精神科护理练习卷（附答案）

What is "sundowning" in a person with dementia?

1. AImproved memory and calmness as darkness falls each evening
2. BIncreased confusion and agitation in the late afternoon and evening
3. CSensitivity of the skin to sunlight caused by dementia medicines
4. DSleeping all day and staying awake all night from the start of the illness

Which side effects are typical of mirtazapine?

1. ASedation and increased appetite with weight gain
2. BPriapism and a dry cough
3. CInsomnia, agitation and weight loss
4. DHigh blood pressure and tremor

Which advice is part of good sleep hygiene?

1. ATake long naps in the afternoon to make up for any lost sleep at night
2. BGet up at the same time each day and avoid caffeine later in the day
3. CUse a phone or tablet in bed until you feel tired enough to sleep
4. DHave a large meal and a strong coffee just before going to bed

How may depression present differently in adolescents than in adults?

1. AWith increased energy and less need for sleep
2. BWith irritability rather than obvious sadness
3. CAlways with psychotic symptoms
4. DWith a high fever and a rash

Wernicke 脑病的经典三联征是什么？

1. A发热、皮疹和颈部僵硬
2. B意识模糊、共济失调和眼球运动异常
3. C仅有头痛、呕吐和视物模糊
4. D震颤、强直和动作缓慢

Which activity is most suitable for a patient in an acute manic episode?

1. AA long group discussion in the day room
2. BA walk with a staff member
3. CA complicated board game such as chess with other patients
4. DA competitive team game of volleyball

A patient finds clothes in her wardrobe she does not remember buying, has gaps in her memory and is called by different names by people she does not know. Which condition is most likely?

1. ABorderline personality disorder
2. BBipolar I disorder
3. CSchizophrenia
4. DDissociative identity disorder

The family of a patient with schizophrenia asks how they can tell if he is becoming unwell again. Which signs should the nurse teach them to watch for?

1. ATalking more openly with his family about his feelings and his plans for the future
2. BA better appetite and more interest in his hobbies
3. CMild dry mouth in the first week of a new medicine
4. DPoor sleep, withdrawal from others and increasing suspiciousness