精神科护理练习卷（附答案）

Which personality disorders belong to Cluster C, the "anxious or fearful" cluster?

1. AHistrionic, dependent and schizoid
2. BParanoid, schizoid and schizotypal
3. CAntisocial, borderline, histrionic and narcissistic
4. DAvoidant, dependent and obsessive-compulsive

Which question is open-ended?

1. A"What has been on your mind today?"
2. B"Have you taken your medicine yet?"
3. C"Are you feeling sad today?"
4. D"Did you sleep well last night?"

In Freud's theory of personality, what is the role of the ego?

1. ATo balance the demands of the id, the superego and reality
2. BTo store all forgotten memories from childhood
3. CTo act as the moral conscience that creates guilt
4. DTo seek immediate pleasure regardless of the consequences

The wife of a man with alcohol dependence organises her life around his drinking, hides it from others and neglects her own needs. What does this pattern suggest?

1. ALearned helplessness in the patient
2. BCodependency
3. CDelirium tremens
4. DEnabling by the healthcare team

How does memantine work in Alzheimer's disease?

1. AIt inhibits the breakdown of acetylcholine
2. BIt blocks dopamine D₂ receptors
3. CIt blocks NMDA glutamate receptors
4. DIt increases serotonin by blocking its reuptake

A 24-year-old woman with bipolar disorder is starting valproate. What is the most important teaching point?

1. AIt will cause her to lose weight quickly, so she should eat extra meals and snacks every day
2. BIt is safe in pregnancy and needs no special precautions
3. CIt must be taken with grapefruit juice to be absorbed
4. DIt can seriously harm an unborn baby, so effective contraception and specialist advice are essential

A colleague suggests putting a loud but non-violent patient in seclusion "because he's annoying everyone". What is the correct response?

1. AIt is acceptable as long as the patient agrees afterwards
2. BIt is acceptable as long as the seclusion lasts for less than an hour
3. CIt is acceptable, because it will make the ward quieter and safer for the other patients
4. DIt would be inappropriate, because seclusion is only a last resort for serious risk of harm

A patient on daily methadone maintenance has had abdominal surgery. Which statement about his pain management is correct?

1. AHe should get no opioids at all, because of his history
2. BHis methadone should be stopped while he is in hospital
3. CHis usual methadone should continue, and additional analgesia is usually needed for acute pain
4. DHis usual methadone dose will fully control his post-operative pain, so no other analgesia should be given