Xave Acuar

October 28, 2022

Psyche

Mental health and psychiatric nursing is the:

Promotion of optimal mental health, and early diagnosis, treatment and rehabilitation of the
mentally ill
The mind structure that focuses on reality principle by distinguishing fantasy from what exist in
the environment is:
Ego
The ability to recall the name of one’s classmate in high school who went out with you most of the
time is a manifestation of the:
Subconscious
According to Freud a child who idolizes and imitates her mother is noted in which stage of
development?
Phallic
Protective processes to prevent mental illness include the following except:
Maintenance of usual life patterns during stress
A model that emphasizes the importance of interpersonal relationship and communication on
behavior was proposed by:
Sullivan
A 5 year old division chief teaches his assistant techniques in the company’s business dealings.
Which of the following statements best describes the chief’s behavior?
His behavior is expected in his developmental stage
Which of the following behaviors exemplifies the use of rationalization?
A student who fails a quiz claims that the lectures were not sufficient
The therapeutic use of self is best described as:
The ability to establish relatedness and structure nursing interventions
A client tells the nurse “I’m going to kill myself tonight but don’t tell the others about it.” When the
nurse responds”I can’t keep the promise not to tell as this involves our safety” reflects an
essential characteristic of the nurse that must be established early in the therapeutic relationship
as:
Trustworthiness
The general feelings or emotional reference the nurse uses on organizing her knowledge about
the world are referred to as:
Attitudes
Which behavior by the nurse would be least effective in helping the client to achieve growth:
Completing a task for the client instead of repeatedly prompting him to finish it
The psychiatric nurse’s role in tertiary prevention is:
Rehabilitation programs to prevent the crippling effects of illness
Situation: The nurse engages the client in a corrective interpersonal experience:
During the assessment process the nurse:
Uses a system of data collection
In dealing with the client’s problems, the nurse prioritizes the nursing diagnosis according to:
Life threatening potential
The nurse ensures an accepting atmosphere in the unit where the client can relax and secure in
sharing thoughts and feelings is assuming the role of a:
Milieu therapist
An appropriate topic to be discussed in the working phase of the nurse-client relationship is:
The client’s problems and coping are explored
A newly admitted client shouts at the staff she has just met for no apparent reason. The client is
likely manifesting:
Transference
Situation: Various treatment modalities and interventions may be utilized for clients be conducted.
Which response by the nurse is in context with a therapeutic community:
“we can discuss this together with the staff and other patients.”
The nurse gives an extra privilege to a client who regularly participates in ward activities is an
example of:
Behavior modification
Which of the following best describes the patient’s benefit from group therapy?
The patient can learn how their behavior affect others
A member of group therapy who actively seeks control thru incessant talking is a:
Monopolizer
In counseling the nurse does one of the following:
Helps clients enhance coping by discussing their concerns
Situation: The management of clients with various psychosocial concerns maybe facilitated by
the nurse’s communication skills. When attempting to engage the client in conversation which
technique is most effective?
Broad opening
During the one on one interaction with the nurse the client states, “I’m worried about going
home.” The nurse responds, “I’d rather you wouldn’t worry.” This response by the nurse is:
Non-therapeutic because the nurse is passing judgment on the client
A withdrawn client asks the nurse, ”Do you think they’ll ever let me out of here? ” The nurse’s
best reply would be:
“You have the feeling that you might not leave?”
The nurse initiates conversation with the client by saying “Is there something you would like to
talk about?” but the nurse has her arms crossed and is looking at another client. Which of the
following describes the nurse’s approach?
There is incongruence between her verbal and non-verbal communication
Which of the following behaviors of the nurse reflect empathy?
Listens to what is said and understands how the client feels
Situation: A female client age 40, was admitted because of bouts of sweating, nervousness and
selective inattention. This has progressed for the past 3 months. What is the initial responsibility
of the nurse?
Assess her level of anxiety
The client is likely manifesting what level of anxiety?
Moderate
The nurse does the SOAP recording . The following are objective manifestations of anxiety
except:
The client said “I can’t sleep well.”
Stress management techniques include the following except:
Problem solving
The nurse engages the client in problem solving. The client says, I know that my work and family
concerns upset me. The next statement the nurse makes in guiding the client do problem solving
is:
“What have you tried to solve it.”
