Situation 1: Nurse Roger and Nurse Archie are psychiatric nurses in Sira Sira Mental Hospital and is caring

g for clients who manifest breakdown of thought processes and by poor emotional responsiveness which is called Schizophrenia. 1. The first name of schizophrenia was named by? A. Eugene Bleuler B. Kraepelin C. Morel D. Dementia Praecox 2. Nurse Roger is teaching a group of nursing students that Paranoid Schizophrenia often originates during which stage of development? A. Oral B. Phallic C. Anal D. Latency 3. When asking the family about the onset of acute schizophrenia, the nurse would expect that they would relate the clients difficulties began in: A. Puberty B. Adolescence C. Late childhood D. Early childhood 4. Nurse Archie is reading about the psychodynamics of schizophrenia, what he read was correct when it states: A. A frustration because of adaptation to a standard feeling that is not conforming with reality. B. A condition where the basic unconscious are brought out. C. A Sense of diminished environment actualization D. A dominating Freudian conscience 5. Patient Jinky said, I came, you are lame, its just the same but everything is because of fame, furthermore, she added, you again, family determine ouch said carton inside keyboard and lastly, Pacman lost, my favorite game is Pacman, so I will lose? the nurse knows Jinky is manifesting? A. Tangentiality B. Associative Looseness C. Clang Association D. Word salad 6. A client is admitted to the psychiatric unit with active psychosis. The physician diagnoses schizophrenia after ruling out several other conditions. Schizophrenia is characterized by: A. Loss of identity and self-esteem. B. Multiple personalities and decreased self-esteem. C. Disturbances in affect, perception, and thought content and form. D. Persistent memory impairment and confusion. 7. Nurse Archie identifies the following as a manifestations of paranoid schizophrenia except? A. Being argumentative B. Being aggressive C. Exaggeratedly suspicious D. No other symptoms except chronic symptoms. 8. Another patient named Sharon manifests affective disturbance, and shows poor reality contact, Nurse Archie identifies this patient having which type of schizophrenia? A. Paranoid B. Undifferentiated C. Disorganized D. Residual 9. A client diagnosed with Catalepsy is being cared by another nurse named Archie, which client care should he give emphasis? A. Airway B. Breathing C. Circulation D. Skin Integrity 10. When helping a client who has the diagnosis of schizophrenia select food for breakfast, the most therapeutic question by the Nurse Roger would be:

A. B. C. D.

What kind of foods do you like? Which of these foods do you want? Do you want boiled or scrambled eggs? How do you want your eggs fixed to day?

11. Nurse Roger is documenting his observation on a client with Residual Schizophrenia, which among the following will he not document? A. Chronic Symptoms B. Crying behavior when asked about the happiest moment C. Late during group meetings D. Doesnt comb her hair even she has a comb on her hands. 12. Nurse Roger suspects the client to have Paranoid Schizophrenia, to validate his speculation; he asks which of the following? A. Do you feel safe right now? B. Are you planning to harm yourself? C. Do you feel better now? D. What are you thinking about? 13. Nurse Roger is preparing for the arrival of a client diagnosed with Catatonic Schizophrenia from the Out Patient Department. In anticipation of the clients needs, the nurse should? A. Notify the security not necessary B. Prepare magnesium sulfate drip not necessary C. Place an overlay mattress on the bed D. Implement the NPO order. Situation 2: Nurse Hazel and Nurse JM are specializing psychiatric nursing in the community. One common issue in the field of psychiatric nursing in the community is suicide. It is often committed out of despair, the cause of which can attributed to a mental disorder such as depression, bipolar disorder, schizophrenia, autism, alcoholism, or drug abuse. It is a leading cause of death among teenagers and adults under 35. 14. Nurse Hazel identifies who among the following clients may commit suicide? A. Pekto, 35 years old whose wife died in an accident. B. Tsino, 37 years old who was bankrupted suddenly C. Many Ak , 42 37 years old who learned he has AIDS D. All of the above 15. Nurse JM identifies who among the following clients may not commit suicide? A. James Yup, aged 32, who just got annulled B. Kris Akeyno, aged 35 whose husband died 2 weeks ago C. Marimar, aged 45 who lives alone and no family D. Ma. Anne Tot, aged 22, contented in life and has nothing to ask for. 16. Nurse JM is identifying a client who is most vulnerable to suicide, he is correct when he chooses: A. Jessica, 20 years old and depressed after losing an amateur contest. B. Manny, 35 years old who just lost a very crucial and life changing game in his life. C. Heart, aged 22 who is very depressed after breaking up with 1 of her longtime boyfriend D. Jericho aged 23 who is very depressed after breaking up with 1of his longtime girlfriend 17. Which among the following will Nurse Hazel implement to prevent suicide? A. Having a hospital staff to watch the client at a regular basis B. Having a hospital staff to watch the client at an irregular basis C. Having some of the clients friends to watch over the client D. Having the assigned nurse watch the client at all times 18. To assess suicidal clients, Nurse Hazel would not use for identifying suicidal clients? A. Have you thought life is not worth living? B. Have you considered harming yourself? C. Have you ever attempted suicide? D. How has life been to you lately?

