Professional Documents
Culture Documents
1. The nurse recognized that Jimmy had conceptualized his problem and
the next priority goal in the care plan is:
2. The nurse is guided that Jimmy is aware of his concerns of the "here and now"
when he crossed out which item from this "list of what to know"
3. While Jimmy was discussing the signs and symptoms of anxiety with his
nurse, he recognized that complete disruption of the ability to perceive
occurs in:
4. Jimmy initiates independence and takes an active part in his self care
with the following EXCEPT:
Situation 2 - A research study was under taken in order to identify and analyze a
disabled boy's coping reaction pattern during stress.
a. case study
b. longitudinal study
c. cross-sectional study
d. evaluative study
7. The process recording was the principal tool for data collection. Which
of the following is NOT a part of a process recording?
9. The investigator also provided the nursing care of the subject. The
investigator is referred to as a/an.
a. Participant-observer
b. Observer researcher
c. Caregiver
d. Advocate
11. Which of the following approaches of the nurse validates the data
gathered?
a. "I learned that you were up till ten last night, tell me what happened before you
were finally able to sleep and how was your sleep?"
b. "Hmm...You look like you had a very sound sleep. That pill you were given last
night is effective isn't it?"
c. "Regina, did you sleep we!!?"
d. "Regina, how are you?"
a. Guided by a medication teaching plan go over with her the purpose, indications
and special instructions, about the medication and provide her a checklist
b. Provide a drug literature
c. Have an informal conversation about the medication and its effects
d. Ask her what time she would like to watch the informative video about the
medication
13. The nurse engages Regina in the process of mutual inquiry to provide
an opportunity for Regina to
a. affixing her signature to the teaching plan that she has understood the nurse
b. committing what she learned to her memory
c. verbally agreeing with the nurse
d. relying on her husband to remember the precautions
16. The nurse's most unique tool in working with the emotionally ill client
is his/her:
a. theoretical knowledge
b. personality make up
c. emotional reactions
d. communication skills
17. The psychiatric nurse who is alert to both the physical and emotional
needs of clients is working from the philosophical framework that states:
18. One way to increase objectivity in dealing with one’s fears and
anxieties is through the process of:
a. observation
b. intervention
c. validation
d. collaboration
19. All of the following response are non therapeutic. Which is the MOST
direct violation of the concept, congruence of behavior?
a. counselor
b. mother surrogate
c. therapist
d. socializing agent
21. The best time to inform the client about terminating the nurse-patient
relationship is
22. The client says, "I want to tell you something but can you promise that
you will keep this, a secret?" A therapeutic response of the nurse is:
a. "Yes, our interaction is confidential provided the information you tell me is not
detrimental to your safety."
b. "Of course yes, this is just between you and me. Promise!"
c. "Yes, it is my principle to uphold my client's rights."
d. "Yes, you have the right to invoke confidentiality of our interaction."
23. When the nurse respects the client's self-disclosure, this is a gauge for
the nurse's:
a. trustworthiness
b. loyalty
c. integrity
d. professionalism
a. "The best time to talk is during the nurse-client interaction time. I am committed
to have this time available for us while you are at the hospital and ends after your
discharge."
b. "Yes, if you keep it confidential, this is part of privileged communication."
c. "I am committed for your care."
d. "I am sorry, though I would want to, it is against hospital policy."
25. The client has not been visited by relatives for months. He gives a,
telephone number and requests the nurse to call. An appropriate action of
the nurse would be:
26. The past history of Camila would most probably reveal that her
premorbid personality is:
a. schizoid
b. extrovert
c. ambivert
d. cycloid
a. is irritable
b. feels superior of others
c. anticipates rejection
d. is depressed
a. Guilt feelings
b. Ambivalence
c. Narcissistic behavior
d. Insecurity feelings
a. anxiety disorder
b. neurosis
c. psychosis
d. personality/disorder
31. The nurse counsels Salome's daughter that Salome's becoming very
loud and tendency to become aggressive is a/an:
a. sensory deprivation
b. social isolation
c. cognitive impairment
d. ego despair
33. The nurse will assist Salome and her daughter to plan a goal which is:
34. The daughter understood, the following ways to assist Salome meet
her needs and avoiding which of the following:
35. Salome was fitted a hearing aid. She understood the proper .use and
wear of this device when she ways that the battery should be functional,
the device is turned on and adjusted to a:
a. therapeutic level
b. comfortable level
c. prescribed level
d. audible level
Situation 8 - For more than a month now, Cecilia is persistently feeling restless,
worried and feeling as if something dreadful is going to happen. She fears being
alone in places and situations where she thinks that no one might come to rescue
her just in case something happens to her.
a. acrophobia
b. claustrophobia
c. agoraphobia
d. xenophobia
37. Cecilia's problem is that she always sees and thinks negative hence
she is always fearful Phobia is a symptom described as:
a. organic
b. psychosomatic
c. psychotic
d. neurotic
38. Cecilia has a lot of irrational thoughts: The goal of therapy is to modify
her:
a. communication
b. cognition
c. observation
d. perception
39. Cognitive therapy is indicated for Cecilia when she is already able to
handle anxiety reactions. Which of the following should the nurse
implement?
