PLT College Inc

College of Nursing

REMEDIAL EXAMINATION (10-28-10)

Name: ________________________________________________________ Score: ____________________________

Instructions: Kindly shade the letter of your choice on the answer sheet given. Erasures and
Superimpositions are not allowed. Goodluck!
 Basic Concepts nurse focuses on crisis, the most c. Reassuring her
of Psychiatric the important that staff will
client’s ability to assessment data for be available if
Nursing
a. make decisions the nurse to gather she becomes
b. relate to other from the client upset and
1. As a Psychiatric
clients would be: anxious with
Nurse, you must be
c. express himself a. the specific the surgery
aware that there are
verbally circumstances d. Orienting her
tools being utilized
d. function surrounding to the
to classify and
independently the perceived environment
diagnose illnesses
3. The client has crisis situation and unit
in mental health
tearfully described b. The client’s personnel
according to their
her negative work habits 6. On arrival for
presenting
feelings about c. Any significant admission to a
symptoms. The
herself to the nurse physical health voluntary unit, Ema
DSM-IV is a tool
during their last data B. Shusa loudly
utilized for
three interactions. d. A past history announces:
diagnosis in mental
Which of the of any “Everyone kneel,
health settings. This
following goals emotional, you are in the
multi-axial system
would be most social and presence of
includes:
appropriate for the mental the most beautiful
a) Nursing and
nurse to include in problems in the and gorgeous
medical
the care of plan at family Queen of England.”
diagnosis
this time? The client 5. Buckley Tah is This is:
b) Frameworks of
will admitted for a. A delusion of self-
specific
a. Increase her surgery. Although belief
theories
self-esteem not physically b. A delusion of self-
c) Specific critical
b. Verbalize three distressed, the appreciation
pathways
things she likes client appears c. A delusion of
d) Assessments
about herself apprehensive and grandeur
for several
c. Write her alienated. d. A nihilistic
areas of
negative A nursing action delusion
functioning
feelings in a that may help the 7. Jhumel refuses to
2. The nurse meets
daily journal client to feel more eat food sent up on
with the client daily.
d. Verbalize her at ease and individual trays
The client stays
work-related comfortable from the hospital
mostly in his room
accomplishmen includes: kitchen. He shouts,
and speaks only
ts. a. Telling her that “You want to kill
when addressed,
4. Crisis inflicts us everything is me.”
answering
in different ways. all right The client has lost 8
briefly and abruptly
Some would come b. Giving her a pounds in 4 days. In
while keeping his
to us in expected copy of hospital discussion of this
eyes on the floor. In
ways and majority regulations and problem, with the
this stage of their
would come in as a protocols assigned staff
relationship, the
surprise. During
member, which primary goal are informed that save everyone from
statement by between the nurse their child is in the Earth.” Which of
the nurse indicates and the client recovery room and these responses by
an accurate should be achieved is stable. The the nurse would be
interpretation of during this phase. mother is crying. best?
this client’s needs? The nurse should The nurse can best a. “I don’t hear a
a. “The client is respond that the help allay the voice, but I
malnourished primary goal is to: mother’s anxiety know it’s real
and may a. Establish trust by: to you.”
require tube and support a. Allowing her to a. “It must make
feedings.” a. Explain unit continue to you think
b. “The client is rules and express her important to
terrified. Ask regulations feelings talk with God.”
the kitchen to b. Establish a b. Reassuring her b. “Why do you
send foods that relationship that their child think you’re
are not easily c. Formulate a is doing well hearing a
contaminated mutual plan of c. Bringing her voice?”
such as baked action and her c. “What could be
potatoes 9. Auditory husband to the God’s reason
c. “Continue to hallucination or recovery unit for talking to
observe the Command for several you?”
client. When hallucination is minutes 12. Martyr Nievera
the client gets very common to d. Encouraging who has a
hungry enough, psychotic patients them both to go borderline
the client will and it is believed to have a cup of personality
eat.” contribute in coffee and disorder asks the
d. The client suicide attempts return in 2 nurse on a
appears and suicide hours psychiatric unit if
frightened. gambles. A nurse is he may stay up
Spend more talking with a client Therapeutic beyond the
time with the who is hearing Communication designated bedtime.
