2025年護士執業資格考試題庫（精神科護理學專項）護理專業英語案例分析試題解析考試時間：______分鐘總分：______分姓名：______一、單項選擇題要求：選擇一個最符合題意的答案。1.Whichofthefollowingstatementsaboutschizophreniaisincorrect?a)Itisachronic,severe,anddisablingbraindisorder.b)Theonsetofschizophreniaoftenoccursinearlyadulthood.c)Symptomsofschizophreniaareusuallynonprogressive.d)Antipsychoticmedicationisthemainstayoftreatmentforschizophrenia.e)Cognitive-behavioraltherapyisoftenusedinconjunctionwithmedicationtotreatschizophrenia.2.WhichofthefollowingisNOTasymptomoftheacutephaseofschizophrenia?a)Hallucinationsb)Delusionsc)Disorganizedspeechd)Apathye)Tardivedyskinesia3.Whatisthemostcommontypeofschizophrenia?a)Catatonicb)Disorganizedc)Paranoidd)Undifferentiatede)Residual4.Whichofthefollowingisacommonsideeffectofantipsychoticmedication?a)Insomniab)Hypotensionc)Weightgaind)Bradycardiae)Increasedappetite5.WhichofthefollowingisNOTacognitivesymptomofschizophrenia?a)Impairedattentionb)Impairedworkingmemoryc)Disorganizedthinkingd)Delusionse)Anhedonia6.Whatistheprimarygoalofpsychosocialinterventionsinschizophrenia?a)Toproviderelieffromsymptomsb)Toincreasemedicationadherencec)Toenhancesocialskillsd)Toimprovecognitivefunctioninge)Toprovideasupportiveenvironment7.WhichofthefollowingisNOTatreatmentforsubstanceabuseinschizophrenia?a)Detoxificationb)Behavioraltherapyc)Antipsychoticmedicationd)Cognitive-behavioraltherapye)Grouptherapy8.Whatisthemainpurposeoffamilyeducationinschizophrenia?a)Toprovideinformationaboutthediseaseb)Toincreasefamilysupportc)Topromotemedicationadherenced)Toteachcopingskillse)Toreducestigma9.Whichofthefollowingisapotentiallong-termcomplicationofantipsychoticmedication?a)Diabetesb)Obesityc)Cardiomyopathyd)Nauseae)Anxiety10.Whatisthemostimportantfactorintherecoveryofapersonwithschizophrenia?a)Accesstomedicationb)Supportfromfamilyandfriendsc)Psychosocialinterventionsd)Astructuredenvironmente)Educationaboutthedisease二、多項選擇題要求：選擇所有正確的答案。1.Whichofthefollowingaresymptomsofschizophrenia?a)Hallucinationsb)Delusionsc)Disorganizedspeechd)Negativesymptomse)Cognitivedeficits2.Whichofthefollowingaretreatmentsforschizophrenia?a)Antipsychoticmedicationb)Cognitive-behavioraltherapyc)Electroconvulsivetherapyd)Substanceabusetreatmente)Psychosocialinterventions3.Whichofthefollowingarepotentialsideeffectsofantipsychoticmedication?a)Insomniab)Hypotensionc)Weightgaind)Tardivedyskinesiae)Bradycardia4.Whichofthefollowingarecomponentsofapsychosocialinterventionforschizophrenia?a)Familyeducationb)Grouptherapyc)Cognitive-behavioraltherapyd)Vocationalrehabilitatione)Socialskillstraining5.Whichofthefollowingareimportantconsiderationswhenworkingwithapersonwithschizophrenia?a)Assessingformedicationadherenceb)Monitoringforsideeffectsc)Providingeducationaboutthediseased)Enhancingsocialskillse)Promotingfamilyinvolvement四、簡答題要求：簡要回答以下問題。1.Explainthedifferencebetweenpositiveandnegativesymptomsinschizophrenia.2.Discusstheroleofmedicationinthetreatmentofschizophreniaandtheimportanceofadherencetomedicationregimens.3.Describetheimportanceofpsychosocialinterventionsintherecoveryofindividualswithschizophreniaandprovideexamplesofsuchinterventions.