Nursing Practice V – Nursing Care of Client with Physiological and Psychosocial Alteration
Medical and Surgical Nursing / Psychology
PART 1 Board Exam test questions 1 - 50
DIRECTION: Choose the letter of the BEST answer by shading the corresponding letter of your choice on the answer sheet provided. STRICTLY NO ERASURE!
Situation 1: 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.
1. Which of the following statement reflects the scope of mental health psychiatric nursing?
A. it includes nursing actions aimed at returning the patient to his highest potential of productivity.
B. it is an integral aspect of all nursing and a specialty service to all people affected by mental illness.
C. it includes nursing actions to reduce the rate of new cases of mental disorder in population
D. it consist of early recognition and treatment of mental disorders to reduce severity and duration of mental illness
2. The beginning professional nurse can do mental health counseling with the following clients, EXCEPT:
A. actively psychotic patients C. parents with child rearing concerns
B. out of school adolescents D. school children with behavioral problem
3. A professional responsibility of the mental health psychiatric nurse is to provide a safe and therapeutic environment. This is BEST reflected in:
A. restraining patients who violates policies and do not follow schedule of activities.
B. maintaining a closed door policy to prevent patients from absconding.
C. keeping a restrictive environment to prevent patients from becoming assaultive and hostile
D. ensuring physical safety and maintaining therapeutic attitude towards the patients
4. The foundation of the therapeutic process is the therapeutic relationship. What is the essential component that the nurse must bring to the relationship?
A. humor C. reframing
B. empathy D. confrontation
5. Which of these people, the highest in population groups that would need priority mental health therapy?
A. adults going through active skills C. young professionals entering the workplace
B. single elderly with no social support D. women preparing for overseas employment
Situation 2: Some activity therapies are organized and conducted in groups where nurses may participate in.
6. A mental health nurse may not be a member of this self help group because help given to members comes from members themselves:
A. Remotivation Group C. Activity Therapy Group
B. Alcoholics Anonymous D. Art Therapy Group
7. Which of the following determines the success of client government groups?
A. willingness of psychiatric professionals to be open and receptive to client’s ideas and suggestions
B. a way of permitting clients provide themselves with a more creative and wholesome life
C. means to acquire a variety of social skills
D. opportunity to learn democratic living
8. Which of this client situation appropriately illustrate horticulture therapy?
A. the therapist brings bongos, tambourine, and bells and encourages client participation
B. Tommy, Karen, Jon and Pia play scrabble every night after supper
C. every afternoon, Vic goes in the garden where he work with plants, seedlings, tree planting
And watering them
D. Paul finds sketching relaxing and rewarding
9. Eva is a member of a group who controls endless talking. Her role is that of a/an:
A. blocker C. recognition seeker
B. self-confessor D. monopolizer
10. Community meetings are held as a part of milieu therapy on an in-patient psychiatric unit. The purpose of these meetings would be:
A. to focus on issue arising from group living
B. to encourage expression on topics of interest
C. to provide direction from the treatment plan
D. to encourage expression of intrapsychic conflicts
Situation 3: The patient who is depressed will undergo electroconvulsive therapy.
11. Studies on biological depression support electroconvulsive therapy as a mode of treatment. The rationale is:
A. ECT produces massive brain damage which destroys the specific area containing memories related to
the events surrounding the development of psychotic condition
B. The treatment serves as a symbolic punishment for the client who feels guilty and worthless
C. ECT relieves depression psychologically by increasing the norepinephrine level
D. ECT is seen as a life-threatening experience and depressed patients mobilize all their bodily defenses
to deal with this attack.
12. The preparation of a patient for ECT ideally is MOST similar to preparation for a patient for:
A. electroencephalogram C. general anesthesia
B. X-ray D. electrocardiogram
13. Which of the following is a possible side effect which you will discuss with the patient?
A. hemorrhage within the brain C. encephalitis
B. robot-like body stiffness D. confusion, disorientation and short term
memory loss
14. Informed consent is necessary for the treatment for involuntary clients. When this cannot be obtained, permission may be taken from the:
A. social worker C. next of kin or guardian
B. doctor D. chief nurse
15. After ECT, the nurse should do this action before giving the client fluids, food or medication:
A. assess the gag reflex C. next of kin or guardian
B. assess the sensorium D. check O2 Sat with a pulse oximeter
Situation 4: The community health nurse encounters special children in the community.