client, showing voices. The nurse 11. Eduardo Tho When the nurse
a warm states, “The only Pack, a 24-year old says no, the patient
affection.” voices I hear are man with a says, “The nurse on
8. One of the yours and mine.” diagnosis of chronic duty last night let
responsibilities of a This is schizophrenia is me stay up late.”
nurse is to secure a an example of: admitted to the Which
non-judgmental a. Presenting psychiatric unit. He of these responses
and smooth flowing reality is talking loudly as by the nurse would
Nurse-Patient b. Restating the nurse be therapeutic?
Interaction. The c. Clarification approaches him. a. “You shouldn’t
nurse is discussing d. Focusing When asked who he have been
the orientation 10. The parents of a is talking to, he said, given that
phase. The student child who had “I hear God’s voice, privilege.”
nurse asks what the open-heart surgery He’s telling me to
 b. “Everyone is d. “This very b. “Depression
required to go procedure is frightened.” can be caused
to bed, now.” the best 15. A client on the by chemical
c. “You can stay treatment for unit believes imbalances in
up for one your another client has the brain
more hour.” condition.” stolen his watch, c. “Think about
d.“Direct his 14. During the and they want to how fortunate
focus away from admission discuss this with you are.”
his symptoms.” procedure a client the nurse. What is d. “You have
13. Electro appears to be the many positive
Convulsive Therapy responding to nurse’s best qualities.”
has been a voices. The client response? SITUATION: Sheera
treatment long cries out at a. “Tell me what Ohlo was admitted
before believed to intervals, “No, no, I you believed to the psychiatric
reset the mind and didn’t kill him. You happened.” unit yesterday. The
be “normally” know the truth; tell b. “I’ll meet with nurse observes that
functional for some that policeman. each of you her head is bowed
time. A patient tells Please help me!” individually.” in a dejected
a nurse, “I really The nurse should : c. “I’m sure no manner, her facial
don’t want to have a. Sit there one here expression is sad,
these shock quietly and would do a and she isolates
treatments but my not respond at thing like herself in her room.
doctor insists.” all to the that.” 17. After a few
Which of the client’s d. “Be careful minutes of
following statements when you conversation, the
responses by the b. Respond to accuse client wearily asks
nurse would be the client by someone.” the nurse, “Why
therapeutic? asking, 16. During the pick me to talk to
a. “We should “Whom are nurse’ conversation when there are so
cancel the they saying with the client, the many other people
procedure you killed?” client states, “I have here?” Which reply
until you feel c. Saying. “Do no reason to be sad. by the nurse would
better.” not become so I have a great job be best?”
b. “It’s normal to upset. No one and a a. “I’m assigned
every patient is talking to wonderful wife and to care for you
who you; the family.” Which of today, if you’ll
experienced accusing the following let me.”
dissatisfaction voices are part comments are b. “Why
with this of your illness. would be best for shouldn’t I
procedure.” d. Respond by the nurse to make want to talk to
c. “Have you saying, “I want at this time? you, as well as
talked to your to help you a. “Why do you the others?”