19. Val, 17 years old boy who is admitted in the psychiatric facility for suicide attempt. He confides to the Nurse JM that the reason of his attempt was because he cant bear the fact that both his parents are alcoholic, and in addition, his parents is at risk for divorce because of domestic violence. Nurse JM can recommend a socialization group for teens whose parents are alcoholics, the group is called? A. Alateen B. Parents Anonymous C. Alco-Par Anon D. Paralco Anonymous 20. Hazel, the NOD, made sure Vals environment is safe, meets his basic needs, and contributes to his wellbeing. This is known as; A. Play therapy B. Individual psychotherapy C. Milieu therapy D. Behavioral therapy 21. Nurse Hazel is teaching a clan of adolescent named Bespren forever about suicide; she also taught about stress management technique to prevent complications such as suicide, Nurse Hazel is doing which part of the public health model in psychiatric nursing? A. Primary prevention B. Core competencies C. Initial Data Base D. Secondary prevention 22. Suicidal cases in the community continuous to increase, most likely, this is to continue to increase because of? A. Poor intervention and attention allotment to suicidal population B. Stressful situation continuously arise C. Suicide has been a trending solution for unmanageable situation D. Mistakes of suicidal attempt leading to fatal circumstances and eventually death 23. Another cause of suicide is unbearable domestic violence, women and teens are forced to live in an abusive environment than to be homeless, which among the following should the nurse do in cases like this in the community? A. Call 911 for help as soon as Nurse Hazel identifies the problem B. Bring the client at DSWD for children C. Bring the client in the hospital for further assessment D. Give the client a number to call for help and or to whom will he/she approach if the abuse is unbearable Situation 3: Nurse Ching is caring for clients who losses sensorium with old age and injurious situations, damage in the sensory system is devastating to the person. 24. Nurse Ching is preparing a client for an eye examination, which among the following will she not prepare? A. CT scan B. Radioisotopic scanning C. Slit lam examination D. Webers and Rinnes test 25. Which client history is an untrue cause of Retinal Detachment? A. Vehicular accident B. Length of lifetime C. Excessive reading D. Surgery 26. Nurse Ching is also caring for a client diagnosed with glaucoma; she knows that the greatest complication of glaucoma is? A. blindness B. paralysis C. homonymous hemianopsia D. hemiparesis 27. A client came in the clinic with complains of purulent drainage on the ear, Nurse Ching suspects? A. Otosclerosis B. Otitis Media C. Cerumen impaction D. Suppurative otitis media

