问题 单项选择题

A client with cholecystitis is receiving propantheline bromide. The client is given this medication because it()

A. reduces gastric solution production and hypermobility.

B. slows emptying of the stomach and reduces chyme in the duodenum.

C. inhibits contraction of the bile duct and gallbladder.

D. decreases bile secretions.

答案

参考答案:C

解析:

Propantheline bromide is classified as a GI anticholinergic; the medication inhibits muscarinic actions of acetylcholine at postganglionic parasympathetic neuroeffector sites. For gallbladder disease, propantheline has an antispasmodic effect on the bile duct and gallbladder. Although the medication reduces production of gastric solutions and also reduces hypermobility, it isn’t the main reason for the medication. The drug doesn’t slow emptying of the stomach or reduce chyme in the duodenum.

问答题 案例分析题

一般情况:求助者,男,23岁,汉族,农民,未婚,因偷窃罪被判五年,入狱半年。求助者自诉:心情压抑、难受,看什么人都不顺眼,和其他犯人相处得也不好,自己好冲动,控制不了自己的脾气,容易产生暴力行为且不考虑后果。受女友举报后入狱,在入狱后女友一次也没来看过他,并于一年后和别人结婚,自己对此有强烈的报复心理;自己在入狱后被鉴定为精神分裂症,被转到精神病监区待了半年,再回到原监区时受到其他犯人的歧视;在精神病监区时,他曾经向一位犯人吐露心事,却遭到对方的嘲笑,并把他的话当玩笑说给别的犯人听,让他从此再也不愿和别的犯人啰嗦;求助者自小父母离婚,家里人也不理解支持他,视他为累赘,妹妹曾经对他说希望他不要再拖累家人,入狱后唯有母亲来看过他,自称入狱后才首次感受到母爱,觉得这世上唯一关心他的只有母亲。家人的不接纳让他对出狱后的生活不抱期望。咨询师的观察和了解:求助者自知力较正常,对自己的情绪现状有一定的认识,心理过程协调一致,在提及自己的母亲为自己做的事时伤心落泪,逻辑思维正常,思想略显偏激。监区的狱警反应,求助者容易被激怒,情绪较难控制,有暴力行为,有时为了泄怒,会用手捶打墙壁,平时爱一个人待着,不喜欢搭理人,觉得他挺怪的。根据案例,请回答以下问题:

如何评估咨询效果的时间点及维度?

多项选择题