doctor about and I realize think you’re c. “You have a lot
your fears?” you must be depressed?” of potential,
 and I’d like to the nurse, he that you can personality about
help you.” stresses his faults. work.” how to socialize
d. “You’re When he starts to c. “You might during activities
wondering point out the things need extra without being
why I’m he can’t do, which breaks at first seductive. Nurse
interested in of the following until you feel John would focus
you, and not in responses by the better.” the discussion on
others?” nurse would d. “You sound which of the
18. The client provide best concerned. I following areas?
begins to attend intervention? want to hear a. Discussing his
group sessions a. “You can do more about relationship
daily. She explains anything you how you are with his
to the group how out your mind feeling.” mother
she lost her job. to.” 21. Long Coughtin b. Asking him to
Which of the b. “Try to think has been explain
following more positively hospitalized for reasons for his
statements by a about yourself.” major depression seductive
group member c. “Let’s talk and suicidal behavior
would be most about your ideation. Which of c. Explaining the
therapeutic for the plans for the the following negative
client? weekend.” statements reactions of
a. “Tell us about d. “You were able indicates to the others toward
what you did to write a letter nurse that the client his behaviour
on your job?” to your friend is improving? d. Suggesting to
b. “It must have today.” a. “I’m of no use apologize to
been very 20. The client to anyone others for his
upsetting for states, “I’m looking anymore.” behavior
you.” forward to going b. “I know my 23. The nursing
c. With your back to work, but I kids don’t need assistant tells nurse
skills, finding wonder if I’ll be me anymore Ronald that the
another job able to keep up with since they’re client is not in the
would be the demands of my grown.” dining room for
easy.” job.” Which of the c. “I couldn’t kill lunch. Nurse Ronald
d. “The company following myself because would direct the
must have had statements by the I don’t want to nursing assistant to
some reason nurse would be go to hell.” do which of the
for letting you most helpful? d. “I don’t think following?
go. a. “You’ll do well. about killing a. Tell the client
19. The client You have an myself as much he’ll need to
admits to having excellent work as I used to.” wait until
thoughts of suicide, record.” 22. Nurse John is supper to eat
he is lethargic, b. “I wouldn’t talking with a client if he misses
withdrawn and worry about it. who has been lunch
irritable. In The main thing diagnosed with b. Invite the
conversations with to remember is antisocial client to lunch
 and the nurse will be type of statement is a. Alteration in
accompany most therapeutic? consistent with affect
him to the a) ”Don’t take it what b. Alteration in
dining room personally. Your disorder? activity
c. Inform the mother does not a. Schizoid c. Alteration in
client that he mean it.” personality perceptions
has 10 b. “Have you tried disorder d. Alteration in
minutes to get discussing this b. Paranoid social activity
to the dining with your personality 30. A client is
room for lunch mother?” disorder diagnosed with
d. Take the client c. “Next time ask c. Schizotypal catatonic
a lunch tray your mother personality schizophrenia.
and let the where her things disorder Which is the highest
client eat in were last seen.” d. Antisocial priority nursing
his room d.This must be personality diagnosis?
24. The initial difficult for you disorder a. Self-care deficit
nursing and your mother.” 28. Your client b. Noncompliance
intervention for the states, “I work for c. Impaired
significant-others the government, communication
during shock phase and I am so d. Ineffective
of a grief reaction Psychiatric important in my coping
should be focused Disorders and office that that the 31. A disorder
on: Conditions other people will where an individual
a) Staying with not be may manifest a
26. The situation in
the individuals able to work personality that is
which individuals
involved without me.” This is opposite to a
have excessive
b) Presenting full characteristic of: previous identity is:
worry or belief that
reality of the a. A narcissistic a. Psychogenic
they are suffering
loss of the personality fugue
from a physical
individuals disorder b. Psychogenic
illness despite
c) Directing the b. A histrionic amnesia
lack of medical
individual’s pepersonality c. Somatoform
evidence is known
activities at disorder disorder
as:
this time c. An antisocial d. La belle
a. Pain disorder
d) Mobilizing the personality indifference
b. Phobic
individual’s disorder 32. All the major
disorder
support d. multiple disorders except
c. Somatoform
system personality personality
disorder
25. She tearfully disorder disorders and
d. Dissociative
tells the nurse “I 29. An appropriate mental retardation
disorder
can’t take it when nursing diagnosis of on the multi-axial
27. A newly
she accuses me of a client with a diagnosis, appear
admitted client
stealing her things.” major depression in:
states, “No one
Which response by is: a. Axis I
cares, everyone is
b. Axis II
against me.” This
 c. Axis III to take a turn at prevent giving 37. Patty Wakal
d. Axis IV the board game the client who is very
33. For clients with c. Puts the toy ideas of self- depressed exhibits
paranoid disorders, truck back into harm psychomotor
which would be an the playbox c. Outline some retardation, a flat
initial goal? only after alternative affect and apathy.
