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1、2023年美国护士资格认证(CGFNS)考试模拟卷（7）本卷共分为1大题25小题，作答时间为180分钟，总分100分，60分及格。一、单项选择题（共25题，每题2分。每题的备选项中，只有一个最符合题意） 1.To deal with a clients hallucinations therapeutically, the nurse plans to()AReinforce the perceptual distortions until the client develops new defensesBProvide an unstructured environment and assi
2、gn the client to a private roomCAvoid helping the client make connections between anxiety-producing situations and hallucinationsDDistract the client’s attention by providing a competing stimulus that is stronger than the hallucinations2.A disturbed client is scheduled to begin group therapy.
3、The client refuses to attend. The nurse should()AAccept the client’s decision without discussionBHave another client ask the client to reconsiderCTell the client that attendance at the meeting is requiredDInsist that the client join the group to help the socialization process3.Which of the fol
4、lowing ego defense mechanisms is most pronounced in paranoid conditions in which there is an actual break with reality()ADisplacementBIsolationCRegressionDProjection4.When working in a psychiatric setting, it is imperative that the nurse prevent clients from()ABreaking contractsBUsing delusional thi
5、nkingCHarming themselves or othersDIncreasing hallucinatory behaviors5.The group of medications most often used in the treatment of schizophrenia is()AAntichoinergicsBPhenothiazinesCThioxanthenesDAntidepressants6.When planning activities for a withdrawn, hallucinatory client, the nurse should recogn
6、ize that it would be most therapeutic for the client to()AGo for a walk with the nurseBWatch a movie with other clientsCPlay cards with a group of clientsDPlay solitaire alone in the dayroom7.The nurse is aware that a common nursing diagnosis for clients with a schizophrenic disorder is()ASocial iso
7、lation related to impaired ability to trustBSleep pattern disturbances related to impaired thinking abilityCRisk for violence directed at others related to hallucinationsDImpaired mobility related to fear of loss of control of hostile impulses8.Which of the following techniques should the nurse use
8、in working with individual depressed patients She should()ABe aggressively cheerfulBIndicate the patient’s good prognosisCPush the patient toward making decisionsDAlways give elaborate encouragement9.To increase the self-esteem of a client with schizophrenia, the nurse should plan to()AReward
9、healthy behaviorsBIdentify various means of copingCEncourage good hygiene and groomingDExplain the diagnosis and treatment plan10.Which of the following is used to treat serious depression when drug therapy has failed()AElectroconvulsive therapyBInsulin treatmentCPsychosurgeryDHydrotherapy11.Which o
10、f the following is least likely to make a suicide attempt()AThe patient with a history of suicide attemptsBMembers of the patient’s family having a history of suicide attemptsCPatients who obsessively fear that they will commit suicideDPatients who write suicide notes12.One morning a client te
11、lls the nurse, my legs are turning to rubber because I have an incurable disease called schizophrenia. The nurse recognizes that this is an example of()AA hallucinationBParanoid thinkingCDepersonalizationDAutistic verbalization13.A male clients statement about a microcomputer implanted in his ear by
12、 a foreign agent would help the nurse recognize that the client is experiencing()AIllusionsBHallucinationsCNeologistic thinkingDDelusional thoughts14.Which is the BEST way to treat depression()AThe nurse helps the patient to bear the feelings he doesn’t want to bear aloneBThe nurse helps the p
13、atient resolve the feelings that brought on the depressionCThe nurse encourages the patient to express negative feelingsDThere is no single way to treat depression15.Which of the following is the most effective antidepressant medication()AReserpineBTricyclicsCThioxanthenesDMiltown16.When planning co
14、ntinuing care for the depressed client, the nurse should include:()AOffering the client an opportunity to make some decisionsBEncouraging the client to decide how to spend leisure timeCMaking all decisions to relieve the client of this responsibilityDAllowing the client time to be alone to decide in
15、 which activities to engage17.One day, the nurse sits by a depressed clients bed and states, I will be spending some time with you today. The client responds angrily, Go talk to someone else. They need you more. The most therapeutic response by the nurse would he:()AWhy are you angry with meBI&rsquo
16、;ll go, but I will be back tomorrow.CDon’t say that. You are important, too.DI will be spending the next 15 minutes with you. 18.As a clients depression begins to lift, the nurse encourages involvement with unit activities, primarily because this type of activity:()AProvides for and encourages
17、 group interactionBAllows the client to verbalize repressed feelings of hostilityCSupports the client’s ego strengths and builds self-confidenceDKeeps the client in view of the staff to limit suicide opportunities19.When working with a client who is depressed, the nurse should initially:()AAcc
18、ept what the client saysBAttempt to keep the client occupiedCTry to keep the client from talking too muchDKeep the client’s surroundings bright and gay20.The nurse is aware that aside from feeling sad and having difficulty concentrating and sleeping, other common signs of depression include:()
19、ARigid and narrowing of perceptionBAlternating episodes of fatigue and high energy levelsCDiminished pleasure in activities and alteration in appetiteDFleeting participation and interest in activities of daily living21.Extremely depressed clients seem to do best in settings where they have:()AMany v
20、aried activitiesBA great deal of stimuliCA simple daily scheduleDTo make only simple decisions22.When caring for a client with a major depression, the nurse usually has the most difficulty, dealing with the:()AClient’s lack of energyBNegative nonverbal responsesCClient’s psychomotor reta
21、rdationDPervasive quality of the depression23.The primary nursing diagnosis for a client with a medical diagnosis of major depression would be:()ASpiritual distress related to depressionBSelf-esteem disturbance related to altered roleCPowerlessness related to the loss of idealized selfDImpaired verb
22、al communication related to depression24.When finding a depressed client crying, the most therapeutic response by the nurse to help the client explore feelings would be:()ADoes crying helpBI know you are upset.CTell me what has upset you.DDo you want to tell me why you are crying25.A depressed female client appears to show sadness in her nonverbal behavior. The nurse should plan to help the client to:()AIncrease her structured physical activityBBe able to carry out activities of daily livingCImprove her ability to communicate with significant othersDDeal with painful feelings by sharing them