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EXAMINATION PROPER:
EXAMINATION SET
g.
33. The defense mechanism commonly used by these clients are:
a. Projection
c. Repression
b. Conversion
d. Sublimation
34. An appropriate nursing intervention which can help Celina is:
a. Establishing a trusting relationship
c. Reinforce reality
b. Encourage her to verbalize her
d. Accept her limitation as a person
feelings
35. An effective modality of treatment for Celina would be:
a. Milieu therapy
c. Cognitive-behavioral therapy
b. Systematic desensitization
d. Psychopharmacology
e.
f. Situation Daisy, nurse at psyche ward, was assigned as one of the crisis intervenors for
the victims and survivors of the flash floods that swept the provinces in the northern
region.
g. 36. The tool used by crisis intervenors is to assist victims of disaster deal positively with
emotional impact of the event.
A. Psychotherapy
C. Counseling
B. Stress management
D. Stress debriefing
h. 37. Many have lost members of their families and properties in that tragedy. What can be
normally experienced following loss of loved ones?
A. Hopelessness
C. Helplessness
B. Anger
D. Grief
i. 38. The reaction of children to crisis is compared to adults is:
A. Longer
C. Slower
B. The same
D. faster
j. 39. What is the effect of resilience among children during crisis?
A. Beneficial
C. severe
B. Traumatic
D. no effect
k. 40. Because of the enormous impact of the crisis to the victims it is important that the crisis
intervenor be:
A. Energetic
C. Patient and understanding
B. Well trained
D. Firm but kind
E.
F. Situation 5 Joanne, a 50 years old widow, sought admission for inability to sleep, loss of zest
for life and nervousness ever since her only daughter got married 3 months ago.
G. 41. As a nurse, at what level of anxiety is Joanne experiencing?
A. Panic
C. Moderate
B. Mild
D. Severe
H. 42. During the orientation phase of relationship, what is the topic most appropriate?
A. Finding out clients coping mechanisms.
B. Teaching clients other modes of coping.
C. Finding out clients perception why she needs hospitalization
D. Teaching client to control her feelings.
I. 43. The behavioral theory of anxiety is viewed as
A. Arising from physiological abnormalities
C. Learned responses resulting from frustration
B. Product of unconscious psychic conflict
D. Resulting from early childhood experiences
E.
F. 44. Whenever Joanns daughter is mentioned, she burst into tears mumbling. The nurse best response:
A. Do you feel uncomfortable?
D. You dont like to hear the name of your
B. Are you saying something?
daughter?
C. Is something bothering you?
E. 45. To better understand Joann, the nurse must be aware that she is at what stage of Eriksons
personality development?
A. Generativity vs. Stagnation
C. Intimacy vs. Isolation
B. Initiative vs. Guilt
D. Trust vs. Mistrust
E.
F. Situation This is a journal club in a psychiatric unit conducted by the head nurse focusing on
Disorders before the event of Adulthood.
G. 46. The IQ assessment of a child is between 55 and 68. This degree of intellectual improvement would
be considered.
A. Moderate
C. mild
B. Profound
D. severe
H. 47. The parents of a child who is mentally retarded insist to enroll him in a regular school. The parents
are exhibiting:
A. Compensation
C. intellectualization
B. Denial
D. rationalization
I. 48. Hyperactive children particularly those with attention deficit disorder are prone to accidents. Nursing
actions should focus on personal safety like:
A.
B.
C.
D.
J.
A.
B.
E.
F. Situation Esther, 28 years old, was admitted in the emergency unit of the hospital. Esther picks
up whatever material she can hold in the unit and throws it to the nurses and medical staff. She
is hyperactive, shouts profanities, and screams loudly. She is diagnosed with Bipolar I Disorder.
G. 50. The nursing diagnosis for clients with Bipolar I Disorder like Esther is:
A. Risk for other-directed violence
C. Defensive Coping
B. Risk for Injury
D. Risk for self-directed violence
E. 51. Esther received Chlorpromazine (Thorazine) and Lithium. Chlopromazine (Thorazine) is given
because:
A. It minimizes the negative symptoms of bipolar disorder.
B. It has an immediate calming effect on Esthers hyperactivity
C. It balances the sedating effect of Lithium
D. It prevents development of fine hand tremors due to Lithium.
F. 52. As Esther takes Lithium, which of Esthers statement about Lithium will require further teaching from
the nurse?