a. The clients will visiting with measures to The nurse in charge
diminish three other suicide for the observes Patty to be
suspicious children and client to use in need of grooming
behavior. their parents during periods and hygiene. Which
b. The clients will d. Runs over and of sadness of the following
develop a sense turns on the d. Mention nursing actions
of trust of video player others the would be most
reality that is without nurse has appropriate?
validated by listening to known who a. Waiting until
others parents’ have felt like the client’s
c. The clients will directions the client and family can
express 35. The nurse is attempted participate in
thoughts and careful not to act suicide, to the client’s
feeling verbally. rushed or inpatient draw her out care
d. The clients will with the client and 36. Malou Nau is b. Asking the
establish gradually learn that diagnosed with client if he is
trusting the client is very major depression ready to take
relationships down and spends majority of shower
with staff feel worthless and the day lying in bed c. Stating to the
34. Parents are at unloved. In view of with the sheet client that it’s
the clinic with a the fact that the pulled over his time for him to
child diagnosed client had head. Which of the take a shower
with attention previously made a following d. Explaining the
deficit hyperactivity suicidal gesture, approaches by the importance of
disorder. Which which of the nurse would be the hygiene to the
group of following most therapeutic? client
characteristics interventions by the a. Question the 38. Terry with
would the nurse nurse would be a client until he mania is skipping
most likely observe priority at this responds up and down the
in the waiting room time? b. Initiate hallway practically
of the clinic? The a. Ask the client contact with running into other
child: frankly if she the client clients. Which of the
a. Plays with 2 has thought of frequently following activities
children in the or plans of c. Sit outside the would the nurse in
waiting room committing clients room charge expect to
b. Constantly suicide e. Wait for the include in Terry’s
wiggles a leg b. Avoid bringing client to begin plan of care?
when waiting up the subject the a. Watching TV
of suicide to conversation
 b. Leading group individual with a. Facilitating dining room for
activity a personality progressive lunch
c. Reading a disorder is review of the d. Take the client
book true? accident and its a lunch tray
b. Cleaning a. The individual consequences and let the
dayroom typically b. Postponing client eat in his
tables remains in the discussion of room
39. When assessing mainstream of the accident 44. The initial
a male client for society, until the client nursing
suicidal risk, which although he has brings it up intervention for the
of the following problems in c. Telling the significant-others
methods of suicide social and client to avoid during shock phase
would the nurse occupational details of the of a grief reaction
identify as most roles accident should be focused
lethal? b. Psychotic d. Helping the on:
a. Wrist cutting behavior is client to a. Staying with
b. Head banging common evaluate her the individuals
c. Aspirin during acute sister’s involved
overdose episodes behavior b. Presenting full
d. Use of gun c. Prognosis for 43. The nursing reality of the
40. When planning recovery is assistant tells loss of the
care for Dory with good with nurse Ronald that individuals
schizotypal therapeutic the client is not in c. Directing the
personality intervention the dining room individual’s
disorder, which of d. The individual for lunch. Nurse activities at this
the following would usually seeks Ronald would time
help the client treatment direct the nursing d. Mobilizing the
become involved willingly for assistant to do individual’s
with others? symptoms that which of the support system
a. Attending an are personally following? 45. Joy’s stream of
activity with distressful. a. Invite the client consciousness is
the nurse 42. When to lunch and occupied
b. Leading a sing developing a accompany him exclusively with
a long in the plan of care for to the dining thoughts of her
afternoon a female client room father’s death.
c. Being involved with acute b. Tell the client Nurse Ronald
with primarily stress disorder he’ll need to should plan to help
one to one who lost her wait until Joy through this
activities sister in a car supper to eat if stage of grieving,
d. Participating accident. he misses lunch which is known as:
solely in group Which of the c. Inform the a. Resolving the
activities following client that he loss
41. Which would the has 10 minutes b. Shock and
statement nurse expect to to get to the disbelief
about an initiate?