28. Nurse Ching is assessing a client with Migraine. Which of the following best describes migraine headache? A. Often described as a constant pressure as if the head were being squeezed in a vise-like pain B. An excruciating unilateral headaches of extreme intensity C. The worst headache of your life D. A severe, unrelenting headache, often accompanied by symptoms such as nausea, vomiting and visual disturbance 29. Vincent, 32 years old has problem with the cranial nerve I. They live in a thickly populated area and is concerned for the safety of 3 young children. What measure should the Nurse Ching recommend for home safety? A. Participate in fire prevention training B. Install a smoke detector device C. Mild water heater temperature D. Install additional lighting for visibility Situation 4: An emergency situation poses an immediate risk to health, life, property or environment. Most emergencies require urgent intervention to prevent a worsening of the situation; nurses play a vital role in responding to immediate client needs. 30. While conducting rounds, Nurse Jujuy notices a fire in a clients room. Which of the following should be the appropriate action of Nurse Jujuy? A. Evacuate the client from the room B. Set the fire alarm C. Ask for help D. Get the fire extinguisher 31. A client is having a grand mal epileptic seizure. What is Nurse Jans most appropriate initial intervention? A. Leave the client and call for assistance B. Apply oxygen mask C. Stay with the client and if on the floor, protect clients head D. Observe the seizure and breathing patterns of the client 32. A victim of a vehicular accident was rushed to the operating room for emergency exploratory laparotomy. Doctor Sherwin ordered Transfuse available whole blood STAT. ethical principle guided the nurse in her decision to administer the blood? A. Respect for a Person B. Nonmaleficence C. Veracity D. Sanctity of life 33. Nurse Roger assesses the clients during the nursing rounds. He observes that some clients are at risk for fluid volume deficit. Among these clients, Nurse Roger should PRIORITIZE giving care to: A. Mr. Pong, 53, who is experiencing polyuria due to Diabetes Mellitus. B. Mr. Jundan, 69, who has diarrhea and is currently restless. C. Nathan, 17, who refuses and spits out food and drinks. D. Mr. Emil, 48 years old, who is taking diuretics and has fluid restrictions 34. A client came in the emergency department and was diagnosed with Myocardial Infarction, which among the following food intake history would not be an indicator that the client wont be prescribed with Coumadin? A. Tea B. Liver C. Spinach D. Oranges 35. A client with multiple head injuries and is unconscious was brought in the ER by the ambulance without any significant others, the Doctor Pataka recommended STAT craniotomy; Nurse Ganda knows during this situation, she should? A. Have a consent signed B. Rest assure that she documents she situation before the surgery C. Have the nearest kin sign a consent D. Do nothing because she is not involved 36. During emergency situations, the significant others are the people who is anxious for the patient, nursing care is not only limited to the client but also to the significant others, which among the following is not a nursing intervention to the significant others during emergency situation? A. Nurse Reyal who says that appropriate care is being given B. Nurse Ambi who explains the treatment regimen Patient Nama is to receive

C. Nurse Bueno who allows the family to stay with the client during O2 sat reading D. Nurse Bakekang offering coffee to the family who experienced sudden death of the client 37. Nurse Ursula intervened immediately to a client who had an acute airway obstruction because she knows that death may set in after 3-5 minutes, this is due to? A. Occluded Airway B. Large obstruction causing airway trauma C. Bleeding D. Hypoxia 38. Archie got a deep laceration after a vehicular accident causing him to have massive blood loss, an order of Blood Transfusion was given, and Nurse Roger should intervene taking which priority? A. Initiating IV fluids B. Assessing airway problems C. Secure an order of Blood Transfusion D. Assessment of capillary refill 39. Archie is now undergoing shock, Nurse Roger should? A. Immediately institute IV fluid. B. Increase IV fluids the client is receiving C. Should warm the blood product before giving the transfusion after the order is given. D. Should start the infusion immediately once the fresh frozen blood was received. 40. This type of emergency injury is when a person is caught between objects, run over by a moving vehicle, or compressed by machinery. A. Crushing injury B. Hit and run injury C. Excitement injury D. Compress-abrasion Injury 41. Cyndi came in the emergency department for active profuse nose bleeding, Nurse Nico would do these interventions except? A. Compression of the soft outer portion of the nares for 5-10 minutes B. Having a pair of scissors readily available C. Assist client in blowing his nose for excess blood clots D. Having nose packs readily available. 42. Fukiko Mekuto, 23, comes in the ER for aspiration; the nurse knows that the most common cause of aspiration among adult is? A. Toys B. Water C. Foods D. Body fluids 43. Nurse Min-Min received the following patients, given their respective nursing diagnosis, who among these patients will she address first? A. Risk for injury related to disease process B. Poor nutritional intake related psychosocial factors C. Disturbed body image related to surgical procedure. D. Impaired skin integrity related to underlying condition Situation 5: Psychotropic drug acts primarily upon the central nervous system where it affects brain function, resulting in changes in perception, mood, consciousness, cognition, and behavior. Nurse Anne and Nurse Arlynn are psychiatric medication nurse in Malobesa Psychiatric Hospital. 44. The following are the professional roles of Nurse Anne on psychopharmacology except? A. Documenting administered drug B. Documenting patients reaction to medication C. Documenting health teaching provided D. None of the above 45. A client with Parkinsons disease is taking Ropinorole HCl (Requip), Nurse Anne should be cautious in giving this drug because it is contraindicated with? A. Chlorpromazine B. Acetaminophen C. Mebendazole D. Ferrous sulfate