16. An individual with antisocial personality disorder lacks remorse, shame and guilt in going against the norms of society. Psychodynamically, this defect in the personality reflects a disturbance of the:
A. ego C. ego ideal
B. super ego D. id
17. The nurse teaches parents about children’s beginning concepts of right and wrong by emphasizing child rearing attitude and practices during the:
A. school age C. infancy period
B. toddler age D. latency period
18. 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 at home to behave properly
D. teaching their children good manners and right conduct
19. 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 an environment appropriate to their development task as scheduled
C. treat the child according to his chronological age
D. treat the child according to his developmental level
20. 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 subaverage intellectual functioning that originates during the developmental
period and is associated with impairment in adaptive behavior
D. a severe lag in neuromuscular development and motor abilities
Situation 5: The nurse recognizes the need to learn to cope with stress and change. She becomes interested to practice natural ways to enhance well being.
21. Lifestyle modification begins with:
A. minimizing eating in fast food restaurants
B. having an exercise regimen to follow regularly
C. recognizing the impact of unhealthy habits
D. avoiding pollutants in the environment
22. All of these are the behavior intervention to stress management. EXCEPT:
A. guided imagery C. meditation
B. pharmacotherapy D. progressive muscle relaxation
23. Basic to progressive muscle relaxation is:
A. focusing on an image to relax C. use of industrial equipment
B. relaxing muscles from tension D. stopping disturbing thoughts
24. Dietary practices are very important to the health of the Filipino family. The nurse needs to assess this
lifestyle because:
A. the nurse wants to change the eating patterns of the Filipino family
B. the nurse knows that being overweight is a major health hazard
C. the nurse wants to stop all the mainstream weight-loss diets
D. the nurse has to find out what people are eating
25. A young overweight adult smokes 5-10 sticks of cigarettes/day, ambitious, looks at life as challenging and perfect and never considers change in his lifestyle, initially needs:
A. commitment C. skills to attempt change
B. information D. motivation
Situation 6: Bernie and John in their late 40’s have been married for 20 years and at the peak of their careers. Suddenly, Bernie discovered that her husband was falling 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 his wife was going through and suffered guilt feelings:
26. Bernie and John are going through a:
A. situational crisis C. anticipated crisis
B. developmental crisis D. both developmental and situational crisis
27. All of these are characteristics of crisis EXCEPT:
A. a hazardous or threatening event occurs
B. it has a growth promoting potential
C. usual problem solving methods and coping mechanisms produce a solution
D. anxiety or depression continue to increase
28. The nurse employs this approach in crisis intervention:
A. problem-solving C. role-playing
B. behavior modification D. nurse-patient relationship
29. Assessment data of the nurse include all the following EXCEPT:
A. coping mechanisms C. perception of the event
B. situational support D. repressed problems
30. The duration of crisis usually lasts several days and usually:
A. 2 – 4 weeks C. 1 – 2 months
B. 1 – 2 weeks D. 4 – 6 weeks
Situation 7: Felisa has a ritualistic pattern of constantly washing her hands with soap and water followed by rubbing alcohol.
31. This behavior is categorized as:
A. delusional C. neurotic
B. normal D. psychotic
32. A therapeutic intervention in this situation is:
A. avoid limits on her behavior to release her anxiety
B. call attention to her ritualistic pattern
C. provide alternative behaviors to deal with increased anxiety
D. ignore her behavior totally
33. The anxiety of Felisa is disabling and interferes with her job performance, interpersonal relationships and other activities of daily living. To minimize such problems, she is likely to be given:
A. diazepam ( Valium ) C. imipramine Hcl ( Tofranil )
B. haloperidol ( Haldol ) D. chlorpromazine ( Thorazine )
34. Felisa understands the effects of her medicine when expresses:
A. “I should watch out for signs of sore lips or sore throat”
B. “I might have constipation”
C. “I might feel changes in my body temperature”
D. “ I should not drive or operate machines”
35. The level of anxiety that Felisa is experiencing is:
A. Panic C. Mild
B. Severe D. Moderate
Situation 8:As a professional, it is imperative that the nurse is accountable to oneself hence the importance of personal and professional development.