 c. Developing with anorexia to episode) nurse Ron attention too.” This
awareness exhibit: should plan to? statement shows
d. Restitution a. Dishered, a. Isolate his that the nurse’s use
46. When taking a unkempt gym time of:
health history from physical b. Provide a. Reality
a female client who appearance foods, fluids reinforceme
has a moderate b. Affective and rest nt
level of cognitive instability b. Encourage b. Limit-setting
impairment due to c. Depersonaliz his active behaviour
dementia, the nurse ation and participation c. Defensive
would expect to derealization in unit behavior
note the presence d. Repetitive programs d. Impulse control
of: motor c. Encourage 53 . A nursing
a. Enhance mechanisms his diagnosis for a male
intelligence 49. The primary participation client with a
b. Accentuated nursing diagnosis in programs diagnosed multiple
premorbid for a female client 51. Grace is personality
traits with a medical exhibiting disorder is chronic
c. Increased diagnosis of major withdrawn patterns low self-esteem
inhibitions depression would of behavior. Nurse probably related to
d. Hyper vigilance be: Johnny is aware childhood abuse.
47. What is the a. Situational that this type of The most
priority care for a low self- behavior eventually appropriate short
client with a esteem produces feeling of: term client outcome
dementia resulting related to a. Repression would be:
from AIDS? altered role b. Anger a. Verbalizing the
a. Planning for b. . Impaired c. Loneliness need for
remotivational verbal d. Paranoia anxiety
therapy communicati 52. One morning a medications
b. Providing basic on related to female client on the b. Recognizing
intellectual depression inpatient each existing
stimulation b. Powerlessne psychiatric service personality
c. Arranging for ss related to complains to nurse c. Engaging in
long term the loss of Hazel that she has object-oriented
custodial care idealized self been waiting for activities
d. Assessing pain c. Spiritual over an hour for d. Eliminating
frequently distress someone to defense
48. Jerome who has related to accompany her to mechanisms
eating disorder depression activities. Nurse and phobia
often exhibits 50. When Hazel replies to the 54. A 25 year old
similar symptoms. developing an client “We’re doing male is admitted to
Nurse Lhey would initial nursing care the best we can. a mental health
expect an plan for a male There are a lot of facility because of
adolescent client client with a Bipolar other people on the inappropriate
I disorder (manic unit who needs behavior. The client
has been hearing b. Hypochondrias b. Attempting to hallucinate more
voices, responding is hide from the vividly:
to imaginary c. Echolalia nurse a. While watching
companions and a. Somatic c. Tired and TV
withdrawing to his delusions probably did b. During meal
room for several 57. In recognizing not sleep well time
days at a time. common behaviors last night c. During group
Nurse Monette exhibited by male d. Feeling more activities
understands that client who has a anxious today b. After going to
the withdrawal is a diagnosis of 59. Nurse Bea bed
defense against the schizophrenia, notices a female 61. Nurse John
client’s fear of: nurse Josie can client sitting alone recognizes that
a. Phobia anticipate: in the corner paranoid delusions
b. Powerlessness a. Slumped smiling and talking usually are related
b. Rejection posture, to herself. Realizing to the defense
c. Punishment pessimistic out that the client is mechanism of:
55. When asking look and flight hallucinating. Nurse a. Projection
the parents about of ideas Bea should: b. Identification
the onset of b. Grandiosity, a. Invite the client c. Repression
problems in young arrogance and to help d. Regression
client with the distractibility decorate the 62. When planning
diagnosis of b. Disorientation, dayroom care for a male
schizophrenia, forgetfulness b. Ask the client client using
Nurse Linda would and anxiety why he is paranoid ideation,
expect that they c. Withdrawal, smiling and nurse Jasmin
would relate the regressed talking should realize the
client’s difficulties behavior and b. Tell the client it importance of:
began in: lack of social is not good for a. Giving the
a. Early childhood skills c. him to talk to client difficult
b. Late childhood 58. One morning, himself tasks to
c. Adolescence nurse Diane finds a d. Leave the client provide
d. Puberty disturbed client alone until he stimulation
56. Jose who has curled up in the stops talking b. Providing the
been hospitalized fetal position in the 60. When being client with
with schizophrenia corner of the admitted to a activities in
tells Nurse Ron, “My dayroom. The most mental health which success
heart has stopped accurate initial facility, a young can be
and my veins have evaluation of the female adult tells achieved
turned to glass!” behavior would be Nurse Mylene that c. Removing
Nurse Ron is aware that the client is: the voices she hears stress so that
that this is an a. Physically ill frighten her. Nurse the client can
example of: and Mylene relax
a. Depersonalizati experiencing understands that b. Not placing
on abdominal the client tends to any demands
discomfort on the client
63. Nurse Gerry is and need for therefore will d. Desire to
aware that the admiration not socialize arrange
defense mechanism c. pervasive and with others at belongings
commonly used by excessive need this point. without
clients who are to be taken b) Depressed assistance
alcoholics is: cared of patients like 68. Early that
a. Displacement d. Pervasive her are evening, San
b. Undoing pattern of commonly Chai carefully
c. Denial excessive suicidal and tells the nurse,
d. Compensation emotionality establishing a “I feel so guilty. I
64. Within a few and attention trusting left the window
hours of alcohol seeking relationship is open in my
withdrawal, nurse behavior the key to daughter’s
John should assess Situation: San Chai, prevent suicide. room. Maybe
the male client for age 42 is brought to c) San Chai is she got chilled
the presence of: the hospital by isolating during the night.
