patient in a room at the end of the corridor for privacy
2. BMake sure the patient has a television in the room
3. CRemove items that could be used for self-harm, such as belts, cords and sharp objects
4. DLet the patient keep all his personal belongings, including his belt and phone charger, to help him feel at home

Which question is the best way to ask a patient about suicidal thoughts?

1. A"Things aren't that bad, are they?"
2. B"Are you having thoughts of killing yourself?"
3. C"You wouldn't hurt yourself, would you?"
4. D"You're not thinking of doing anything silly, are you?"

Which approach is most effective when setting limits with a patient who repeatedly breaks ward rules?

1. AChange the rules for this patient to avoid conflict
2. BGive a long explanation each time the rule is broken and allow the patient to negotiate a new consequence
3. CLet each nurse decide on the day whether to apply the rules
4. DState the rule and the consequence clearly, and make sure all staff apply it consistently

A patient with long-standing schizophrenia is often seen drinking from the taps. Today he is confused, has a headache and his serum sodium is 124 mmol/L (124 mEq/L). What is the most likely problem?

1. ANeuroleptic malignant syndrome from his antipsychotic medicine
2. BWater intoxication from psychogenic polydipsia
3. CDehydration caused by anticholinergic side effects
4. DA worsening of his psychosis that needs a higher dose of antipsychotic

According to DSM-5, which childhood condition is a requirement for a later diagnosis of antisocial personality disorder?

1. AEvidence of conduct disorder starting before age 15
2. BAutism spectrum disorder diagnosed before school age
3. CSeparation anxiety disorder in early childhood
4. DA diagnosis of ADHD before age 7