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    ISPN综合测验 精神心理健康护理基础 Foundations of Mental Health
    日期:2014-10-01 22:35:36    来源:奥医教育
    Foundations of Psychiatric Mental Health Nursing
    精神心理健康护理基础
     
    1. A client with a diagnosis of major depression who has attempted suicide says to a nurse. "I should have died. I've always been a failure. Nothing ever goes right for me." The therapeutic response to the client is:
            一诊断为重性抑郁症自杀未遂患者对护士说,“我早该死了,我始终是个失败者。从来没做对过。”对该患者的治疗性应答是:
        1. "I don't see you as a failure." 我不认为你是一个失败者。
        2. “You have everything to live for.” 你什么都有啊
        3. “Feeling like this is all part of being ill.” 感觉病了都是这样
        4. “You've been feeling like a failure for a while?” 你感觉自己象个失败者有一段时间了?
    2. A community health nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which response by the nurse illustrates a therapeutic communication technique for this client?
            社区保健护士家访一患者。患者称,“过去几个晚上我一点都睡不着。”护士哪一种答复可说明对这患者使用了治疗性沟通?
        1. “Go on.” 继续
        2. “Sleeping?” 想睡吗?
        3. “You're having difficulty sleeping?” 你入睡有困难吗?
        4. “Sometimes, I have trouble sleeping too.”  有时我也会有入睡困难。
    3. A client admitted to the mental health unit is experiencing disturbed thought processes and believes that the food is being poisoned. Which communication technique would a nurse plan to use to encourage the client to eat?
            一入住精神健康病房的患者正出现思维过程混乱,认为食物被下了毒。为鼓励患者吃东西,护士计划使用何种沟通技术?
        1. Using open-ended questions and silence 使用开放式题目和沉默
        2. Focusing on self-disclosure regarding food preferences 重点是自我揭露对食物的喜好
        3. List possible reasons in the care plan that the client may not want to eat在护理计划中列出患者不想吃的理由
        4. Offering opinions about the necessity of adequate nutrition     提出充分营养必要性意见。
    4. A client is admitted to a mental health unit for treatment of psychotic behavior. The client is at the locked exit door and is shouting, "Let me out. There's nothing wrong with me. I don't belong here." A nurse analyzes this behavior as:
            一患者收住精神保健病房接受精神病行为治疗。患者站在上锁的出口大喊,“让我出去。我没病。我不属于这里。”一护士将这种行为分析为:
        1. Denial     否认
        2. Projection   投射
        3. Regression  退行
        4. Rationalization   合理化
    5. A client says to a nurse. "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." The therapeutic response by the nurse is:
            一患者对护士说:“我要死了,我希望我的家人不再抱治愈希望。他们继续那样太让我生气了。毕竟,我是快要死的人。”护士的治疗性答复是:
        1. "Have you shared your feelings with your family?" 你跟你家人分享你的情感了吗?
        2. "I think we should talk more about your anger with your family."
              我想我们应多谈谈你对你家人生气的事。
        3. "You're feeling angry that your family continues to hope for you to be cured?'
              你对你家人继续希望你被治愈感到生气?
        4. "Well, it sounds like you're being pretty pessimistic. After all, years ago, people died of pneumonia.
               嗯,听起来你像是非常悲观啊。毕竟,很多年以前,人们还会死于肺炎呢。




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