a. Disorientation, Daoming Su, who herself because How should the
paranoia, reports that she has her family is nurse respond?
tachycardia been neglecting her not available to a) “You are still
b. Tremors, fever, house works and support her young. You and
profuse family d) San Chai’s your husband
diaphoresis responsibilities, illness and can have
c. Irritability, eating very little hospitalization another child if
heightened and has not left the for emotional you want”
alertness, house for the past 2 problems have b) “I don’t think
jerky months. San Chai’s a negative that’s what
movements history reveals that impact on her caused your
d. Yawning, her 7 month old and her family. daughter’s
anxiety, daughter recently 67. The nurse helps death. You have
convulsions died of SIDS. She is San Chai to other children
65. Obsessive admitted to the settle in. While you should be
Compulsive psychiatric unit observing her concerned
Personality with a diagnosis of unpack, the about”
Disorder is depression. nurse expects c) “You shouldn’t
characterized as: 66. Immediately her to exhibit. feel guilty, Why
a. Pervasive after admission, San a. Fast hurried don’t you try to
pattern of Chai isolates herself movement forget about
preoccupation in her room. the b. Desire to such sad
to orderliness nurse approach her initiate a memories”
and with the conversation d) “Your daughter
perfectionism understanding that: with died of SIDS, It
b. Pervasive roommates was not your
pattern of a) San Chai c. Slow, retarded fault.”
grandiosity, believes she is movement 69. The following
not ill and day, the nurse finds
San Chai pacing the hopeless. d) when the appropriate
hallways, writing Many women patient initially:
her hands, picking are having returns to the a) Listen for
at her hair and skin, babies at unit after ECT misconceptio
and saying, “ I don’t forties” therapy ns and clarify
know what to do.” b) “Life doesn’t 72. Most people any confusing
the most look respond information
appropriate nursing promising to emotionally to b) Refer all
action at this time you right now, the thought of questions to
would be: but let’s talk electric the physician
a) encourage the about this” current who will
patient to help c) “I care about passing administer
water the you and I want thought their the ECT
plants in the you to live” brain. When c) Orient patient
dayroom d) “ What about discussing the to the ECT
b) Take the your husband subject with unit so they
patient back to and other the patient, become
her room and children, why the nurse familiar with
encourage her don’t you should: the
to rest think of them” a) use the term surroundings
c) Calmly tell the 71. San Chai does “shock” in a d) provide them
patient to pull not respond to neutral, calm with booklets
herself medication. At manner explaining
together a team b) Refer to the the
d) Permit the conference, procedure as procedure in
patient to staff members the patient’s understandab
continue her recommend “treatment” le terms
behaviour ECT. When instead of 74. San Chai asks
until she feels should shock therapy the nurse, “Why
less anxious nursing c) explain how do I have to sign
70. After 1 week, interventions the a consent
San Chai begin? convulsions form?” which
states, “now a) the night are artificially response is
that my baby before ECT is induced most
is dead and scheduled d) refer to it as appropriate?