46. A client whose taking antipsychotics manifest abnormal movements of the body, Nurse Arlynn knows that she must administer which drug to counteract with this side effect? A. Biperiden B. Donepezil C. Tacrine D. Loxapine 47. Hazel, a manic client is being treated with bipolar drugs, thus, which among the following drugs is she taking? A. Cibalith B. Isocarboxacid C. Amitriptyline D. Moclobemide 48. Nurse Anne has patients who are children, which among the following would she expect to be prescribed to these children? A. Chlorpromazine B. Imipramine C. Fluvoxamine D. Methylphenidate HCl 49. A client taking paroxetine is experiencing hallucination, hyperthermia, myoclonus and tremors, nurse Latvia knows that this is: A. An emergency situation called Extra Pyramidal Side Effects B. An emergency situation called Serotonin Toxidrome C. An emergency situation called Dopaminergia D. A mental state called Disturbia 50. A client named Bespren is taking antidepressants, she was prescribed with Nefazodone (dutonin), and Nurse Roger knows this drug is a form of: A. SSRI B. MAOI C. TCA D. Atypical Antidepressant 51. What drug must be given to Cyndi who was prescribed with Selective Serotonin Reuptake Inhibitor? A. Fluoxetine (Prozac) B. Imipramine (Tofranil) C. Amitriptyline (Elavil) D. Isocarboxacid (Marplan) 52. A client is taking Seroquel, Nurse Sherwin knows it acts on what neurotransmitter? A. Dopamine B. Serotonin C. GABA D. Acetylcholine 53. The client is given neuroleptic to decrease his mechanism of consuming dopamine, the urge and action of consuming dopamine for excitatory response is called: A. Ecstatic pleasure B. Dopaminergia C. Dopamine Regulatory Phase D. Diturbia Situation 6: Substance abuse is defined as the purposeful use for at least one month, of a drug, that results in adverse effects to oneself or others 54. Claudine is experiencing alcohol withdrawal; Nurse Tulfo knows that this type of substance related disorder is under the group of: A. Substance - use disorder B. Substance - induced disorder C. Delirium D. Wernicke Korsakoff Symptoms

55. Kuya Boy is an alcoholic who has a history of alcohol drinking during work time secretly, preoccupied with drinking and maintaining the supply of alcohol, Nurse Elsa identifies the client to be in what phase of alcoholics pattern of drinking progress according to Jellinek? A. Early alcoholic Phase B. Phase I C. Phase III D. Chronic Phase 56. Carmencita, a high official of Barangay Palahubog came in the unit for being an alcoholic, Nurse Dionisia should care for this client objectively and accordingly because her role is very crucial, before handling this client, she must do which among the following first? A. Observing the client for any signs of manipulativeness B. Observing clients response to medication taken prior to admission C. Observing her own feelings and thinking towards alcohol use D. Gathering all necessary information about alcoholism to know how to handle alcoholics 57. Adele, aged 21has borderline personality disorder was brought to the ER for evaluation, she has been a chronic drinker of alcohol, she has become independent of it, Nurse Rihanna would most likely anticipate that the client would be referred to which group? A. PD - Alco anonymous B. Dual Diagnosis Program C. Multi - Tasking Program D. Al Anon 58. Which among the following would be least useful for Nurse Atroboy to utilize as outcome criteria for a client with substance related disorders? A. The client has not experienced physical injury B. The client has verbalized importance of abstaining from use of substances in order to maintain optimal wellness C. The client has not caused harm to self or others D. The client understood that sardines and overripe mango is not advisable 59. Antabuse is widely used for alcoholics as a form aversion therapy, which among the following describes this drug inappropriately: A. Alcohol intake while under Antabuse may cause death B. Alcohol and Antabuse reaction may set in within 5-10 minutes C. Antabuse is an alcohol deterrent drug D. The nurse should reassure that before administration of Antabuse, the client has not taken any alcohol products within 6 hours. 60. Nurse Ching would not be alert if the client has started taking Antabuse together with? A. Johnsons Cologne B. Casino Isopropyl Alcohol C. Over The Counter ASA D. Vanilla Flavored Pancakes Situation 7: Those who struggle with a personality disorder have great difficulty dealing with other people. They tend to be inflexible, rigid, and unable to respond to the changes and demands of life. Although they feel that their behavior patterns are normal or right, people with personality disorders tend to have a narrow view of the world and find it difficult to participate in social activities. The following nurses encounter different Personality Disorders. 61. Nurse Pooh is caring for clients with Personality Disorder, Nurse Pooh identifies that which among the following does not cause the clients anxiety? A. Nurses Attempt of decreasing rituals B. Family reaction to his behavior C. Clients rituals D. Officemates reprimands of being late 62. Which among the following is not true about personality disorder? A. It is a stressing pattern of behavior B. It is a disturbing pattern of behavior C. Temporal lobe is usually damaged that causes the client to hear voices D. They dont perceive the true problem

