精神科护理练习卷（附答案）

A mother says, "My son failed his driving test because I'm a bad mother." Which cognitive distortion is this?

1. APersonalisation
2. BCatastrophising
3. CAll-or-nothing thinking
4. DEmotional reasoning

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

A teenager starts dressing and speaking like a famous singer she admires. Which defence mechanism is this?

1. ARationalisation
2. BProjection
3. CIdentification
4. DSuppression

Which effects of methadone should the nurse monitor for?

1. AHypertensive crisis after eating aged cheese
2. BHair loss, weight loss and a painful red rash on the face
3. CRespiratory depression, sedation and a prolonged QT interval
4. DAgranulocytosis and a sore throat

哪一组表现提示抗精神病药恶性综合征？

1. A高热、严重的“铅管样”肌强直、意识模糊、血压不稳和 CK 升高
2. B体重增加和血糖升高
3. C在使用新的 5-羟色胺能药物后数小时内出现反射亢进、阵挛、腹泻、瞳孔扩大和激越
4. D细微震颤和口渴加重

A 4-year-old asks when her grandmother, who died last week, will come back. How should the nurse explain this to the parents?

1. AThe child does not care about her grandmother and has not been affected by the death
2. BYoung children often do not yet see death as permanent, so simple, honest words help
3. CThe child is in denial and needs psychiatric treatment
4. DThe child should not be told anything about the death until she is older

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe patient is reacting to the coming end of the relationship
2. BThe patient no longer needs the sessions and should be discharged at once
3. CThe patient has developed a new psychotic illness
4. DThe nurse has made an error and should cancel the discharge

A patient who believes he is a famous religious leader becomes upset when other patients laugh at him. What is the most appropriate nursing action?

1. AEncourage the other patients to explain why the belief is wrong
2. BAgree that he is the religious leader so that he feels respected
3. CProtect him from ridicule, avoid arguing and focus on real activities
4. DAsk him to prove his identity in front of the group, so that the laughing stops