I’m too old to b) Immediately ECT a) “Your
have another after ECT is 73. San Chai and physician
one, I don’t administered Dao Ming Su should have
want to live c) As soon as begin to express explained this
anymore.” the patient and concern about to you
nurse should her family are the proposed yesterday”
respond by presented ECT treatment. b) “It indicates
saying. with this Which nursing that you have
a) “You shouldn’t treatment action is most been fully
feel so alternative informed
 about the n monoamine oxidase the side effects of
procedure disappea inhibitors (MAOIs) lithium
&risks rs as part of the 80. Many of the
involved” treatment. Which major tranquilizers
c) “It’s a food would be most display untoward
hospital rule. important for the side effects. The one
Just sign in nurse to stress to side effect
please” Psychiatric avoid? displaying
d) “Most of the Drugs a. Organ meats irreversible,
medications 76. Based on the b. Sardines abnormal,
used can be knowledge of c. Shellfish involuntary
dangerous. electro-convulsive d. Legumes movements of the
Your consent treatment, the 79. A patient tongue and mouth
is required” nurse explains to receiving lithium is:
75. When San Chai the student nurse carbonate a. Akathisia
returns to her that atropine is complains of b. Tardive
room after given blurred vision and dyskinesia
awakening from before the appears confused. c. Agranulocytosis
the ECT treatment primarily The nurse also d. Dystonia
treatment, the to: notices that the 81. Which
nurse should: a. Minimize client is having classification of
a) Place a intestinal difficulty drugs may be used
“No contractions maintaining in children to treat
Visitor” b. Decrease balance. Which of enuresis?
sign on anxiety these nursing a. Tricyclic
the door c. Dry up body actions are antidepressant
so she secretions appropriate? b. Major
can rest e. Prevent a. Administer a tranquilizers
undistur aspiration PRN c. Antianxiety
bed 77. Lithium, the antiparkinsonism agents
b) perform drug of choice for drug and hold all d. Hypnotic
a bipolar disorders, other drugs 82. A client has
complete has a narrow b. Take the client’s been medicated
Physical therapeutic range vital signs and with trifluperazine
Assessm of: administer high- HCl (Stelazine) for a
ent a. 0.5 mEq/L to potassium foods prolonged period of
c) Orient 1.5 mEq/L c. Hold the client’s time. How would
her to b. 0.6 mEq/L to next dose of the nurse
place, 1.0 mEq/L medication and check for early
time and c. 0.7 mEq/L to notify the signs of tardive
person 1.3 mEq/L physician dyskinesia?
d) remain d. 1.0 mEq/L to immediately a. Akathisia of the
with her 2.o mEq/L d. Sit with client lower
until all 78. A client is to talk and teach extremities
confusio receiving
 b. d. Vermiform amitriptyline total b. Coordinating
movements of hydrochloride adjustment at medical care,
the tongue (Elavil) when pre-crisis selecting
c. Cogwheel the client events programs
rigidity at the demonstrates c. Recovery from c. Observing
elbow a. An elevated the crisis and community
d. Drying of the blood glucose return to pre- meetings
mucous level crisis levels of leading groups
membranes b. Insomnia functioning d. . Coordinating
83. When the nurse c. Hypertension d. Recovery from team
checks the lithium d. Urinary the crisis with activities,
level of a client on retention intense out- maintaining
the unit, it is 2.0 85.. The client has client therapy the
mEq/L. What would been taking lithium 87. An actively environment
the carbonate (Lithane) psychotic client is 24 hrs. a day
interpretation/actio for hyperactivity, as being assessed by 89. The activity
n prescribed by his the nurse for a therapy the nurse
by the nurse be? physician. While the participation in a would select to
a. The level is client milieu group. Which promote
within is taking this drug, is the most reminiscing in a
therapeutic the nurse should appropriate group group with age over
range; do ensure that he has for this client? 70 is:
nothing. adequate intake of a. A highly a. Music
b. The level is a. Sodium structured b. Poetry
below b. Iron task-oriented c. Art
therapeutic c. Iodine group d. Movement
range; call the d. Calcium b. An activity 90. The registered
physician. group nurse is discussing
c. This level is Treatment c. A group is not with a student the
high; the client Modalities and appropriate guidelines for the
should be d. A movement use of restraints.