63. Patient Britney is a client with personality disorder that has difficulty in confiding with other people, she doubt others confiding worthiness, Nurse Pen is aware that she diagnosed with? A. Paranoid B. Antisocial C. Borderline D. Avoidant 64. A client heard some voices telling him that the staff nurse is trying to poison him; more likely the client is diagnosed with what Personality Disorder? A. Obsessive Compulsive B. Antisocial C. Paranoid D. None of the above 65. Patient Nora slaps Nurse Vilma and says You ugly nurse! You are not trustworthy! is diagnosed with with? A. Paranoid B. Schizoid C. Personality Disorder (NOS) D. None of the above 66. The client hasnt been interacting to anyone at all in the ward, family members reveal that the client has been loner and has no one as company in life; Nurse Kokey understood that this is normal among patients having what Personality Disorder? A. Avoidant B. Schizoid C. Obsessive Compulsive D. Schizophrenia 67. Borderline is the most common Personality Disorder, and common among biological: A. Gay B. Men C. Women D. Bisexual 68. Which among the following is not considered as Cluster B Personality Disorder? A. Mind Splitting clients B. Dissocial clients C. Extrovert clients D. Bureaucratic clients 69. This type of Personality Disorder is also known as masters of manipulations A. Borderline B. Paranoid C. Obsessive Compulsive D. None of the above 70. Santinno came in for psychiatric evaluation, the psychiatrist wrote the Nurse Bro encounters the term socio/psychopath, he suspects that the client is diagnosed with what PD? A. Antisocial PD B. Schizoid PD C. Avoidant PD D. Dependent PD 71. Matt was diagnosed with Antisocial Personality Disorder was observed to be suicidal and expressed fear of abandonment, after some times, he also manifested extreme mistrust to everyone who cared him, the physician would most likely to change his diagnosis to: A. Cluster A B. Cluster B C. Paranoid PD D. PD NOS Situation 8: Nurse Ryan and Nurse Aleni are skillful nurses in Lampa Community Hospital who care for clients with Musculoskeletal System Problems, it generally not life-threatening, but they have a significant effect on the patients normal activities and productivity.

72. An elderly client has been inactive because of severe arthritis. Nurse Ryan identifies which of the following nursing diagnosis as most appropriate? A. Risk for disuse syndrome B. Risk for trauma C. Deficient knowledge D. Risk for accident 73. Nurse Aleni knows that Compartment Syndrome is described correctly except? A. May be caused by crushing injury B. Is the increased pressure within a muscle C. May cause irreversible as early as 30 minutes D. May be caused by a fracture. 74. Nurse Aleni is caring for a client with compartment syndrome, she is incorrect if she: A. Positions the extremity lower than the heart B. Does wound care post fasciotomy C. Is giving NSAIDs for pain complains D. Checks for circulation on the affected site 75. Joshua, a 24 year old was brought in the emergency department and diagnosed with Herniated nucleus Pulposus. Nurse Aleni knows very well that which among the following Patient history supports this diagnosis? A. He is a gym trainer. B. He is a computer encoder C. He is Rh (+) D. He has allergy to iodine 76. Which among the following would not be helpful to identify musculoskeletal problems? A. Creatinine phosphokinase elevation B. Lactate dehydrogenase evaluation C. C-reactive protein test D. Slit lamp examination 77. Nurse Ryan is doing the clients neurovascular assessment, which of following is not included in the assessment? A. Pulse B. Polar C. Paresthesia D. Perfusion 78. Which among the following fractures would cause skin breakage? A. Uncomplicated fractures B. Complicated fractures C. Incomplete fractures D. Torsion fractures Situation 9: Cancer Nursing Practice or Oncology Nursing covers all age groups, nursing specialties and is carried out in a variety of health care settings, including the home, community, acute care institutions, and rehabilitation centers. The scope, responsibilities, and goals of cancer nursing, also called, are as diverse and complex as those of any nursing specialty. 79. Luis, 50 years old with colon cancer who has undergone a successful bowel resection has been referred to the medical oncologist to participate in an adjuvant therapy clinical trial involving investigational chemotherapy. After the oncologist reviewed the trial procedure and consent form with Luis, She left the room for him to consider enrollment into the trial. Luis tells you that he is afraid to be a guinea pig and refused to participate. As a patient advocate what will you do? A. Respect his decision to refuse. B. Ask Luis to consider because it will be beneficial to him. C. Explain his right as a participant in the clinical trial. D. Explain to the oncologist the fears and decision of luis. 80. A client with advance testicular cancer was given an order of CXR, the nurse should: A. Prepare for the order. B. Question the order for validation of the diagnostic test C. Report to the charge nurse D. Say yes but do not follow the order.

