精神科护理练习卷（附答案）

What is a safety plan in suicide prevention?

1. AA legal document in which the patient promises never to harm themselves
2. BA written plan made with the patient listing warning signs, coping strategies, people to contact and ways to make the environment safer
3. CA hospital rule that all patients must stay in their rooms after dark
4. DA plan that the nurse writes alone and keeps from the patient

Which side effects are typical of mirtazapine?

1. AHigh blood pressure and tremor
2. BInsomnia, agitation and weight loss
3. CSedation and increased appetite with weight gain
4. DPriapism and a dry cough

在精神状态检查中，心境与情感有什么区别？

1. A心境和情感含义完全相同
2. B心境是护士观察到的患者表现；情感是患者自述的感受
3. C心境描述思维；情感描述记忆
4. D心境是患者自述的感受；情感是护士观察到的情绪表现

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

Which findings suggest recent cannabis use?

1. APinpoint pupils, slow breathing and drowsiness
2. BRed eyes, increased appetite, dry mouth and a fast heart rate
3. CSlow heart rate, constricted pupils, drooling and watery eyes
4. DDilated pupils, high fever and severe muscle rigidity

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

A caller says she is a patient's sister and asks how he is doing. The patient has not given consent to share information. What should the nurse do?

1. ANeither confirm nor deny that he is there, and offer to pass on a message
2. BAsk her to prove she is his sister and then share the details
3. CTell her that he is on the ward but refuse to say anything else about his care or condition
4. DGive a full update, because she is a close family member

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AThat the plan has failed and should be stopped immediately
2. BThat the child needs firm punishment for each tantrum instead
3. CAn extinction burst, which is expected before the behaviour decreases
4. DThat the tantrums are caused by a physical illness