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1
SET A
Seat No.____ 
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NURSING PRACTICE 3C:
NURSING CARE OF CLIENT WITH PHYSIOLOGICALAND PSYCHOSOCIAL ALTERATIONS
DIRECTION:
Choose the letter of the BEST answer by shading the corresponding letter of your choice on theanswer sheet provided. STRICTLY NO ERASURE! 
Situation 1:
 The nurse is envisioning a career path in mental health psychiatric nursing. Asa beginning professionalnurse, she is guided with basic beliefs about the practice.
1. Which of the following statement reflects the scope of mental health psychiatric nursing?A. it includes nursing actions aimed at returning the patient to his highest potential of productivity.
B. it is an integral aspect of all nursing and a specialty service to all people affectedby mentalillness.
C. it includes nursing actions to reduce the rate of new cases of mental disorder in populationD. it consist of early recognition and treatment of mental disorders to reduce severity andduration of mentalillness2. The beginning professional nurse can do mental health counseling with the following clients,EXCEPT:
A. actively psychotic patients
C. parents with child rearing concernsB. out of school adolescents D. school children with behavioral problem3. A professional responsibility of the mental health psychiatric nurse is to provide a safe andtherapeutic environment. This is BEST reflected in:A. restraining patients who violates policies and do not follow schedule of activities.B. maintaining a closed door policy to prevent patients from absconding.C. keeping a restrictive environment to prevent patients from becoming assaultive and hostile
D. ensuring physical safety and maintaining therapeutic attitude towards the patients
4. The foundation of the therapeutic process is the therapeutic relationship. What is the essentialcomponent that thenurse must bring to the relationship?A. humor C. reframing
B. empathy
D. confrontation5. Which of these people, the highest in population groups that would need priority mental healththerapy?A. adults going through active skills
C. young professionals entering the workplace
B. single elderly with no social support D. women preparing for overseas employment
Situation 2:
Some activity therapies are organized and conducted in groups where nursesmay participate in.
6. A mental health nurse may not be a member of this self help group because help given tomembers comes frommembers themselves:A. Remotivation Group C. Activity Therapy GroupB.
Alc
oholics Anonymous D. Art Therapy Group7. Which of the following determines the success of client government groups?
A. willingness of psychiatric professionals to be open and receptive to client’s ideasand suggestions
B. a way of permitting clients provide themselves with a more creative and wholesome lifeC. means to acquire a variety of social skills
 
D. opportunity to learn democratic living8. Which of this client situation appropriately illustrate horticulture therapy?A. the therapist brings bongos, tambourine, and bells and encourages client participationB. Tommy, Karen, Jon and Pia play scrabble every night after supper
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C. every afternoon, Vic goes in the garden where he work with plants, seedlings, treeplantingAnd watering them
D. Paul finds sketching relaxing and rewarding9. Eva is a member of a group who controls endless talking. Her role is that of a/an:
A. blocker
C. recognition seekerB. self-confessor D. monopolizer10. Community meetings are held as a part of milieu therapy on an in-patient psychiatric unit. The purpose of thesemeetings would be:
A. to focus on issue arising from group living
B. to encourage expression on topics of interestC. to provide direction from the treatment planD. 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 memoriesrelated tothe events surrounding the development of psychotic conditionB. 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 bodilydefensesto 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. electrocardiogram13. Which of the following is a possible side effect which you will discuss with the patient?A. hemorrhage within the brain C. encephalitisB. robot-like body stiffness
D. confusion, disorientation and short termmemory loss
14. Informed consent is necessary for the treatment for involuntary clients. When this cannot beobtained, permissionmay be taken from the:A. social worker
C. next of kin or guardian
B. doctor D. chief nurse15. 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 guardianB. 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 goingagainst the norms of society.Psychodynamically, this defect in the personality reflects a disturbance of the:A. ego C. ego ideal
B. super ego
D. id17. The nurse teaches parents about children’s beginning concepts of right and wrong byemphasizing child rearingattitude and practices during the:A. school age C. infancy period
B. toddler age
D. latency period18. 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 schoolC. encouraging their children at home to behave properly
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D. teaching their children good manners and right conduct19. 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 metB. provide an environment appropriate to their development task as scheduledC. treat the child according to his chronological age
D. treat the child according to his developmental level
20. Mental retardation is:A. a delay in normal growth and development caused by an inadequate environmentB. a lack of development of sensory abilities
C. a condition of subaverage intellectual functioning that originates during thedevelopmentalperiod and is associated with impairment in adaptive behavior
D. a severe lag in neuromuscular development and motor abilities
Situation 5
:
 The nurse recognizes the need to learn to cope with stress and change. Shebecomes interested to practicenatural ways to enhance well being.
21. Lifestyle modification begins with:A. minimizing eating in fast food restaurantsB. having an exercise regimen to follow regularly
C. recognizing the impact of unhealthy habits
D. avoiding pollutants in the environment22. All of these are the behavior intervention to stress management. EXCEPT:A. guided imagery C. meditation
B. pharmacotherapy
D. progressive muscle relaxation23. Basic to progressive muscle relaxation is:A. focusing on an image to relax C. use of industrial equipment
B. relaxing muscles from tension
D. stopping disturbing thoughts24. Dietary practices are very important to the health of the Filipino family. The nurse needs toassess thislifestyle because:A. the nurse wants to change the eating patterns of the Filipino familyB. the nurse knows that being overweight is a major health hazardC. 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 aschallenging and perfect andnever 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 40’s have been married for 20 years and at thepeak of their careers.Suddenly, Bernie discovered that her husband was falling in love with another woman.Shaken by this situation, shestarted to have problems sleeping and could not function well at work and at the risk of losing her job. John askedforgiveness and regret very much the hurt his wife was going through and suffered guiltfeelings:
26. Bernie and John are going through a:
A. situational crisis
C. anticipated crisisB. developmental crisis D. both developmental and situational crisis27. All of these are characteristics of crisis EXCEPT:A. a hazardous or threatening event occursB. it has a growth promoting potential
C. usual problem solving methods and coping mechanisms produce a solution
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