41. It is unethical to tell one's friends and family member’s data bout
patients because doing so is violation of patients’ rights to:
a. Informed consent
b. Confidentiality
c. Least restrictive environment
d. Civil liberty
42. The nurse must see to it that the written consent of mentally ill
patients must be taken from:
a. Doctor
b. Social worker
c. Parents or legal guardian
d. Law enforcement authorities
a. 24 hours
b. 36 hours
c. 48 hours
d. 12 hours
a. Relate patient's feelings to physician initiate and encourage her to verbalize her
fears give emotional support by spending more time with patient, continue to make
necessary explanations regarding diagnostic test.
b. Has periods of crying, frequently verbalizes fear of what diagnostic tests will
reveal
c. Anxiety due to the unknown
d. "I’m so worried about what else they'll find wrong with me"
45. Nursing care plans provide very meaningful data for the patient profile
and initial plan because the focus is on the:
47. All of the following, EXCEPT one comprise the concepts of behavior
therapy program:
48. The help Marie who bed wets at night practice acceptable and
appropriate behavior, it is important for the parents to be consistent with
the following approaches EXCEPT:
a. You are supposed to get up and go in the toilet when you feel you have to go and
did not. The next time you bed wet, I’ll tell your friends and hand your sheets out
the window for them to see."
b. "You are supposed to get up and go in the toilet when you feel you have to go
and you did not. I expect you to from now on without fail."
c. "If you bed wet, you will change your bed linen and wash the sheets."
d. "If you don't make an effort to control your bedwetting, I'd be upset and
disappointed."
50. During your conference, the parent inquires how to motivate Marie to
be dry in the morning. Your response which is an immediate intervention
would be:
a. Give a star each time she wakes up dry and every set of five stars, give a prize
b. Tokens make her materialistic at an early age. Give praise and hugs occasionally
c. What does you child want that you can give every time he/she wakes up dray in
the morning
d. Promise him/her a long awaited vacation after school is over.
Situation 11 - The nurse is often met with t-he following situations when clients
become angry and hostile.
a. "When asked about his relationship with his father, client became anxious."
b. "When asked about his relationship with his father, client clenched his jaw/teeth
made a fist and turned away from the nurse."
c. "When asked about his relationship with his father, client was resistant to
respond."
d. "When asked about his relationship with his father, his anger was suppressed."
55. A patient grabs a chair and about to throw it. The nurse best responds
saying.
56. In planning care for a patient with Parkinson's disease, which of these
nursing diagnoses should have priority?
a. Number of accomplishments
b. Ability to avoid interpersonal conflict
c. Physical health throughout life
d. Personality development in his life span
58. The frequent use of the older client's name by the nurse is MOST
effective in alleviating which of the following responses to old age?
a. Loneliness
b. Suspicion
c. Grief
d. Confusion
a. Crisis
b. Despair
c. Loss
d. Ambivalence
Situation 13 - Graciela 1 ½ year old is admitted the hospital from the emergency
room with a fracture of the left femur due to a Tall down a flight of stairs. Graciela is
placed oh Bryant's traction.
62. The nurse notes that the fall might also cause a possible head injury.
She will be observed for signs of increased intracranial pressure which
include:
64. Part of discharge plan is for the nurse to give instructions about the
care of Graciela's cast to the mother. Which of these statements indicate
that the mother understood an important aspect of case care?
65. The nurse counsels Graciela's mother ways to safeguard safety white
providing opportunities of Graciela to develop a sense of:
a. Trust
b. Initiative
c. Industry
d. Autonomy
66. Jolina is out on antidepressant drugs. These drugs act on the brain
chemistry, therefore they would be useful in which type of depression?
a. exogenous depression
b. neurotic depression
c. endogenous depression
d. psychotic depression
69. Jolina continues to verbalize feeling sad and hopeless. She is not
mixing well with other clients. One of the nurse's important consideration
for Jolina Initially is to:
a. Insight
b. Productivity
c. Socialization
d. Intimacy
74. The treatment of the family as a unit is based on the belief that the
family:
a. is a social system and all the members are interrelated components of that
system
b. as a unit of society needs the opportunity to change its own destiny
c. who has therapy together will tend to remain together
d. is "contaminated" by the presence of deviant member and all members need
treatment
a. Caution
b. Cohesiveness
c. Confusion
d. Competition
77. The MOST cost effective way to meet the mental health needs of the
public is through programs with a priority goal of:
a. treatment
b. prevention
c. rehabilitation
d. research
78. Lorelle upon discharge was referred to a volunteer group where she
has learned to read patterns, cut out fabric and use a sewing machine to
make simple outfits that will help her earn in the future. What type of
activity therapy is this?