A. B. C. D.

81. The oncologist ordered for a diagnostic examination to detect cancer of the skin, the nurse knows the specific exam to detect skin cancer cells is: Skin biopsy Barium swallow Biopsy Preboard Exam

82. A client comes in the oncological unit and being assessed by you, he tells the nurse he is uncircumcised, you know for a fact that uncircumcised males may contribute in the development of? A. Prostate cancer B. Ovarian cancer C. Testicular cancer D. Cancer of the penis 83. A Student Nurse asks the Nurse Roger about prophylactic surgery, Nurse Roger should answer, it is; A. A surgery to rule out malignancy B. The removal of cancerous tissue C. The removal of precancerous tissue D. A widely used treatment for cancer 84. Nurse Archies patient is to be given Salvage Therapy, he knows that; A. it is also known as consolidation therapy B. it is an early aggressive therapy to eradicate the disease C. it is an attempt to eradicate the disease that has recurred D. it is a initial therapy that abruptly kills fast growing cells upon cancer confirmation Situation 10: Therapeutic Communication is a process in which the nurse consciously influences a client or helps the client to a better understanding through verbal or nonverbal communication. It involves the use of specific strategies that encourage the patient to express feelings and ideas and that convey acceptance and respect. 85. Patient Echosera said nung isang gabi, nag call bell ako, walang ni isang nurse ang pumunta sakin, after 1 hour pa..nag chichismisan lng kayo. , which among the following would be not therapeutic for Nurse Petra to respond? A. sa papaanong paraan mo nasabi na nag uusap lng ang mga nurses sa station maam? B. nung nag call bell ka, walang pumunta? C. bat di mo ginamit ang telephone? D. gusto ko margining ang buong pangyayari nung gabing iyon 86. Patient John Lloyd states Ohw EHhhm.! Naiyak talaga ako sa boxing ni Pacman. Hindi ko matanggap ang nangyari! Bakit ganun? Nakakainis talaga! Bakit American Anthem ang kinanta ni Jessica Sanchez?! Pagkatalo ni Pacman matatanggap ko pa, pero si Jessica kumanta ng American Anthem..? Hindehhh.. Hindehhhhh!, nurse Dionisia is therapeutic when she states: A. napansin kong affected ka sa napanood mo? B. huhuhu, oo nga! Sana si Beyonce nalang ang kumanta ng Star Spanggled Banner! C. sya naman pala kumanta, bat mo pa tinuloy panoorin? D. sa tingin mo ba ikaw lang ang affected? Lahat tayo the! 87. Patient Eminem said I dont understand why my wife is so demanding, she irritates me thats why Ill looking for someone better! Are you available nurse? Nurse Beyonc is therapeutic when she will say? A. If I were a boy, I think I could understand how it feels to love a girl. B. You seem to have concern about your relationship with your wife C. You know for a fact shes like that, then why on heavens sake did you marry her? D. Women are fickle minded, you should be understanding 88. Patient Vhong, a psychotic patient said Nurse Vice, frends ba tayo sa facebook? Nurse Vice ganda should respond? A. Ahhy hinde, hinde! sa Friendster, sa Friendster tayo friends, naka timeline ka pa nga! B. Sa papaanong paraan mo nasabing friends tayo? Aber?! C. Meron akong facebook, my gusto ka bang pag usapan tungkol sa facebook? D. Naoobserbahan kong interesado ka tungkol sa networking sites, may gusto ka bang ibahagi sakin? 89. A delusional patient says to Nurse Hazel, Yung mga myembro ng GODA ay hinahabol ako para patayin! What is Nurse Hazels best reponse? A. Hindi ka nila hinahabol no at lalong hindi papatayin! B. Hindi myembro ng GODA ang gusting manakit sayo, Ako ang mananakit sayo pag hindi ka pa tumahimik! C. Hindi ko alam ang tungkol sa mga myembro ng GODA. Natatakot kaba na may mga taong gustong manakit sayo?