Therapies
assessed for therapy group, Which of the
86. What is the
manifestation after a short statements by the
expected outcome
of toxicity. students indicates a
when working with period of
d. The level is need for
a client who has isolation
slightly clarification?
experienced a
elevated but a. An adequate
crisis? 88. The role of the
does not number of staff
a. Stabilization nurse in
require any are needed
of moods with environmental
nursing action. before restraints
medications therapy includes:
84. The nurse are attempted.
and return to a. a Referring
judges correctly b. The use of
previous levels others to work
that a client is restraints
of functioning with families,
experiencing an requires the
b. Recovery from observing in
adverse effect from supervision of a
the crisis with groups
 licensed and democratic the development of you…” What will be
certified family process the group process? the best immediate
professional d. Explain theories a. Goal setting action for the nurse
c. Being restrained of family b. Planning to take?
may help the violence so the c. Problem- a. Disband the
client gain client solving group
physical control understands d. Reality immediately
d. A physician’s patterns in the orientation b. Tell the client
order is marital conflict 94. Therapeutic that no one is
required 92. A client is to treatment of a watching her
initially, receive his first female client with c. Instruct the
followed by electro-convulsive ritualistic behavior client to
frequent treatment (ECT). He should be directed follow the
renewal states, “I’m afraid toward helping her nurse to her
91. A client seeks because my to: room
counselling from roommate told me a. Redirect her b. Ask the other
the nurse for I’ll forget energy into clients to stop
marital conflict that everything and my activities to looking at
includes a history of memory will never help others
this person
physical abuse. return.” What is the b. Understand
What would be best response? her behavior 96. For a male client
the initial a. Don’t worry is caused by with dysthymic
intervention in this about it. You will unconscious disorder, which of
client’s plan of get your impulses that the following
care? memory back.” the fears approaches would
a. Assist the client b. You may not c. Learn that her the nurse expect to
in identifying experience behavior is not implement?
aspects of the memory loss, serving a a. ECT
client’s life that but you still realistic b. Psychoanalysi
are under the need ECT to get purpose s
control of the better.” d. Forget her c. Antidepressa
client c. It may be best if fears by nt therapy
b. Discuss issues of you can’t administering d. Psychotherap
the use of remember antianxiety eutic
stereotypic certain things.” medications approach
gender role d. There is 95. A client is 97. Danny who is
behavior and memory loss, participating in a diagnosed with
the effect of but it will return crafty therapy bipolar disorder
violence in the over a 2-3 week session when and acute mania,
family period suddenly he begins states the nurse,
c. Facilitate the 93. A therapist is to shout at another “Where is my
client’s desire to leading in a client client, “Stop daughter? I love
gain knowledge group. Which is watching Louis. Rain, rain go
of the most important to me. I know what away. Dogs eat dirt.”
you’re up to. I’ll get The nurse
interprets these states that “I know
statements as you nurses are close
indicating which of
the following?
spraying my food
with poison as you
they
a. Flight of ideas
b. Echolalia
take it out of the
cart.” Which of the
were to
c. Neologism following would be success
d. Clang the best response of
associations the nurse? when
98.. Which of the a. Giving the client
following activities canned they
would Nurse Trish
recommend to the
supplements until
the delusion
gave
client who becomes
very anxious when
subsides
b. Asking what kind
up.
thoughts of suicide of poison the client
occur? suspects is being Exam Prepared By:
a. Meditating used Prince Rener V. Pera,
b. Using exercise c. Serving foods that R.N.
bicycle come in sealed
c. Watching TV packages
d. Reading d. Allowing the
comics client to be the first
99. When to open the cart and
developing the plan get a tray
of care for a client
receiving
haloperidol, which
of the following
medications would
nurse Monet
anticipate
administering if the
Many of
client developed life's
extra pyramidal
side effects? failures
a. Olanzapine
(Zyprexa) are men
b. Paroxetine (Paxil)
c. Benztropine
who did
mesylate (Cogentin)
d. Lorazepam
not
(Ativan) realize
100. Jon a
suspicious client how