A. I will report nausea, vomiting and diarrhea.
C. I will need to decrease my sodium intake.
B. I will experience dry mouth.
D. I will have to blood check regularly.
E. 53. Esther tells the nurse after 2 weeks of Lithium therapy, I realized I hurt when I pushed you in the
emergency unit during admission.
A. And what made you say that?
C. You feel sorry for what happened two
B. How sincere are you about that?
weeks ago?
D. How are things going today?
E. 54. As Esther is being discharged, the nurse is aware that the important teaching is
A. Report fine hand tremors
C. Have RBC checked regularly
B. Drug compliance
D. Join community groups
E.
F. Situation Jinky, a 28 year old, suffered from uremia and suddenly experienced sleep
disturbances, memory deficits, altered sensory perception, disorientation to time and place.
G. 55. The nurse suspects which of the following?
A. Generalized anxiety disorder
C. Dementia
B. Delirium
D. Systemic disorder
E. 56. Delirium is similar to dementia in terms of:
A. Duration
C. Level of consciousness
B. Short-term memory loss
D. onset
E. 57. Jinky points to the bed while shouting, cockroaches, there are cockroaches, even though there are
no cockroaches on the bed. The BEST nursing response is:
A. I dont see any cockroaches on your bed.
C. Ignore the cockroaches, they wont bite
B. Ok, leave the room this very minute.
you.
D. Ill spray them with a repellant.
E. 58. The nursing diagnosis for Jinky is:
A. Imbalanced nutrition
C. Disturbed sensory perception
B. Disturbed thought process
D. Risk for self-directed violence
E. 59. The nurse is aware that the most important consideration for the care of the delirious client is:
A. Eating pattern
C. Risk for loneliness
B. Safety
D. Elimination pattern
E. Situation Melton is 5 years old. He has been diagnosed as autistic since he was 2 years old.
F. 60. The psychosocial task according to Erickson for this age group is:
A. Identify vs. Diffusion
C. Industry vs. Inferiority
B. Initiative vs. Guilt
D. Trust vs. Mistrust
E. 61. Which among the following is NOT typical of autistic clients?
F.
A. Echolalia
H.
C. Ritualistic behavior
G.
B. No eye contact
I.
D. Responsiveness to parents
J. 62. Meltons mother said Its fathers fault!. The nurse initial response is:
K.
A. You must not say that.
M.
C. You seem upset by this.
L.
B. Nobody is at fault here.
N.
D. Why dont you blame yourself?
O. 63. Since Melton fails to develop interpersonal skills, an appropriate nursing diagnosis is:
A. Impaired Social Interaction
C. Disturbed Sensory Perception
B. Self-multilation
D. Impaired Verbal Communication
E. 64. Approximately 50% of autistic children have an IQ below 50. What is the level of mental
retardation of client with IQ of 45?
F. A. Profound
C. Moderate
G. B. Severe
D. Mild
H. Situation - Aizheimer disease believed to be the fourth leading cause of death of persons
beyond 65 years of age. It is very difficult to diagnose and it is necessary for the nurse to
know predominant characteristics of Aizheimer disease.
65. When a elderly client has inability to learn new information or recall previously learned information. This
is
A. Agnosia
C. Apraxia
B. Aphasia
D. Amnesia
66. Agnosia in a patient with Aizheimer means that he
A. Has language disturbance
C. Is forgetful
B. Can not hold on to objects
D. Can not recognize and identify
67. Inability to plan a menu, managing medication schedule, abstracting is
A. Memory dysfunction
C. Disturbance in executive function
B. Impaired judgment
D. Impaired occupational functioning
68. During the terminal phase of illness, patients are totally bed-bound requiring constant care. Focus
attention must be
A. Freedom from harm
C. Emotional care
B. Spiritually of the patient
D. Persona care and nutrition
69. Taking care of AD patients at home is described as the toughest job in this world. The best strategy for
coping with irritating situations.