D. Sa palagay mo, bakit ka nila hinabol? 90. Patient Marian says to Nurse Christie Ayoko na, gusto ko ng mamatay!, Nurse Christie shouldnt say: A. Naiisip mo bang wala ng silbi mabuhay pa? B. Gusto mo bang saktan ang sarili mo? C. My plano ka bang saktan ang sarili mo? D. Anong nararamdaman mo ngayon tungkol sa buhay mo? 91. Lucy, a client who is for discharge informed you that she took the Remote control as her souvenir. The appropriate thing for the nurse to do is to: A. Implement hospital policy accordingly. B. Ignore the situation. C. Call the security to deal with the case. D. Instruct the client to pay the item in the cashier. 92. Nurse Richard is obtaining the history of Ryan who was admitted with acute chest pain. Which question will be MOST helpful for the nurse to ask? A. Why do you think you had a heart attack? B. What were you doing when the pain started? C. Do you need anything now? D. Has anyone in your family been sick lately? 93. Nurse Sarah is assigned to Leo, a 44 year old married man who has end-stage AIDS. He is transferred to a special hospice family. You are assigned to take care of Bernard and when you asked him his religion and belief as part of spiritual assessment, he said I know that God is punishing me. What will be your BEST response? A. You seem to be worried. Tell me more about what you feel. B. I can pray with you when ever you feel like praying. C. May I refer you to see our chaplain? D. God does no punish, He rewards. 94. Communication is a very important skill that a nurse should develop. Which of the following statements could lead to a breakdown in communication? A. Most women easily cry. B. Ill stay with you until your husband arrives. C. How have you been feeling during this weekend? D. Looking her in the eye when talking to her. Situation 11: Psychiatric nursing is a specialized area of nursing practice, employing theories of human behavior as its science and purposeful use of self as its art. Knowledge about its Concept is an essential tool to approach clients in Psychiatry. 95. Ivy, 28/F, is suffering from clinical depression 1 month after her boyfriend dumped her. She is showing other signs of depression. Which of the ff is most accurate; A. Hyperactivity B. Passiveness C. difficulty falling asleep D. Suicidal thoughts 96. Rose is admitted to the mental health unit with a diagnosis of depression. Nurse Cyclops develops a plan of care for the client and includes which most appropriate activity in the plan? A. Reading and writing most of the day. B. Nothing until the client asks to participate in milieu therapy. C. Several activities that the client can choose from. D. A structured program of activities for the client to participate in. 97. Who comprise the milieu therapy? 1. Nurse 2. Security guards 3. Student nurses 4. Psychiatrists 5. Patients A. 1 and 2 B. 1,2 and 3

C. All

D. All except 2

98. Who is the manager of the therapeutic environment? A. Nurses B. Occupational therapist C. Psychiatrist D. Security guards 99. Nurse Sarah notices that the comatose client starts to lighten. She is aware that without protection, the client could fall or be injured. Which of the following is the LEAST intervention? A. Protect the clients head B. Restrain the client to prevent from falling C. Give adequate support when turning or moving D. Keep the siderails up on the bed 100. A 9 years old was brought to the psychiatric facility for evaluation, he has tendency to do what he wants, and sometimes get scolded by the parents, the boy feels the guilt but sooner will repeat the same mistake. He would be most likely diagnosed with? A. Antisocial Personality Disorder B. Cluster B Personality Disorder C. Oppositional Defiant Disorder D. None Of The Above