Situation: A 35 year old homemaker goes to the clinic and talks about having lost everything after
the husband, 42 years old, leaves her for a much younger woman. The husband’s behavior may
reflect a developmental concern of:
Generativity vs. stagnation
When the woman was asked to talk about her husband she remarked, “let’s talk about it later” is
utilizing what defense mechanism?
suppression
Which of the following is true of crisis?
A crisis for one may not be a crisis for another
The following questions may be included when assessing a client in crisis:
1. “What are your feelings about the situation?”
2. “Have you experienced any similar situation in the past?”
3. “Who can be helpful to you?”
4. “What were your childhood conflicts?”
1, 2, and 3
During the course of therapy, the woman agrees to join a support group. After listening to
someone who talked about her marital problem during the group session she remarks “I didn’t
think anyone else had a problem like mine” reflects a curative factor of group therapy:
universality
Situation: Ann 23 years old is very talkative, moves about a lot and is irritable, impression. Bipolar
mood disorder,manic phase. The elevated , expensive emotional response in a manic client is
disturbance in:
Mood
The best primary prevention for mood disorders is:
Expressing of feelings
During assessment the client frequently switches topics but the nurse can still follow the client’s
thought pattern is manifesting:
Flight of ideas
When planning a therapeutic milieu for a hyperactive client the nurse considers which of the
following activities?
Making her bed
The following medications maybe given to the client except:
Tofranil
Situation: A 30 year old woman, single is admitted to the psychiatric unit after being increasingly
withdrawn and eating and sleeping poorly after she has become burdened of her family problems
and demotion in her work. Relatives claimed that she attempted suicide by cutting her wrist.
Which of the following has the highest priority in the nursing care of the client?
Monitor the client’s whereabouts
Indecision, inability to concentrate, loss of intrrest pessimism and self depreciation noted in a
depressed client are alterations in:
Cognition
The nurse’s initial approach in caring for a patient with major depression would be to:
Actively listen to the client
In planning care for a client with endogenous depression, the nurse considers engaging the client
in activities:
Towards the afternoon
The client says I’m not good in anything. I’ve always been a failure.” Which of the following
responses is best for the client’s statement?
“Let’s work on your strengths.”
The client is withdrawn and spends most of the time on bed. The client refuses to join activities
that require social exchange. The appropriate nursing diagnosis for this client behavior is:
Impaired social interaction
Which nurse’s action would be therapeutic
Stay at the bedside at short but frequent intervals
Which behavior would the nurse expect to see in a patient following ECT?
Loss of short term memory
The client asks the nurse about the purpose of ECT. The nurse responds that ECT will:
Relieve the symptoms of severe depression
The client who is on Tofranil (Imipramine), comments “I’ve been taking it for a week but I still feels
sad and hopless.” Which statement by the nurse is correct about the medication?
It takes 2 to 3 weeks before the medication has its effect
Situation: Ann, 18 years old, is admitted to the psychiatric unit because of behavioral changes.
The verbalization if made by a client indicates psychosis?
“I just heard the voices telling me to scratch my face.”
Ann is noted to assume a far away look and mumbles to self. The nurse is likely experiencing:
hallucination
Ann says “You’ll kill me. Go away” Which is a therapeutic response.
Ann I’m your nurse
Ann has progressively withdrawn from relationships. This reaction may be a result of the
following except:
Self punishment
The nurse conducts remotivation therapy for the purpose of:
Assisting a regressed client to socialize
Situation: Jose 57y/o, is admitted to the psychiatric ward due to aggressive behavior. The nurse
was doing an assessment when the client became agitated. Which is an appropriate
documentation made by the nurse regarding the patient’s behavior?
When asked to talk about his family the client was noted to pace and with a clenched fist
remarked. I’ll get back at them
When responding to a verbally abusive client it is important for the nurse to:
Remain calm and firm
In encouraging verbal expression of the feelings the nurse therapeutically says:
What ha caused you to feel angry?
When he was asked to be seated for his vital signs to be checked, he threw a chair across the
room. Four staff members were needed to control and restrain him. The nurse identifies which
appropriate nursing diagnosis:
Ineffective individual coping related to poor defensive function
Which goal is most appropriate for this nursing diagnosis?
The patient will verbalize anger rather than act out
The nurse’s initial action when dealing with an assaultive client is to:
Restore the patient’s self control and prevent further loss of control
Situation: Carlo is diagnosed to have schizoid personality. Which of the following behaviors may
be noted in the patient:
Cold, introvert, lacks desire for close relationship
Known etiology of personality disorders include:
All of them
Identification is one of the defense mechanism used among clients with personality disorders.
