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NP5 Nursing Board Exam December 2006 Answer Key 'Nursing Care of Client With Physiological and Psychosocial Alteration'
NP5 Nursing Board Exam December 2006 Answer Key 'Nursing Care of Client With Physiological and Psychosocial Alteration'
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 clients
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 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
situational crisis
C. anticipated crisis
D. both developmental and
A. problem-solving
B. behavior modification
C. role-playing
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
B. normal
C. neurotic
D. psychotic
C. non judgmental
D. in control of tendency to blame
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 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
57. Her mission to propagate peace is:
A. a serious call for a need of transformation
B. an attempt to overcome low self-esteem
participate in
58. Which of this intervention would NOT be therapeutic in decreasing Lorettas anxiety?
A. joke about her thought to help her feel at ease
B. listen to her thoughts and feelings
C. simply accept
D. do not convince her that her perception is unreal
59. The nurse evaluates that Lorettas ready for a rehabilitation program when she:
A. approaches the nurse at frequent intervals C. goes to the coffee shop alone more
often
B. ceases to talk about Virgin Mary
D. carries a book The
Purpose Driven Life
60. The nurse is leading a group meeting of patients to prepare them to be discharged. An
appropriate goal for the group members is to develop:
A. attitudes of society towards the mentally ill
B. skills for maintaining daily living
C. awareness of interpersonal patterns of interactions
69. To refuse gossip is a reflection of the mental health nurses quality of:
A. firmness
C. judgment
B. coolness
D. trustworthiness
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
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
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
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
74. Unconditional positive regard for the elderly is BEST achieved when the nurse-patient
relationship is based upon:
A. vocational choices
C. addressing economic problems
B. keeping
D. providing warmth and caring
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
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
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:
C. conducting a drama
D. painting a mural with other
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
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
80. The defense mechanism utilized by manic patients to cover up depression is:
A. displacement
C. compensation
B. denial
D. reaction formation
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
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
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
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
85. Adults, singing and acting like children is a form of:
A. displacement
C. sublimation
B. regression
D. compensation
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
87. The independent variable is:
A. patients
B. expressive role
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
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
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
92. Which of the following is a behavioral manifestation of anxiety?
A. hyperventilation
C. panic
B. tachycardia
D. rapid pulse
C. somatic delusion
D. delusion of being controlled
C. disturbance of thought
D. disturbance of perception