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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
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 childrens 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
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 40s 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
B. developmental crisis
crisis
C. anticipated crisis
D. both developmental and situational
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
Answer: 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
B. normal
C. neurotic
D. psychotic
C. non judgmental
D. in control of tendency to
C. focusing on client
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
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
Answer: B. therapeutic milieu
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 nurses 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 nurses style of leadership in milieu therapy is:
A. autocratic
C. democratic
B. laissez-faire
D. benevolent
Situation 12: Loretta is a 28 years old, unemployed patient, admitted to the
psychiatric unit with a diagnosis of chronic undifferentiated schizophrenia. She
described herself as the Virgin Mary and her mission is to propagate peace. She
was observed laughing and talking to herself. Her thought processes were
profoundly disorganized. She was also fearful and suspicious of others.
56. Lorettas claim of being the Virgin Mary is a/an:
A. imagination
C. hallucination
B. delusion
D. obsession
Answer:
65. Considering that it is BEST to learn by example, it is MOST practical to:
A. model good social skills throughout the session
B. relate successful past experiences
C. invite a resource person
D. watch a movie
Answer:
Situation 14: Community health nurses integrate their knowledge of mental health
with their clients in their practice when they do mental health counseling.
66. Who among these clients need immediate referral for psychotherapy?
A. those who are plotting to commit suicide
B. those who are not responding to usual motivators
C. those who are not solving their problems which they have the resources to
solve
D. those who are engaging in self-defeating behaviors
Answer:
67. All of these describe what counseling, EXCEPT:
A. helping people manage their own problems
B. assisting people to use their own resources
C. a set of technique, skills and attitudes
D. giving advices
Answer:
68. This quality of the nurse allows connecting with others feelings:
A. warmth
C. sensitivity
B. courage
D. prudence
Answer:
69. To refuse gossip is a reflection of the mental health nurses quality of:
A. firmness
C. judgment
B. coolness
D. trustworthiness
Answer:
70. Which of the following concepts BEST describe the nurses interaction when
she/he can recognize and identify feelings and emotions of another person without
even having personally experienced those feelings and emotions?
A. over involvement
C. transference
B. sympathy
D. empathy
Answer:
Situation 15: Communicating effectively with dementia patients is a challenge to
psychiatric nurses.
71. Therapeutic ways to engage the elderly to be stimulated include all of the
following EXCEPT:
A. singing to or with the patients
C. providing a picture album
B. listening to old familiar music
D. playing complex computer
games
Answer:
72. The LEAST area of satisfying communication with the elderly is on:
A. recall of their courtship and love life
C. fashion shown in personal
pictures
B. psychological trauma
D. memories of their teenage
parties
Answer:
73. To maximize communication with the elderly, which of the following ways of
verbal communication should the nurse use minimally?
A. asking simple questions
C. restating
B. guiding the patient one step at a time
D. asking for an open ended
response
Answer:
74. Unconditional positive regard for the elderly is BEST achieved when the nursepatient relationship is based upon:
A. vocational choices
C. addressing economic problems
B. keeping
D. providing warmth and caring
Answer:
75. An optimal supportive environment for a person with dementia includes all,
EXCEPT:
A. engaging the elderly in logical and abstract thinking
B. developing a realistic uniformed and consistent daily schedule
C. handling memory loss by distracting or diverting patients attention to
something more positive
D. simple nurse care for the patient day after day
Answer:
Situation 16: Harry, age 36 is admitted to the psychiatry unit in an acute manic
episode of bipolar disorder.
76. Harrys condition is a disturbance of:
A. sensorium
B. cognition
Answer:
C. the CNS
D. affect
77. In the ward, Harry manifests excess energy and is difficult for him to sit still. The
MOST useful activity for him would be:
A. delivering supply of linen to other rooms
C. conducting a drama
workshop
B. engaging in activity therapy and group exercises
D. painting a mural with
other patients
Answer:
78. Harrys disruptive behavior on the unit has been increasingly annoying other
clients. Which of the following would the nurse do?
A. set limits on his behavior and be consistent in approach
B. make a rigid structured plan that he will have to follow
C. ignore his behavior
D. tell him that he is annoying other clients and isolate him in his room
Answer:
79. Harry approaches you and says I have awarded Top Salesman of the Year. My
boss will come and celebarate with me. You know for a fact that this is NOT true.