36. Nurse: “ I feel personally involved with my client’s problems” demonstrates:
A. counter transference C. transference
B. empathy D. sympathy
37. The nurse has achieved self-awareness in which of the following verbalizations?
A. every time people around me yell, I feel upset and withdrawn
B. when the patient yelled at me I became speechless
C. with the patients tone of voice and stare, I got reminded of how my father would be so angry and this made me anxious
D. I thought it was rude for the patient to yell hence I kept quiet
38. An accepting attitude requires being:
A. aware of ones biases C. non judgmental
B. tolerant of the faults of others 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:
A. positive self-projection C. therapeutic use of self
B. assertiveness 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 an autobiography for self introspection
Situation 9: Recording and the nurse.
41. To facilitate identification of persons and relationships, the family nurse utilizes this diagrammatic representation of members of a family and their relationships:
A. flowchart C. algorithm
B. genogram D. kardex
42. A problem oriented recording system that utilizes the problem solving process as the basis of patient care management:
A. NANDA Diagnosis C. Gordon’s Functional Health Patterns
B. Nursing Care Plan D. Problem Oriented Medical Recording
43. This is a SOAP recording of the patient’s problem of “Nervousness”. Which is the subjective data?
A. Mr. Z was nervous during the interview, he moved frequently in the bed and his palms were sweaty.
B. Mr. Z does not seem to tolerate stress too well which will aggravate his cardiac condition. He understands
Little about his health which may be increasing his state of anxiety.
C. “I am nervous at times”. Exerts himself physically and is hesitant to discuss problems.
D. Mr. Z should:
1. demonstrate an ability to cope with nervousness
2. demonstrate an understanding of the relationship between his nervousness and cardiac condition
44. The nurse researcher mutually agreed with the research subjects that all personal data of the subjects shall be kept confidential. To safeguard anonymity of data after the report is written, the nurse researcher should:
A. throw the papers in a wastebasket
B. keep the papers for 5 years and dispose of these after
C. burnt or shred the papers
D. have the papers recycle but not as writing scratch paper
45. A step by step procedure for the management of common problems is a :
A. Gavin chart C. decision tree protocol
B. pedigree chart D. problem listing
Situation 10:The nurse works with Mina to help her work through termination of the nurse-patient relationship.
46. Preparation for termination of the nurse-patient relationship begins during the:
A. termination phase C. pre-orientation phase
B. working phase D. orientation phase
47. Mina’s past reactions to ending relationships is withdrawal. The nurse assists her to practice better ways of coping termination by providing opportunities to:
A. test new patterns of behavior C. conceptualize her problem
B. plan for alternatives D. value and find meaning in experience
48. During the early part of the interaction, the nurse asked after a period of silence. “Perhaps we would talk about my leaving”. The nurse utilized which communication technique:
A. encouraging C. focusing on client
B. suggesting D. understanding
49. Mina: (angrily) “ I am angry, I should never have gotten involved with you” (silence)
Nurse: “You have reason to be disappointed and to feel angry. Just when we were getting somewhere.
I leave you.”
A. reflecting words C. orienting
B. understanding D. reflecting feelings
50. The objection of the nurse-patient relationship is to provide an opportunity of the patient to:
A. clarify problems C. have a corrective emotional experience
B. develop insights D. develop interpersonal relationship
I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
ReplyDeleteliver already present. I started on antiviral medications which
reduced the viral load initially. After a couple of years the virus
became resistant. I started on HEPATITIS B Herbal treatment from
ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
treatment totally reversed the virus. I did another blood test after
the 6 months long treatment and tested negative to the virus. Amazing
treatment! This treatment is a breakthrough for all HBV carriers.