问题 单项选择题 A2型题

患者,男性,20岁。因"突发神志不清,呼吸心跳停止10分钟"来院,急诊予气管插管呼吸机辅助通气,并连接呼气末CO2监测仪判断病情,对于波形和数字,下列说法错误的是()

A.如插管误入食管,不能显示PetCO2波形

B.自主呼吸和循环恢复后,PetCO2逐渐上升

C.再次心跳停止,PetCO2逐渐下降至零

D.循环恢复后,如血压降低,PetCO2逐渐下降

E.循环恢复后,如PetCO2>10mmHg(1.33kPA.,提示复苏成功率高

答案

参考答案:C

解析:PetCO2也可反映循环功能,在低血压、低血容量、休克和心力衰竭时,随着肺血流减少,PetCO2逐渐降低,呼吸心跳停止,PetCO2急剧降至零,复苏后逐渐回升,如PetCO2>10mmHg(1.33kPa),则复苏成功率高。

不定项选择 案例分析题

一般资料:求助者,男性,16岁,初中二年级学生。 案例介绍:求助者小学三年级时,父母离异,他和爷爷奶奶住在一起。其父后来再婚后又有了一个妹妹,他不喜欢继母和妹妹,恨自己的爸爸,也很少和母亲联系。父亲每周看他一两次,对他管教很严,只知逼他学习,却很少和他沟通。因为学习不努力,成绩较差,但他不以为然,认为学习好的同学品行都不好,而学习不好的同学心眼好。他不喜欢学习,觉得人活在世上用不着那么辛苦,还要上大学、考研,觉得轻轻松松活着挺好,顺其自然,以后能考上职高,学门技术也可以活得很好。但面对老师、家长的批评,也感到精神紧张、忐忑不安,恍恍惚惚不知道自己要干什么。经常有报复父母的心理,觉得自己有这种想法非常可怕,简直是没有良心,但又控制不住,故来咨询是否自己心理有问题。如有问题,要让父亲知道这是他逼出来的。 心理咨询师观察了解到的情况:求助者居住在爷爷奶奶家,老人疼爱孙子,生活上照顾得很周到,管教较少,对学习成绩不太在意。父亲管教方式粗暴,求助者性格外向,生活懒散,控制力较差。对求助者进行了WAIS-RC测验,结果如下:

心理咨询师对该求助者的恰当处理是()。

A.传授学习方法 

B.协调父子关系 

C.鼓励宣泄情绪 

D.改变错误认知

阅读理解

阅读理解。

     I suppose that the most basic and powerful way to connect to another person is to listen.

Just listen.Perhaps the most important thing we ever give each other is our attention.And

especially if it's given from the heart.When people are talking,there's no need to do anything

but receive them.Listen to what they're saying.Care about it.Most times caring about it is

even more important than understanding it.Most of us don't value ourselves or our love

enough to know this.Ithas taken me a long time to believe in the power of simplesaying

"I'm so sorry," when someone is in pain.

     One of my patients told me that when she tried to tell herstory people often interrupted

to tell her that they once hadsomething just like that happening to them.Her pain becamea

story about themselves.Eventually she stopped talking to most people.We connect through

listening.When we interrupt what someone is saying to let them know that we understand,

we move the focus of attention to ourselves.When we listen,they know we care.

     I have even learned to respond to someone crying by just listening.In the old days I used

to reach for the handkerchiefs,until I realized that passing a person a handkerchiefmay be

just another way to shut him down,to take them out of their experience of sadness.Now I

just listen.When they have cried all they need to cry,they find me there with them.

     This simple thing has not been that easy to learn.It certainly went against everything I

had been taught since I was very young.I thought people listened only because they were

too shy to speak or did not know the answer.But now I knowthat a loving silence often

has far more power to heal than thekindest words.

1.What does the author value most in the communication with each other?

A.Deep understanding .

B.Saying "I'm sorry".

C.Attention from heart.

D.Doing nothing.

2.The woman patient stopped telling her story to most people because________.

A.she didn't get enough respect from others

B.she was discouraged by being often interrupted

C.people often told her their own opinions

D.people couldn't understand her sad situation

3.If you hand a handkerchief to someone crying,you may________.

A.hurt his feelings

B.make him embarrassed

C.encourage him to continue to cry

D.stop him from letting out his sorrow

4.It can be inferred from the passage that while communicating,________.

A.listening is a perfect way to respond to others

B.people keep silent because they don't know the answer

C.keeping silent means being too shy to speak

D.it is easy to form the habit of listening silently

5.Which of the following might be the author's opinion about communication?

A.Keep silent.

B.Just listen.

C.Be careful.

D.Tell your own story.