such as street children, homeless and prostitution is a predisposing factor to mentalillness.

A community approach to cope with this problem is for the nurse to support: A. aggressive family planning methods B. provision of social welfare benefits for the poor C. social action D. free clinics and more hospitals77. The MOST cost effective way to meet the mental health needs of the public is throughprograms with a priority goal of: A. treatment B. prevention C. rehabilitation D. research78. Lorelie upon discharge was referred to a volunteer group where she has learned to readpatterns, cut out fabric and use a sewing machine to make simple outfits that will helpher earn in the future. What type of therapy is this? A. Recreational therapy B. Art therapy C.

Vocational therapy D. Educational therapy79. In a residential treatment home for adolescent girls, the clients were becomingincreasingly tense and upset because of shortening of their recreation time. To deescalatepossible anger and aggression among the clients it is BEST to play: A. religious music B. relaxation music C. dance music D. rock music80. The parents of special children who are behaviorally disturbed need mental healtheducation. Which of these topics would the school nurse consider as priority for theirparents class? A. Drug education B. Child abuse C. Effective parenting D. Sex education Situation 17 Nurses in all practice areas are likely to come in contact with clientssuffering from acute or chronic drug abuse.81. The psychodynamic therapy of substance abuse is based upon the premise that drugabuse is: A.

a common problem brought about by socioeconomic deprivation B. caused by multiplicity of factors C. predisposed by an inability to develop appropriate psychological resources tomanage developmental stresses D. due to biochemical factors82. Being in contact with reality and the environment is a function of the: A. conscience B. ego C. id D. super ego83. Substance abuse is different from substance dependence in that, substancedependence: A. includes characteristics of adverse consequences and repeated use B. requires long term treatment in a hospital based program C. produces less severe symptoms than that of abuse D. includes characteristics of tolerance and withdrawal 84. During the detoxification stage, it is a priority for the nurse to:

A. teach skills to recognize and respond to health threatening situations B. increase the clients awareness of unsatisfactory protective behaviors

C. implement behavior modification D. promote homeostasis and minimize the clients withdrawal symptoms 85. Commonly known as shabu is: A. Cannabis Sativa B. Lysergic acid diethylamide C. Methylenedioxy methamphetamine D. Methamphetamine hydrochlorideSituation 18 It is common that clients ask the nurse personal questions.86. Anticipation of personal questions is given adequate attention during which phase of thenurse patient relationship? A. Orientation phase B. Working phase C. Pre-interaction phase

D. Termination phase87. If the client asks for the nurses telephone number, which of these responses is NOTappropriate? A. It is confidential I just dont give it to anyone. B. What would you do with my number if I give it to you? C. If I say No to your request, what are your thoughts about it? D. Are you asking for an official number of the hospital/clinic for yourreference? 88. When the client asks about the family of the nurse, the MOST appropriate response is: A. Avoid the situation and redirect the clients attention B. Give a brief and simple response and focus on the client. C. Why dont we talk about your family instead? D. Introduce another topic like the clients interests89. When the nurse is asked a personal question, which of these reactions indicates a needfor her to introspect? A. The client is simply curious. B. His/Her right to privacy is being intruded. C. The client knows no other way to begin a conversation. D. Some patients are like children in seeking recognition from the nurse.90. It is 10 oclock on your watch. The client asks, What time is it? The nursesappropriate is: A. Are you getting bored? B.

It is 10 oclock. C. Why do you ask? D. Guess, what time is it? Situation 19 Ricky is a 12 year old boy with Downs syndrome. He stands 5 andweighs 100 lbs. he is slim and walks sluggishly with a limp. He wears a neckbrace as a support for his neck. X-ray of cervical spine showed subluxationof C1 in relation to C2 with cord compression. He attends a school for aspecial education.91. The classroom teacher consults the school nurse for guidance on how to take care of Ricky while inside of the classroom. The nurse considers as priority, Rickys: A. Physiological needs B. Need for self esteem C. Needs for safety and security D. Needs for belonging92. Rickys mother visited the school nurse. She asked, What should I do when Rickyfondles his genitalia? An appropriate response of the nurse is for the mother to: A. Divert Rickys attention and engage him in satisfying activities B. Tell Ricky that it is wrong to keep fondling his genitalia C. Ignore Rickys behavior because he will outgrow it later D.

Engage him in computer TV games that engage his hands93. The nurse had one on one health education sessions with Rickys mother. The mother

understood that for her son to learn to cope and be independent, she shouldconstantly provide activities for Ricky to be able to: A. socialize with people B. eventually go to school alone C. select and prepare his own food D. do activities of daily living 94. All of the following activities are appropriate for Ricky EXCEPT: A. Working with clay B. Competitive sport C. Preparing and cooking simple menu D. Card and table games95. Rickys IQ falls within the range of 50-55. he can be expected to: A. Profit from vocational training with moderate supervision B. Live successfully in the community

C. Perform simple tasks in closely supervised settings D. Acquire academic skills of 6 th grade levelSituation 20 The abuse of dangerous drugs is a serious public health concern that nursesneed to address.96. The nurse should recognize that the unit primarily responsible for education andawareness of the members of the family on the ill effects of dangerous drugs is the: A. law enforcement agencies B. school C. church D. family 97. A drug dependent utilizes this defense mechanism and enables him to forget shame andpain. A. repression B. rationalization C. projection D.

sublimation98. 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. Heroin99. The nurse evaluates that her health teaching to a group of high school boys is effectiveif these students recognize which of the following dangers of inhalant abuse. A. Sudden death from cardiac or respiratory depression B. Danger of acquiring hepatitis or AIDS C. Experience of blackout D. Psychological dependence after prolonged use100. The mother of a drug dependent would never consider referring her son to a drugrehabilitation agency because she fears her son might just become worse whilerelating with other drug users. The mothers behavior can be described as: A. Unhelpful B. Codependent C.

Caretaking D. Supportive ***END***