A. Be informed
C. Sharing common concerns
B. Enough rest
D. Nutritious diet
E.
F. SITUATION: The nurse is envisioning a career path in Mental Health Psychiatric Nursing. As a
Beginning Professional Nurse, She is guided with Basic Beliefs about the practice.
70. Which of the following statement reflects the scope of mental health psychiatric nursing?
A. It include nursing actions aimed at returning the patient to his highest potential of productivity
B. It is an integral aspect of all nursing a specialty service to people affected by mental illness
C. It includes nursing actions to reduce the rate of new cases of mental disorder in population
D. It consists of early recognition and treatment of mental disorders to reduce severity and duration of
mental illness
G. 71. The beginning professional nurse can do mental health counseling with the following clients
EXCEPT:
H.
A. Actively psychotic patients
K.
D. School children with behavioral
I.
B. Out of school adolescents
problems
J.
C. Parents with child rearing
concerns
L. 72. A professional responsibility of the mental health psychiatric nurse is to provide a safe
therapeutic environment. This is BEST reflected in:
M.
A. Restraining patients who violates policies and do not follow schedule of activities
N.
B. Maintaining a closed door policy to prevent patients from absconding
O.
C. Keeping a restrictive environment to prevent patients from becoming assaultive and hostile
P.
D. Ensuring physical safety and maintain therapeutic attitudes towards the patient
Q. 73. The foundation of the therapeutic process is the therapeutic relationship. What is the essential
component that the nurse must bring to the relationship?
R.
A. Humor
T.
C. Reframing
S.
B. Empathy
U.
D. Confrontation
V. 74. Which of these people, the highest in population groups that would need priority mental health
therapy?
W.
A. Adults going through active skills
Z.
D. Women preparing for overseas
X.
B. Single elderly with no social support
employment
Y.
C. Young Professionals entering the
workplace
AA.
AB.
Situation: Some Activity therapies are organized and conducted in groups where nurses
may participate in.
AC.75. A mental health nurse may not be a member of this self help group because help given to
members comes from members themselves.
AD.
A. Re motivation Group
AF.
C. Activity Therapy Group
AE.
B. Alcoholics Anonymous
AG.
D. Art Therapy Group
AH.76. Which of the following determines the success of client government groups?
AI.
A. Willingness of psychiatric professionals to be open and receptive to clients ideas and
AJ.
Suggestions
AK.
B. A way of permitting clients provide themselves with a more creative and wholesome life
AL.
C. Means to acquire a variety of social skills
AM.
D. Opportunity to learn democratic living
AN.77. Which of the following situation appropriately illustrate horticulture therapy?
AO.
A. The therapist brings bongos, tambourine, and bells and encourages client
participation
AP.
B. Tommy, Karen, Jon and Pia play scrabble every night after supper
AQ.
C. Every afternoon, Vic goes in the garden where he work with plants, seedlings, tree planting
and watering them
AR.
D. Paul finds sketching relaxing and rewarding
AS. 78. Eva is a member of a group who exhibits endless talking. Her role is that of a/an:
AT.
A. Blocker
AX.
AU.
B. Self-confessor
AY.
AV.
C. Recognition seeker
AZ.
AW.
D. Monopolizer
BA. 79. Community meetings are held as part of milieu therapy on an in-patient psychiatric unit. The
purpose of these meetings would be:
BB.
A. to focus on issue arising from group living
BC.
B. To encourage expression on topics of interest
BD.
C. To provide direction from the treatment learn
BE.
D. To encourage expression of intra psyche conflicts
BF.
BG.
Situation: The patient who is depressed will undergo electroconvulsive therapy
BH.80. The preparation of a patient for ECT ideally is MOST similar to preparation of a patient for:
BI.
A. Electroencephalogram
BK.
C. General anesthesia
BJ.
B. X-Ray
BL.
D. Electrocardiogram
BM.
81. Which of the following is a possible side effect which you will discuss with the patient for:
BN.