五、論述題要求：詳細論述以下問題。1.Discusstheimpactofstigmaonindividualswithschizophreniaandtheroleofhealthcareprofessionalsinreducingstigma.2.Explaintheconceptofrelapseinschizophreniaandstrategiesforpreventingrelapse.六、案例分析題要求：根據以下案例，回答相關問題。Case:A30-year-oldmalewitha10-yearhistoryofschizophreniaisadmittedtothehospitalforanacuteexacerbation.Hehasbeennoncompliantwithhismedicationregimenandhasrecentlyexperiencedauditoryhallucinationsanddelusions.Heisalsostrugglingwithsocialisolationandhasdifficultymaintainingemployment.Questions:1.Whataretheprimarysymptomsobservedinthiscase?2.Whatassessmentshouldbeconductedtoevaluatetheseverityofthepatient'scondition?3.Whattreatmentplanshouldbeimplementedforthispatient,consideringbothmedicationandpsychosocialinterventions?4.Howcanhealthcareprofessionalssupportthepatientinimprovingmedicationadherence?5.Whatstrategiescanbeusedtoaddressthepatient'ssocialisolationandimprovehisoverallqualityoflife?本次試卷答案如下：一、單項選擇題1.C解析：精神分裂癥的癥狀通常是進行性的，而不是非進行性的。2.E解析：tardivedyskinesia（遲發性運動障礙）是一種長期使用抗精神病藥物后可能出現的副作用，而不是急性精神分裂癥的癥狀。3.C解析：偏執型精神分裂癥是最常見的精神分裂癥類型。4.C解析：抗精神病藥物的一個常見副作用是體重增加。5.D解析：Anhedonia（快感缺乏）是精神分裂癥的認知癥狀之一。6.C解析：心理社會干預的主要目標是提高社會技能。7.A解析：脫毒是治療物質濫用的一種方法，而不是精神分裂癥的治療方法。8.A解析：家庭教育的目的是提供關于疾病的信息。9.B解析：長期使用抗精神病藥物可能導致體重增加。10.B解析：家庭和朋友的支持對于精神分裂癥患者的康復至關重要。二、多項選擇題1.A,B,C,D,E解析：所有列出的選項都是精神分裂癥的癥狀。2.A,B,C,D,E解析：所有列出的選項都是精神分裂癥的治療方法。3.A,B,C,D,E解析：所有列出的選項都是抗精神病藥物的潛在副作用。4.A,B,C,D,E解析：所有列出的選項都是心理社會干預的組成部分。5.A,B,C,D,E解析：所有列出的選項都是與精神分裂癥患者合作時的重要考慮因素。四、簡答題1.Positivesymptomsrefertothepresenceofabnormalbehaviorsorexperiences,suchashallucinationsanddelusions.Negativesymptomsrefertotheabsenceofnormalbehaviorsorexperiences,suchasflattenedaffect,avolition,andsocialwithdrawal.2.Medicationplaysacrucialroleinthetreatmentofschizophreniabyhelpingtoreducepositivesymptoms.Adherencetomedicationregimensisimportanttomaintainsymptomcontrolandpreventrelapse.3.Psychosocialinterventionsenhancesocialskills,improvecopingstrategies,andprovidesupportforindividualswithschizophrenia.Examplesincludefamilyeducation,grouptherapy,vocationalrehabilitation,andsocialskillstraining.五、論述題1.Stigmacanhaveasignificantnegativeimpactonindividualswithschizophrenia,leadingtodiscrimination,socialisolation,anddecreasedaccesstocare.Healthcareprofessionalscanreducestigmabyprovidingaccurateinformationaboutthedisease,promotingempathy,andadvocatingforequalrightsandopportunitiesforindividualswithschizophrenia.2.Relapseinschizophreniareferstoarecurrenceofsymptomsafteraperiodofremission.Strategiesforpreventingrelapseincludemaintainingmedicationadherence,addressingriskfactorsforrelapse,providingongoingsupportandmonitoring,andimplementingearlyinterventionwhensymptomsbegintoreturn.六、案例分析題1.Theprimarysymptomsobservedinthiscaseareauditoryhallucinationsanddelusions,whicharecharacteristicoftheacutephaseofschizophrenia.2.Anassessmentshouldbeconductedtoevaluatetheseverityofthepatient'scondition,includingamentalstatusexamination,aphysicalexamination,