a. Recreational therapy
b. Art therapy
c. Vocational therapy
d. Educational therapy
79. In a residential treatment home for adolescent girl's the clients were
becoming increasingly tense and upset because of shortening of their
recreation time. To die escalate possible anger and aggression among the
clients it is BEST to play:
a. religious music
b. relaxation music
c. dance music
d. rock music
80. The parents of special children who are behaviorally disturbed need
mental health education. Which of these topics would the school nurse
consider as priority for their parents’ class?
a. Drug education
b. Child abuse
c. Effective parenting
d. Sex education
Situation 17 - Nurse's in all practice areas are likely to come in contact with clients
suffering from acute or chronic drug abuse.
82. Being in contact with reality and the environment is a function of the:
a. conscience
b. ego
c. id
d. super ego
84. During the detoxification stage, it is a priority for the nurse to:
a. Cannabis Sativa
b. Lysergic add diethylamide
c. Methylenedioxy, methamphetamine
d. Methamphetamine hydrochloride
a. Orientation phase
b. Working phase
c. Pre-interaction phase
d. Termination phase
87. The client asks for the nurse's telephone number, which of these
responses is NOT appropriate?
88. When the client asks about the family of the nurse the MOST
appropriate response is:
89. When the nurse is asked a personal question, which of these reactions
indicate a need her to introspect?
90. It is 10 o'clock of your watch. The client asks, "What time is it?" The
nurse's appropriate response is:
Situation 19 - Ricky is a 12 year old-boy with Down’s syndrome. He stands 5' ½" and
weight 100 lbs. He is slim and walks sluggishly with a limp. He wears a neck brace
as support for his neck. X - ray of cervical spine showed "subluxation of CI in
relation to C2 with cord compression." He attends a school for special education.
91. The classroom teacher consults the school for guidance on how to take
care of Ricky while inside the, classroom. The nurse considers as priority,
Ricky's:
a. Physiological needs
b. Need for self-esteem
c. Needs for safety and Security
d. Needs for belonging
92. Ricky's mother visited the school nurse. She asked, " What should I do
when Ricky fond his genitalia?" Appropriate response of the nurse is for
the mother to:
93. The nurse has one on one health education sessions with Ricky's
mother. The mother understood that for her son to learn to cope and be
independent, she should constantly provide activities for Ricky to be able
to:
94. All of the following activities are appropriate for Ricky EXCEPT:
95. Ricky's IQ falls within the range of 50-55. He can be expected to:
Situation 20 - The abuse of dangerous drug is a serious public health concern that
nurses need to address,
96. The nurse should recognize that the unit primarily responsible for
education and awareness of the members of the family on the ill effects of
dangerous drugs is the:
97. A drug dependent utilizes this defense mechanism and enables him to
forget shame and pain.
a. repression
b. rationalization
c. projection
d. sublimation
98. This drug produces mirthfulness, fantasies, flight of ideas, loss of train
of thought, distortion of size, distance and time, and "bloodshot eyes",
due to dilated pupils.
a. Opiates
b. LSD
c. Marijuana
d. Heroin
100. The mother of a drug dependent would never consider referring her
son to a drug rehabilitation agency because she fears her son might just
becomes worse while relating with other drugs users. The mother's
behavior can be described as:
a. Unhelpful
b. Codependent
c. Caretaking
d. Supportive
ANSWER KEY:
1. C
2. C
3. B
4. A
5. D
6. A
7. C
8. D
9. D
10. A
11. A
12. D
13. D
14. D
15. A
16. D
17. C
18. B
19.
20.
21.
22.
23.
24.
25. A
26. A
27. A
28. B
29. C
30. C
31. A
32. A
33. A
34. D
35. D
36. C
37. D
38. B
39. A
40. A
41. B
42. C
43. A
44. B
45. C
46.
47.
48.
49.
50.
51. D
52. B
53. B
54. A
55. A
56. A
57. C
58. D
59. A
60. B
61. A
62. B
63. D
64. D
65. D
66. B
67. D
68. C
69. C
70. C
71. C
72. B
73. B
74. A
75. B
76. B
77. B
78. C
79. B
80. C
81. B
82. B
83. D
84. D
85. D
86. B
87. A
88. B
89. D
90. B
91. C
92.
93. D
94. B
95. C
96. D
97. A
98. B
99. A
100. A