A. Hemorrhage with the brain
BQ.
D. Confusion, disorientation
BO.
B. Robot-like stiffness
and short term
BP.
C. Encephalitis
BR.
memory loss
BS. 82. Informed consent is necessary for the treatment for involuntary clients. When this cannot be
obtained, permission may be taken from the:
BT.
A. Social worker
BV.
C. Next of kin or guardian
BU.
B. Doctor
BW.
D. Chief nurse
BX. 83. After ECT, the nurse should do this action before giving the client fluids, food or medication:
A. Assess the gag reflex
C. Take vital signs
B. Assess the sensorium
D. Check O2Sat with a pulse oximeter
E.
F. Situation: THE COMMUNITY HEALTH NURSE ENCOUNTERS SPECIAL CHILDREN IN THE
COMMUNITY
G. 84. An individual with antisocial personality disorder lacks remorse, shame and guilt in going against the
norms of society. Psycho dynamically, this defect in the personality reflects a disturbance of the:
A. Ego
C. Ego Ideal
B. Super ego
D. Id
E. 85.The nurse teaches parents about childrens beginning concepts of right and wrong by emphasizing
child rearing attitude and practices during the:
A. School age
C. Infancy period
B. Toddler stage
D. Latency period
E. 86.It is BEST for parents to teach healthy interpersonal relationships to their children by:
A. Modeling to their children
B. Encouraging their children to attend secondary school
C. Encouraging their children are home to behave properly
D. Teaching their children good manners and right conduct
F. 87. An important principle for the nurse to follow in interacting with retarded children is:
A. Seen that if the child appears contented, his needs are being met
B. Provide and environment appropriate to their developmental task as schedule
C. Treat the child according to his chronological age
D. Treat the child according to his developmental level
G. 88. Mental retardation is:
A. A delay in normal growth and development caused by an inadequate environment
B. A lack of development of sensory abilities
C. A condition of sub average intellectual functioning that originates during the developmental period and is
associated with impairment in adaptive behavior
D. A severe lag in nueromuscular development and motor abilities
H.
I.
SITUAITON: BERNIE AND JOHN IN THEIR LATE 40S HAVE BEEN MARRIED FOR 20 YEARS AND
ARE AT THE PEAK OF THEIR CAREERS.SUDDENLY, BERNIE DISCOVERED THAT HER
HUSBAND WAS FAILING IN LOVE WITH ANOTHER WOMAN. SHAKEN BY THIS SITUATION, SHE
STARTED TO HAVE PROBLEMS SLEEPING AND COULD NOT FUNCTION WELL AT WORK AND
AT THE RISK OF LOSING HER JOB. JOHN ASKED FORGIVENESS AND REGRET VERY MUCH
THE HURT WIFE WAS GOING THROUGH AND SUFFERED GUILT FEELINGS:
J. 89. Bernie and John are going through a:
A. Situational crisis
C. Anticipated crisis
B. Developmental crisis
D. Both developmental and situational crisis
E.
A.
B.
C.
D.
F.
A.
B.
E.
A.
B.
E.
A.
B.
E.
F.
G.
A.
B.
E.
A.
B.
C.
D.
F.
A.
B.
E.
A.
B.
C.
D.
F.
A.
B.
E.
X.
Y.
Z.
AA.
AB.
AC.
AD.
AE.
AF.
AG.
AH.
AI.
AJ.
AK.
AL.
AM.
AN.
AO.
101. An accepting attitude requires being:
A. Aware of ones biases
B. Tolerant of the faults of others
C. Non judgmental
D. In control of tendency to blame
39. Self-awareness knowledge and understanding of human behavior and communication skills define what
is essential in caring for every nurse to be able to demonstrate which is:
A. Positive self-projection
B. Assertiveness
C. Therapeutic Use of self
D. Self - mastery
40. Considering that man is by nature social, it is BEST for the nurse to gain self-awareness by:
A. Participating in intensive group experiences
B. Individual psychotherapy
C. Hypnotherapy
D. Writing and autobiography for self introspection
AP.
AQ.