This mechanism:
Integrates some ways of a significant other
The nursing diagnosis that may be identified in a client with schizoid personality disorders may
include the following except:
Perceptual alteration
Carlo withdraws from everyone. A therapeutic approach for Carlo is:
Include Carlo when the nurse initiates conversation with the patients
Situation 7-Vina, a 28 year old movie starlet who was caught by the narcotics coman during a
shabu session. She voluntarily submitted herself for rehabilitation. The best level of prevention in
dealing with problems on drug abuse is:
Primary
Vina may tend to manipulate the nurse. Which nursing approach is appropriate in dealing with the
clients tendency to manipulate:
Use a casual approach without being indifferent in dealing with her
The nurse should observe for signs of intoxication with shabu which include one of the following:
Tachycardia, pupil dilatation, elevated blood pressure, euphoria
Vina says that she takes shabu because she wants to remain sexy. Life style issues that the nurse
includes in the management of the client includes in the management of the client includes:
Regular physical activity and exercise and Balanced diet and vitamin supplements
The medication that the client maybe given during withdrawal is:
Antidepressant
Situation: Mang Dading, a 77 year old retired school teacher is brought to a home for the aged. He
is noted to have confusion and memory loss. He is diagnosed to have Alzheimer’s disease. Mang
Dading asks the nurse “Where am I”? The most therapeutic response by the nurse is:
You are in the dayroom of the home for the aged
Mang Dading says to the nurse “I am going out with friends today” and proceeds to the door. The
nurse should give priority to the client’s need for:
Safety
The patient finds difficulty in pulling his pants and difficulty feeding himself. In Alzheimer’s
disease, this is known as:
Apraxia
In addition to disturbance in mental awareness and disorientation, Mang Dading has difficulty in
hearing. In communicating with this client. Which of the following should be avoided?
Increasing the pitch of your voice while talking close to the client’s ear
The emotional task of Mang Badong is:
Integrity
To prevent deterioration the following activities may be engaged in by institutionalized elderly
clients but:
Table tennis
Situation: A client is admitted in the psychiatric ward because of repeated hand washing. The
client has not eaten nor slept adequately because of her hand washing ritual. The clients inability
to control her and washing is a/an:
Compulsion
The main goal in dealing with the client with obsessive compulsive disorder whose hand have
become cracked is to:
Decrease the number of hand washing
After 2 weeks in the unit the client agrees to join art therapy. To ensure that she comes on time
for the activity, the nurse does of the following:
Provide adequate time to complete her hand washing
Which of the following are the expected outcome of psychotherapy:
The client’s ritual will be replaced by verbalization of anxiety
During the interview the client acknowledge that her illness is due to her inability to cope with her
problems. This reflects which aspect of her mental status?
Insight
Situation: A nurse who deals with children and adolescent may be faces with various concerns.
The nurse may suspect the possibility of abuse if the parents:
Are socially isolated
The priority nursing intervention in the care of a child victim of abuse is:
The child will remain safe
Play therapy among victims of abuse is:
Drawing or playing with dolls rather than talking
A 7 year old child is accompanied by both parents for psychiatric evaluation. He was observed to
be easily destructed, fidgety, unable to follow instructions nor finish school work. The child is
likely suffering from:
Attention deficit hyperactivity disorder
The parents of a child tells the nurse that they have tried everything to calm their child and
nothing has worked. Which action is most appropriate initially?
Actively listen to the parents concerns
An adolescent hospitalized in a psychiatric unit initiates frequent fights with peers. Which
approach should be avoided?
Ignore minor infractions of rules
The real issue in school phobia is not the school itself but the separation from:
School work
The priority nursing action for a child with Separation Anxiety disorder is?
Help the child express his fears through play therapy
A 5year old child is presented to the clinic because of repeated urination on clothing referred to
as:
Enuresis
A child with a depressive disorder is more likely than an adult with the same disorder to exhibit:
Acting out
Babe, 4 years old is diagnosed with mental retardation. Mental retardation is best described as:
Below average intellectual functioning
Babe’s I.Q is 35-40.This mental retardation is classified as:
Moderate
The highest capability that a client with moderate mental retardation can attain is:
Achieves self maintenance in unskilled and semi-skilled work
To discourage purging in a client with eating disorder, the best approach is to:
Observe the client for at least 1 hour after meal
The client came late for interaction with the nurse. She claims “I feel like a bloated balloon” for
having eaten a lot. A therapeutic response by the nurse is:
You must have felt upset. Let’s find out why