Situation – Ivy is a nurse who often encounters angry and hostile clients.

1. What should Ivy do to maintain a therapeutic eye contact and body posture while interacting with
angry and belligerent clients?

A. Keep an “open “posture” ,e.g. hands by sides but palms turned outwards
B. Maintain eye contact while staring at the client
C. Keep his/her hands behind his/her back or in one`s pockets
D. Fold his/her arms across his/her chest

2. Which of the following approaches is NOT therapeutic to encourage thought?

A. “Why do you feel angry?”

B. “How do you usually express anger?”
C. “What situations provoke you to be angry?”
D. “When do you usually feel angry?”

Situation - One of the basic nursing responsibilities of a nurse is to establish a nurse-patient relationship in order to
meet the client`s needs.

3. Nurse Elma has an emotionally-ill patient .Her most unique tool in working with these type of patients
is?

A. Theoretical knowledge
B. Personally make up
C. Emotional reactions
D. Communication skills

Situation- Nurses are commonly asked personal questions by clients.

4. In which phase of the nurse-patient relationship must the nurse anticipate patients asking personal
questions?

A. Termination phase
B. Orientation phase
C. Working phase
D. Pre- interaction phase

5. What would be the most appropriate response by the nurse if the client asks him/her personal questions
such as his/her family?

A. Give a brief and simple response and focus on the client .

B. Avoid the situation and redirect the client`s attention
C. “Why don’t we talk about your family instead?”
D. Introduce another topic like the client`s interests
Situation- Nurse -patient interaction is a tool create a therapeutic environment.

6. What would be the most therapeutic response of the nurse if the client say, “ I want to tell you
something but can you promise that you will keep this as a secret?”

A. “Yes ,our interaction is confidential provided the information you tell me is a not detrimental to
your safety.”
B. “Yes, it is my principle to uphold my client`s rights.”
C. “Of course yes, this is just between you and me. Promise!”
D. “Yes , you have the right to invoke confidentiality of our interaction”

7. Nurses who respect client`s` self-disclosure shows:

A. Trustworthiness
B. Loyalty
C. Professionalism
D. Integrity
E.
8. The best time to inform the client about terminating the nurse-patient relation is:
A. During the working phase
B. At the start of the relationship
C. Towards the end of the relationship
D. When the client asked how long the relationship would be

Situation- During the orientation, the nurse emphasizes that the team members including nursing students are
legally responsible to safeguard patient`s` records from loss or destruction or people not authorized to read it.

9. Telling one`s` friend and family members data about patients violation of patients` rights to:
A. Least restrictive environment
B. Confidentiality
C. Informed consent
D. Civil liberty
10. The following are SOAP(Subjective-Objective-Analysis-Plan) statements on a problem ; Anxiety
about diagnosis. What is the objective data?

A. Anxiety due to the unknown

B. Relate patient`s feelings to physician” initiate and encourage her to verbalized her fears; give
emotional support by spending more time with the patient; ontinue to make necessary
explanations regarding diagnostic test.
C. Has periods of crying; frequently verbalizes fear of what diagnostic test will reveal.
D. “I am so worried about what else they`ll find wrong with me.”

11. Nursing care plans provide very meaningful data for the patients profile and initial plan because the
focus is on:

A. Summary of chronological notations made by individual health team members.

B. Identification of patient`s responses to medical diagnoses and treatment.
C. Step by step procedures for the management of common problems.
D. Patient`s responses to health and illness as a total persons in interaction with the environment.
Part 1

12. Which of these statements , when made by the nurse , is most effective when communicating with a 4-
year-old ?

A. “Tell me where you hurt.”

B. “ Other children like having their blood pressure taken.”
C. “This will be like having a little stick in your arm.”
D. “Anything you tell me is confidential”

13. During the health history, the nurse ask basic questions that asses nutritional health pattern for an
elderly patients, which additional questions should the nurse ask?

A. “Do you wear dentures?”

B. “What are your food preferences?”
C. Do you have any food allergies?”
D. “Who prepare your meals?”

14. When completing a health risk appraisal, the nurse should assess all of the following except:

A. Personal health history

B. Family health history
C. Use of medications and drugs
D. Types of health insurance

15. What does the nurse do during the assessment step of the nursing process?
A. Collects data
B. Identifies nursing differences
C. Plans care
D. Establishes outcome criteria

16. Which of the following data is subjective?

A. Vital signs
B. ECG patterns
C. Serum enzymes level
D. Mr. Jones’s description of chest pain

17. The nurse examines Mr. Smith’s past medical records . which type of data does the nurse obtain from
such records?

A. Primary source
B. Historical
C. Secondary source
D. Subjective source
18. Mr. smith’s postoperative assessment includes auscultation of breath and bowels sound. Which type of
data does the nurse obtain with these techniques?

A. Subjective
B. Objective
C. Secondary source
D. medical

19. When taking a history, you should :

A. Use chronologic and sequential framework
B. Start with the patient’s previous records, if available.
C. Let patients present data according to their personalities.
D. Use a holistic and eclectic structure.
20. A patient complains of headache. During the history, he describes his use of alcohol and illicit drugs.
These data would most likely belong in the :
A. Past medical history
B. Personal and social history
C. Chief complaint
D. Review of systems

21. You observe one of your peers conduct and physical examination . the patients states that she wants a
small mole she’s had since birth removed from her left breast. The patient’s present problem relates to
insomnia. Your care-giver peer does not examine breast mole. You are asked to critique the history and
physical. Your most helpful response would be that your peer:
A. Noted the patient’s verbal statements.
B. Asked appropriate questions throughout the examination.
C. Needed to examine the mole.
D. Used focused attention toward the insomnia problem.

22. Health status, health promotion and illness prevention practices medical or nursing history acquired on
which pattern?

A. Health perception-health management

B. Cognitive perceptional examination
C. Coping stress tolerance
D. Cognitive perceptional history
23. Test senses , level of consciousness, listen to language used, test recent memory.
A. Health perception-health management
B. Cognitive perceptional pattern
C. Sexually – reproductive
D. Elimination pattern

24. Assessing the skin turgor of your patient should be considered in which pattern
A. Role-relationship pattern
B. Self -concept pattern
C. Nutritional -Metabolic Pattern
D. Elimination pattern
 25. The nurse wishes to identify nursing diagnosis for a patient. She can best do this by using a data
collection form organized according to:
A. A body systems model
B. A head to toe framework
C. Gordon’s functional pattern
D. All of the above

26. Activities of daily living, leisure/recreation activities ; focus on activities of importance; exercise
pattern is assessed on ?
A. Activity exercise examination
B. Activity exercise pattern
C. Coping stress pattern
D. Nutritional metabolic pattern

Situation- As an RN, you assume responsibility for systematically assessing and planning for the needs of your
clients. You admitted Ampy to the ward.

27. In your initial contact with Ampy, which of the following greetings will more likely put him to ease:
A. “Good morning I am Niccolo, your new nurse.”
B. “How are you today? I am your new nurse”
C. “Are you Ampy?; bed 20”
D. “I have been assigned to take care of you”

28. You admission data will include social data about your patient. These are the examples of social date ,
except;
A. Perception of illness
B. Religious practices
C. Family home situation
D. Patient’s lifestyle

29. Encouraging Ampy to participate in the planning of his own care would:
A. Increase his ability for self-care
B. Promote good nurse-patient relationship
C. Hasten her recovery
D. Develop planning skills of nurse