----AR.Situation 1 The nurse patient relationship is a modality through which the nurse meets the clients
needs.
AS. 1. The nurses most unique tool in working with the emotionally ill client is his/her:
AT. A. Personality make up
AU.B. Theoretical knowledge
AV. C. Emotional reactions
AW.
D. Communication skills
AX.
AY. 2. The psychiatric nurse who is alert to both the physical and emotional needs of clients is working from
the philosophical framework that states:
AZ. A. All behavior is meaningful, communicating a message or a need
BA. B. Human beings are systems of interdependent and interrelated parts
BB. C. There is a basic similarity among all human beings
BC.D. Each individual has the potential for growth and change in the direction of positive mental health
BD.
BE. 3. One way to increase objectivity in dealing with ones fears and anxieties is through the process of:
BF. A. Validation
C. intervention
BG.
B. Observation
D. collaboration
BH.4. All of the following responses are non therapeutic. Which is the MOST direct violation of the concept,
congruence of behavior?
BI. A. Tolerating all behavior in the client
BJ. B. Rejecting the client as a unique human being
BK. C. Responding in a punitive manner to the client
BL. D. Communicating ambivalent messages to the client
BM.
BN.
BO.
5. The mentally ill person responds positively to the nurse who is warm and caring. This is a
demonstration of the nurses role as:
BP. A. Mother surrogate
C. therapist
BQ.
B. Counselor
D. socializing agent
BR.
BS. Situation 2 It is common that clients ask the nurse personal questions.
BT. 6. Anticipation of personal questions is given adequate attention during which phase of the nurse patient
relationship?
46. The defense mechanism utilized by manic patients to cover up depression is:
Reaction formation
Compensation
Displacement
Denial
47. The psychodymics of depression is:
Lax supper-ego
Weak super-ego
Internalized hostility feelings
Narcissistic personality
48. Which of these drugs is likely to indicated for Nicanor?
A. Serenance (Haloperidol)
B. Valium (Diazepam)
C. Tofranil (Imipramine HCI)
D. Trilafon (Pherphenazine)
DF.
DG.
DH.
SITUATION 16 Annie has a morbid fear of heights. She asks the nurse what
desensitization therapy is:
DI.
DJ. 76. The accurate information of the nurse of the goal of desensitization is:
A. To help the clients relax and progressively work up a list of anxiety provoking situations
through imagery.
B. To provide corrective emotional experiences through a one-to-one intensive relationship
C. To help clients in a group therapy setting to take on specific roles and reenact
D. To help clients cope with their problems by learning behaviors that are more functional
and be better equipped to face reality and make decisions
DK.
DL.
DM.
DN.
DO.
A.
B.
C.
D.
DP.
DQ.
78. In this level of anxiety, cognitive capacity diminishes. Focus becomes limited and
client experiences tunnel vision. Physical signs of anxiety become more pronounced.
A.
B.
C.
D.
DR.
Severe anxiety
Panic
Mild anxiety
Moderate anxiety
DS.
79. Anti-anxiety medications should be used with extreme caution because long
term use can lead to:
A.
B.
C.
D.
DT.
DU.
80. The nursing management or anxiety related with post traumatic stress disorder
includes all of the following EXCEPT:
A.
B.
C.
D.
DV.
DW.
SITUATION 20- Jim, age 25, recalled that his problem began around age 15 or 16.
He would count pencils in a mug over and over with the thought that stopping could result
in something bad happening.
DX.
DY. 96. There are many things Jim seems he has to do keep himself from feeling:
A.
B.
C.
D.
DZ.
Confused
Suspicious
Excited
Anxious
EA. 97. He has to change clothes 20 times before work, chew each bite he eats 24 times and go
up and town the stairs four to five times before it feels right. He is demonstrating:
A. Ideas of reference
B. Denial and projection
Self-mastery
Self worth
Self-actualization
Self-determination
EJ. 100. Jim is aware of his behavior, yet realizes that it is very disturbing to him. This is a
pattern of:
EK.
A. Personality disorder
C. Neurosis
EL.
B. Psychosis
D. Habitual Disorder
EM.
EN.
EO.