NP5 Nursing Board Exam December 2006 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'

100 Nursing Board Exam test questions of December 2006 Nurse Licensure Examination (NLE)
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

NP5 Nursing Board Exam December 2006 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'

100 Nursing Board Exam test questions of December 2006 Nurse Licensure Examination (NLE)
Nursing Practice V – Nursing Care of Client with Physiological and Psychosocial Alteration
Medical and Surgical Nursing / Psychology

PART 2 Board Exam test questions 51 - 100

Situation 11: As a program manager, the mental health psychiatric nurse is tasked to provide general patient management.

51. The nurse is aware that identifying the aspects of general patient management and identifying interventions for meeting these basic needs are distinctions of:

     A. psychotherapy                                                      C. pharmacotherapy

     B. therapeutic milieu                                                         D. behavior therapy

52. In order to get active participation of the clients to carry out the objective of the program, it is BEST for the nurse to conduct a/an:

     A. community meeting                                           C. observation

     B. survey                                                                 D. selective interview of patients

53. Through the nurse’s role modeling of effective communication, the clients learned new ways of dealing with authority figures. This gives the clients a venue to:

     A. communicate                                                        C. identify their problems

     B. socialize                                                               D. test new patterns of behavior

54. This element of communication facilitates evaluation of the program:

     A. receiver                                                               C. sender

     B. message                                                              D. feedback    

              

   55. The nurse’s style of leadership in milieu therapy is:

     A. autocratic                                                             C. democratic

     B. laissez-faire                                                          D. benevolent

NP4 Nursing Board Exam December 2006 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'

100 Nursing Board Exam test questions of December 2006 Nurse Licensure Examination (NLE)
Nursing Practice IV – Nursing Care of Client with Physiological and Psychosocial Alteration
Medical and Surgical Nursing / Psychology

PART 2 Board Exam test questions 51 - 100

Situation 11: Because of the serious effects of severe burns, management requires a multidisciplinary approach. You have important responsibilities as a nurse.

51. When caring for DS, who sustained 40% severe flame burn yesterday, which among these interventions should be your PRIORITY?

            A. provide a calm, efficient and safe environment

            B. keep the body parts in good alignment to prevent contractures

            C. assess for airway, breathing and circulation problems

            D. assess the injury for signs of sepsis  

                 

 

52. Your primary therapeutic goal for DS during the ACUTE PHASE is:

            a. wound healing                            c. emotional support

            b. reconstructive surgery                    d. fluid resuscitation

53. CV who sustained upper torso and neck burns. Which action is MOST likely to cause a functional contracture?

            a. hourly hyperextension neck exercises

            b. helping the patient to a position of comfort

            c. encouraging self-care

            d. discouraging pillows behind the head

54. AW, 3 year old boy just sustained full thickness burns of the face, chest and neck. What will be your PRIORITY nursing action?

            a. Risk for infection related to epidermal disruption

            b. Impaired urinary elimination related  to fluid loss

            c. Ineffective airway clearance related to edema

            d. Impaired body image related to physical appearance

55. FG, with a full thickness burns involving entire circumference of an extremity will require frequent peripheral vascular checks to detect:

            a. hypothermia                              c. arteriosclerotic changes

            b. ischemia                                 d. adequate wound healing

NP4 Nursing Board Exam December 2006 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'

100 Nursing Board exam test questions of December 2006 Nurse Licensure Examination (NLE)
Nursing Practice IV – 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: It is Cancer Consciousness Week and you are participating in an Early Cancer Detection Drive of the Department of Health.

1. Based on the DOH and World Health Organization (WHO) guidelines, the mainstay for early detection method for breast cancer that is recommended for developing countries is:

            A. a monthly breast self examination (BSE) and an annual health worker breast examination (HWBE)

            B. an annual hormone receptor assay

            C. an annual mammogram

            D. a physician conduct a breast clinical examination every 2 years

2. The purpose of performing the breast self examination (BSE) regularly is to discover:

            A. fibrocystic masses                                          C. areas of thickness or fullness

            B. cancerous lumps                                            D. changes from previous BSE

3. If you are to instruct a postmenopausal woman about BSE, when would you tell her to do BSE:

            A. on the same day of each month                 C. on the first day of her menstruation

            B. right after the menstrual period                       D. on the last day of her menstruation

4. During breast self-examination, the purpose of standing in front of the mirror it to observe the breast for:

            A. thickening of the tissue                                   C. lumps in the breast tissue

            B. axillary                                                          D. change in size and contour               

5. When preparing to examine the left breast in a reclining position, the purpose of placing a small folded towel under the client’s left shoulder is to:

            A. bring the breast closer to the examiner’s right hand

            B. tense the pectoral muscle

            C. balance the breast tissue more evenly on the chest wall

            D. facilitate lateral positioning of the breast