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Psychiatric Nursing -Nursing Online Readiness Test PRC NLE Review November 2008

Psychiatric Nursing -Nursing Online Readiness Test PRC NLE Review November 2008

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PSYCHIATRIC NURSING
NOTE: THIS QUESTIONAIRES WAS JUST GRAB FROM THE WEB, NurseReview.OrgIS NOT RESPONSIBLE FOR ANY TYPOS, WRONG ANSWERS, WRONG RATIONALE,INCONSISTENCIES, ETC.. USE THIS AT YOUR DESGRESSION1. Mental health is defined as:A. The ability to distinguish what is real from what is not.B. A state of well-being where a person can realize his own abilities can cope withnormal stresses of life and work productively.C. Is the promotion of mental health, prevention of mental disorders, nursingcare of patients during illness and rehabilitationD. Absence of mental illnessAnswer: (B) A state of well-being where a person can realize his own abilities cancope with normal stresses of life and work productively.Mental health is a state of emotional and psychosocial well being. A mentallyhealthy individual is self aware and self directive, has the ability to solveproblems, can cope with crisis without assistance beyond the support of familyand friends fulfill the capacity to love and work and sets goals and realistic limits.A. This describes the ego function reality testing. C. This is the definition of Mental Health and Psychiatric Nursing. D. Mental health is not just the absence of mental illness.2. Which of the following describes the role of a technician?A. Administers medications to a schizophrenic patient.B. The nurse feeds and bathes a catatonic clientC. Coordinates diverse aspects of care rendered to the patientD. Disseminates information about alcohol and its effects.Answer: (A) Administers medications to a schizophrenic patient.Administration of medications and treatments, assessment, documentation arethe activities of the nurse as a technician. B. Activities as a parent surrogate. C.Refers to the ward manager role. D. Role as a teacher.3. Liza says, “Give me 10 minutes to recall the name of our college professor whofailed many students in our anatomy class.” She is operating on her:A. SubconsciousB. ConsciousC. UnconsciousD. EgoAnswer: (A) SubconsciousSubconscious refers to the materials that are partly remembered partly forgottenbut these can be recalled spontaneously and voluntarily. B. This functions whenone is awake. One is aware of his thoughts, feelings actions and what is going onin the environment. C. The largest potion of the mind that contains the memoriesof one’s past particularly the unpleasant. It is difficult to recall the unconsciouscontent. D. The conscious self that deals and tests reality.
 
4. The superego is that part of the psyche that:A. Uses defensive function for protection.B. Is impulsive and without morals.C. Determines the circumstances before making decisions.D. The censoring portion of the mind.Answer: (D) The censoring portion of the mind.The critical censoring portion of one’s personality; the conscience. A. This refersto the ego function that protects itself from anything that threatens it.. B. The Idis composed of the untamed, primitive drives and impulses. C. This refers to theego that acts as the moderator of the struggle between the id and the superego.5. Primary level of prevention is exemplified by:A. Helping the client resume self care.B. Ensuring the safety of a suicidal client in the institution.C. Teaching the client stress management techniquesD. Case finding and surveillance in the communityAnswer: (C) Teaching the client stress management techniquesPrimary level of prevention refers to the promotion of mental health andprevention of mental illness. This can be achieved by rendering health teachingssuch as modifying ones responses to stress. A. This is tertiary level of preventionthat deals with rehabilitation. B and D. Secondary level of prevention whichinvolves reduction of actual illness through early detection and treatment of illness.6. Situation: In a home visit done by the nurse, she suspects that the wife andher child are victims of abuse.Which of the following is the most appropriate for the nurse to ask?A. “Are you being threatened or hurt by your partner?B. “Are you frightened of you partner” C. “Is something bothering you?” D. “What happens when you and your partner argue?” Answer: (A) “Are you being threatened or hurt by your partner?The nurse validates her observation by asking simple, direct question. This alsoshows empathy. B, C, and D are indirect questions which may not lead to thediscussion of abuse.7. The wife admits that she is a victim of abuse and opens up about herpersistent distaste for sex. This sexual disorder is:A. Sexual desire disorderB. Sexual arousal DisorderC. Orgasm DisorderD. Sexual Pain DisorderAnswer: (A) Sexual desire disorderHas little or no sexual desire or has distaste for sex. B. Failure to maintain thephysiologic requirements for sexual intercourse. C. Persistent and recurrentinability to achieve an orgasm. D. Also called dyspareunia. Individuals with thisdisorder suffer genital pain before, during and after sexual intercourse.
 
8. What would be the best approach for a wife who is still living with her abusivehusband?A. “Here’s the number of a crisis center that you can call for help .” B. “Its best to leave your husband.” C. “Did you discuss this with your family?” D. “ Why do you allow yourself to be treated this way” Answer: (A) “Here’s the number of a crisis center that you can call for help .” Protection is a priority concern in abuse. Help the victim to develop a plan toensure safety. B. Do not give advice to leave the abuser. Making decisions for thevictim further erodes her esteem. However discuss options available. C. Thevictim tends to isolate from friends and family. D. This is judgmental. Avoid inanyway implying that she is at fault.9. Which comment about a 3 year old child if made by the parent may indicatechild abuse?A. “Once my child is toilet trained, I can still expect her to have some"B. “When I tell my child to do something once, I don’t expect to have to tell"C. “My child is expected to try to do things such as, dress and feed.” D. “My 3 year old loves to say NO.” Answer: (B) “When I tell my child to do something once, I don’t expect to have totell"Abusive parents tend to have unrealistic expectations on the child. A,B and C arerealistic expectations on a 3 year old.10. The primary nursing intervention for a victim of child abuse is:A. Assess the scope of the problemB. Analyze the family dynamicsC. Ensure the safety of the victimD. Teach the victim coping skillsAnswer: (C) Ensure the safety of the victimThe priority consideration is the safety of the victim. Attend to the physicalinjuries to ensure the physiologic safety and integrity of the child. Reportingsuspected case of abuse may deter recurrence of abuse. A,B and D may beaddressed later.11. Situation: A 30 year old male employee frequently complains of low back painthat leads to frequent absences from work. Consultation and tests reveal negativeresults.The client has which somatoform disorder?A. Somatization DisorderB. HypochondriaisisC. Conversion DisorderD. Somatoform Pain DisorderAnswer: (D) Somatoform Pain DisorderThis is characterized by severe and prolonged pain that causes significantdistress. A. This is a chronic syndrome of somatic symptoms that cannot beexplained medically and is associated with psychosocial distress. B. This is anunrealistic preoccupation with a fear of having a serious illness. C. Characterized

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