Harry is demonstrating a delusion of:
A. achievement
C. influence
B. reference
D. grandeur
Answer:
80. The defense mechanism utilized by manic patients to cover up depression is:
A. displacement
C. compensation
B. denial
D. reaction formation
Answer:
Situation 17: The nurse observed that Marie, age 28 years old had not been
participating in activity therapies.
81. Which of the following remarks from the nursing attendants indicates a need for
further teaching and observation?
A. Marie made no response to an invitation to play
B. Marie preferred to sit at the bench and watch the ballgame
C. Marie is aloof and indifferent to co-patients
D. Marie read a book while other patients played a ballgame
Answer:
82. Marie said I dont like to be a part of it. Look, they are being laughed at
because they are singing and acting like children. The nurse notes that in order for
the activity therapy to be therapeutic:
A. the staff should decide solely what activities to be done and what rules apply
B. patients should be allowed solely to decide what they want to do on their own
C. ballgames should be limited to male patients only
D. age and needs of patient should be considered in the choice of games
Answer:
83. To encourage active participation among patients, it is BEST to plan activities
they can engage in through a:
A. one to one interaction
C. checklist
B. community meeting
D. feedback evaluation forum
Answer:
84. In planning activities for the patients, it is essential to consider FOREMOST:
A. safety and security
C. novelty and creativity
B. variety and fun
D. excitement and challenge
Answer:
85. Adults, singing and acting like children is a form of:
A. displacement
C. sublimation
B. regression
D. compensation
Answer:
Situation 18: A research was conducted on. The effects of the nurse expressive
role in the reduction of anxiety in patients who will undergo nasogastric tube
insertion.
86. The research is experimental which means that utilized:
A. an interview scheduled
C. a questionnaire
B. a survey
D. control and experimental groups
Answer:
87. The independent variable is:
A. patients
B. expressive role
Answer:
C. reduction of anxiety
D. nasogastric insertion
C. expressive role
D. reduction of anxiety
89. This study was done to check the procedures of the research:
A. protest study
C. pilot study
B. proposal
D. test-retest
Answer:
90. Which of the following is NOT a characteristic of experimental research?
A. value plays a significant part in research
B. research ideas are capable of being tested
C. results of tests made on the groups are compared
D. research subjects are randomly selected and placed into groups for the
purpose of manipulation
Answer:
Situation 19: The client is walking to and fro along the hospital corridor and
swinging her hands. She thinks she is going crazy. She is having palpitations, rapid
pulse and hyperventilation.
91. Your nursing intervention should be to:
A. encourage her to participate in an ongoing activity in the ward
B. stay with her in a calm environment
C. tell her to stop thinking that she is going crazy
D. isolate the client in a quiet room
Answer:
92. Which of the following is a behavioral manifestation of anxiety?
A. hyperventilation
C. panic
B. tachycardia
D. rapid pulse
93. Which of the following statements about anxiety is NOT true?
A. anxiety is contagious
B. repressed unresolved conflicts create anxiety
C. anxiety at any level is destructive, hence a threat to a persons well being
D. reactions to a perceived threat maybe real or imaginary
Answer:
94. There is increased tension and reduced ability to perceive and communicate,
hence selective attention in this level of anxiety:
A. moderate
C. panic
B. severe
D. mild
Answer:
95. This medication is indicated for anxious patients:
A. Tofranil (Imipramine HCL) (TCA)
C. Valium (Diazepam)
B. Haldol (Haloperidol)
D. Thorazine (Chlorpromazine)
Answer:
Situation 20: Andy, 30 years old, was admitted to the Psychiatric Ward because of
religious preoccupation, deterioration in self-care and disturbed thoughts. He
believes that he has committed a lot of sins. He is threatened by people reaching
out to him. His fasting for several days was not sufficient for him to feel forgiven.
96. Andy is demonstrating:
A. religious delusion
B. delusion of grandeur
Answer:
97. A delusion is:
A. psychomotor disturbance
B. mood disturbance
Answer:
C. somatic delusion
D. delusion of being controlled
C. disturbance of thought
D. disturbance of perception
99. As Andy talks about his sins that he believes make people look down upon him.
It is BEST to:
A. agree with him and sympathize how sinful he has really been
B. explore the nature of his sins
C. explain that he is depreciating himself too much
D. acknowledge how he feels and focus on reality oriented topics
Answer:
100. The psychosocial task that Andy needs to work on is a sense of:
A. identity
C. autonomy
B. trust
D. intimacy
Answer: