REFRESHER COURSE: PREBOARD EXAMINATION
Nursing Practice V: Care of Clients with Physiologic and
Psychosocial Alterations (Part C)
GENERAL INSTRUCTIONS:
1. This test questionnaire contains 100 test questions
2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer.
3. AVOID ERASURES.
4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set.
5. Write the subject title “NURSING PRACTICE V” on the box provided.
Situation: Clients with bipolar disorder receives a very
high nursing attention due to the increasing rate of
suicide related to the illness.
1. The nurse is assigned to care for a recently admitted client
who has attempted suicide. What should the nurse do?
A. Search the client’s belongings and room carefully for items
that could be used to commit suicide
B. Express trust that the client won’t cause self-harm while in
the facility
C. Respect the client’s belongings and ask if she has objects that
she may use to commit suicide
D. Remind all the staff members to check on the client
frequently
2. In planning activities for the depressed client, especially
during the early stages of hospitalization, which of the following
plans is best?
A. Provide activities that are quiet and solitary to avoid
increasing fatigue such as working on a puzzle and reading a
book
B. Plan nothing until the client asks to participate in the Milieu
C. Offer the client a menu of daily program of activities and
encourage the client to participate
D. Provide a structured daily program of activities and
encourage the client to participate
3. A client with a diagnosis of major depression, recurrent with
psychotic features, is admitted to the mental health unit. To
create a safe environment for the client, the nurse most
importantly devices a plan of care that deals especially with the
client’s:
A. Disturbed thought process
B. Self-care deficit
C. Imbalanced nutrition
D. Deficient knowledge
4. A client is taking a Tricyclic antidepressant. Which of the
following is an example of TCA?
A. Paxil SSRI
B. Zoloft SSRI
C. Nardil MAO Inhibitors AVOID PATIENTS WITH CLOSED GLAUCOMA AND BP
D. Pamelor Tricyclic Antidpressants
WOF ANTI CHOLINERGIC SIDE EFFECTS - DRY MOUTH, BLURRING of VISION, URINARY RETENTION B. Nausea, diarrhea, tremor, and lethargy
5. A client visits the physician’s office to seek treatment for
depression, feelings of hopelessness, poor appetite, insomnia,
fatigue, low self-esteem, poor concentration, and difficulty
making decisions. The client states that these symptoms began
at least 2 years ago. Based on this report, the nurse suspects:
A. Cyclothymic disorderMILD CHRONIC FORM OF BIPOLAR DISORDER with episodes of hypomania
B. Major depression
C. Bipolar disorder
NURSING PRACTICE V: Care of Clients with Physiologic and Psychosocial Alterations (Part C)
TOPRANK REVIEW ACADEMY, Inc.Page 1 of 7
D. Dysthymic disorder
MILD, CHRONIC FORM OF DEPRESSION
6. The nurse is planning activities for a client who has bipolar
disorder, with aggressive social behavior. Which of the following
activities would be most appropriate for the client?
A. Ping pong C. Chess
B. Linen delivery D. Basketball
7. The nurse assesses a client with admitted diagnosis of bipolar
affected disorder, mania. The symptom presented which
requires the nurse’s immediate intervention is the client’s:
A. Outlandish behavior and inappropriate dress
B. Grandiose delusion of being a royal descendant of King Arthur
C. Nonstop physical activity and poor nutritional intake
D. Constant, incessant talking that includes sexual topics and
teasing
8. A nurse is conducting a group therapy. During the session, a
client with mania constantly talks and dominates the group. The
behavior is disrupting the group interaction. The nurse would
initially:
A. Ask the client to leave the group session
B. Tell the client that she will no longer be allowed to attend
group sessions
C. Tell the client that she needs to allow other clients in the
group to talk
D. Ask another nurse to escort the client out of the group session
9. A professional artist is admitted to the psychiatric unit for
treatment of bipolar disorder. During the last two weeks, the
client has created 160 paintings, slept only 2 to 3 hours every 2
days and lost 18 lbs (8.2 kg.) Based on Maslow’s hierarchy of
needs, what should the nurse provide this client first?
A. The opportunity to explore family dynamics
B. Help with reestablishing a normal sleep pattern
C. Experiences that build self-esteem
D. Art materials and equipments
10. The physician orders Lithium carbonate (Lithonate) for a
client who’s in the manic phase of bipolar disorder. During
lithium therapy, the nurse should watch for which adverse
reactions? 0.6 to 1.2meqs/L
A. Anxiety, restlessness, and sleep disturbances
C. Constipation, lethargy, and ataxia
D. Weakness, tremor, and urine retention
Situation: Lovi has a morbid fear of heights. She asks the
nurse what desensitization therapy is.
11. The accurate information of the nurse of the goal of
desensitization is:
A. To help the client relax and progressively work up a list of A. Mode
anxiety provoking situation through images B. Standard deviation
B. To provide corrective emotional experiences through a one- C. Median
on-one intensive relationship D. Frequency
C. To help clients in a group therapy setting to take on specific
roles and reenact in front of an audience situations in which Situation: Survey and statistics are important part of
interpersonal conflict is involved research that’s necessary to explain the characteristics
D. To help cope with their problems by learning behaviors that of the population.
are more functional and be better equipped to face reality an
make decisions 21. According to the WHO statistics on the homeless population
around the world, which of the following groups of people in the
12. It is essential in desensitization for the patient to: world disproportionately represents the homeless population?
A. Have rapport with the therapist A. Hispanics C. African Americans
B. Use deep breathing or any relaxation technique B. Asians D. Caucasians
C. Assess one’s self for the need of an anxiolytic drug (+)
D. Work through unresolved unconscious conflicts 22. All but one of the following is not a measure of central
tendency.
13. In this level of anxiety, cognitive capacity diminishes, focus A. Mode C. Standard deviation
becomes limited, and client experiences tunnel vision. Physical B. Variance D. Range
signs of anxiety become more pronounced. Text
A. Severe anxiety 23. In the values: 87, 85, 88, 92, 90, what is the mean?
B. Panic A. 88.2 C. 87
C. Mild anxiety B. 88.4 D. 90
D. Moderate anxiety
24. In the values: 80, 80, 80, 82, 82, 90, 90, 100, what is the
14. Anti-anxiety medications should be used with extreme mode? MOST REPEATED DATA
caution. Long term use can lead to: benzodiazepines , A. 80 C. 90
A. Parkinsonian-like symptoms B. 82 D. 85.5
B. Hypertensive crisis 10 , 10, 25, 65, 80, 80, 100, 200 65+80 = 145 145 divide 2 = 72.5

C. Hepatic failure 25. In the values: 80, 80, 10, 10, 25, 65, 100, 200, what is the
D. Risk of addiction median?
A. 71.25 C. 10 and 25
15. The nursing management of anxiety related with post B. 22.5 for median D. 72.5
traumatic stress disorder includes all of the following except: (-) Arrange and count if its even= divided by 2 if odd get the middle part
A. Encourage participation in recreation or sports activities 26. A sampling that ensures that each elements of the
B. Reassure client’s safety while touching client ( DO not touch pateint) population has an equal and independent chance of being
C. Speak in a calm, soothing voice chosen is called:
D. Remain with the client while fear level is high A. Cluster
B. Simple
Situation: You are fortunate to be chosen as part of the C. Stratified
research team in the hospital. A review of the following D. Systematic
important nursing concepts was made.
27. An investigator wants to determine some of the problems
16. A professional nurse performs research for varied research that are experienced by diabetic clients when using an insulin
except: (-) pump. The investigator went into a clinic where he personally
A. Professional advancement through research participation knows several diabetic clients having problems with insulin
B. To validate results of new nursing modalities pump. The type of sampling done by the investigator is called:
C. For financial gains A. Probability
D. To improve nursing care B. Purposive
C. Snowballww
17. Each nurse participant was asked to identify a problem. After D. Incidental
the identification of the research problem, which of the following
should be done? 28. If the researcher implemented a new structured counseling
A. Methodology program with a randomized group of subjects and a routine
B. Review of related literature counseling program with another randomized group of subjects,
C. Acknowledgement the research is utilizing which design?
D. Formulate hypothesis A. Quasi experimental
B. True Experimental RANDOMINAZATION, CONTROLLED, MANIPULATION
C. Comparative
D. Methodological
18. Which of the following communicate the results to the
readers? They facilitate the description of the data. 29. Which of the following is not true about a true experimental
A. Hypothesis research?
B. Statistics A. There is a control group YES
C. Research problem B. There is an experimental group YES
D. Tables and graphs C. Selection of subjects in the control group is randomized YES
D. There is careful selection of subjects in the experimental
19. In quantitative data, which of the following is described as group
the distance between the highest and lowest variable in the
scoring units? 30. The researcher implemented a medication regimen using a
A. Frequency new type of combination drugs to a group of manic patients
B. Mean while another group of manic patients receives the routine
C. Median drugs. The researcher, however, hand-picked the experimental
D. Range group for they are the clients with multiple episodes of bipolar
disorder. The researcher utilized which research design?
20. This expresses the variability of the data in the reference for A. Quasi experimental C. Phenomenological
the mean. It provides with a numerical estimate of how far on B. True Experimental D. Longitudinal
the average the separate observations are from the mean.

NURSING PRACTICE V: Care of Clients with Physiologic and Psychosocial Alterations (Part C)
TOPRANK REVIEW ACADEMY, Inc.Page 2 of 6
 Situation: As a nurse, you are expected to participate in
initiating or participating in the conduct of research
studies to improve nursing practice. You are to be
updated on the latest trends and issues affecting the
profession and the best practices arrived at by the
profession.
31. You are interested to study the effects of meditation and
relaxation on the pain experienced by cancer patients. What
type of variable is pain?
A. Dependent EFFECT C. Independent CAUSE
B. Correlational D. Demographic
32. You would like to compare the support system of patient
with chronic illness to those with acute illness. How will you best
state the problem?
A. A descriptive study to compare the support system of patients
with chronic illness and those with acute illness in terms of
demographic data and knowledge about intervention
B. The effects of the types of support system of patients with
chronic illness and those with acute illness
C. A comparative analysis of the support system of patients with
chronic illness and those with acute illness
D. A study to compare the support system of patients with
chronic illness and those with acute illness
A. A study examining the client’s reaction to stress after open
heart surgery
B. A study measuring nutrition and weight loss/gain in clients
with cancer
C. A study examining oxygen levels after endotracheal
suctioning
D. A study measuring the difference in blood pressure before,
during, and after a procedure
39. An 88-year-old client in a nursing home tells a nurse, “I
signed the papers of that research study because the doctor was
so insistent and I want him to continue taking care of me.”
Which client’s right has been violated?
A. Right to self-determination
B. Right to privacy and confidentiality
C. Right to full disclosure
D. Beneficence
40. A supposition or system of ideas that is proposed to explain
a given phenomenon best defines:
A. Paradigm Text C. A theory
B. A concept D. A conceptual framework
Situation: Mastery of research design determination is
essential in coming up with a good research work.

33. You would like to compare the support system of patients 41. Dennise would like to know if the length of time she will
with chronic illness to those with acute illness. Considering that study for the board examination is proportional to her board
the hypothesis was “Clients with chronic illness have lesser rating. During the June 2013 NLE, she studied for 6 months and
support system than clients with acute illness.” What type of gained 69%. On the next board exam, she studied for another
research is this? 6 months, for a total of 1 year, and gained 74%. On the third
A. Descriptive board exam, she studied for 6 months, for a total of 1 and a half
B. Experimental year and gained 83%. The research design she used is:
C. Correlational, non-experimental A. Comparative C. Experimental NUMERICAL
D. Quasi-experimental B.
Text
Correlational D. Qualitative

34. In any research study where individual persons are involved, 42. Dowell was always eating high fat diet. You want to
it is important that an informed consent of the study is obtained. determine the effect of high cholesterol food to Dowell in the
The following are essential information about the consent that next 10 years. You will use:
you should disclose to the prospective subjects, except: A. Comparative C. Historical
A. Consent to incomplete disclosure B. Correlational D. Longitudinal
B. Description of benefits, risks and discomforts
C. Explanation of the procedure 43. Community A was selected randomly as well as community
D. Assurance of anonymity and confidentiality B. Nurse Betty conducted teaching to community A and assesses
if community A will have a better status than community B. This
YOU ANWER THE CLOSEST
35. In the hypothesis, “The utilization of technology in teaching is an example of:
improves the retention and attention of the nursing students,” A. Historical C. Historical
which is the dependent variable? B. Correlational D. Longitudinal
A. Utilization of technology
B. Improvement in the retention and attention 44. Trish researched on the development of a new way to
C. Nursing students measure intelligence by creating a 100-item questionnaire that
D. Teaching will assess the cognitive skills of an individual. The design best
suited for this study is:
Situation: You are actively practicing nurse and just A. Historical C. Survey
finished your graduate studies. You learned the value of B. Methodological D. Case study
research and would like to utilize the knowledge and
skills gained in the application of research to the nursing 45. Lucy is conducting a research study on how Cris, and AIDS
service. The following questions apply in research. client, lives his life. A design suited for this study is:
A. Historical C. Phenomenological LIFE EXPERIENCE
36. Which type of research inquiry investigates the issues of B. Case study D. Ethnographic
human complexity (ex. Understanding the human expertise)?
A. Logical position C. Positivism 46. Farah is to perform a study about how nurses perform
B. Naturalistic inquiry D. Quantitative research surgical asepsis during World War II. A design best for this study
AKA QUALITATIVE RESEARCH/ OBSERVATION is:
37. Which of the following studies is based on quantitative A. Historical C. Phenomenological
research? B. Case study D. Ethnographic
A. A study examining the bereavement process in spouse of
clients with terminal cancer 47. Tanny conducts sampling at Barangay Orange. He collected
B. A study exploring the factors influencing weight control 100 random individuals and determined who their favorite
behavior comedian actor was. 50% said Dolphy. 20% said Vic Sotto,
Text
C. A study measuring the effects of sleep deprivation on wound while some answered Joey de Leon, Allan K, Michaeil V. Tanny
healing conducted what type of research study?
D. A study examining the client’s feelings before, during, and A. Phenomenological C. Non experimental
after bone marrow aspiration B. Case study D. Survey

38. Which of the following studies is based on qualitative 48. Marz visited a tribe located somewhere in China called the
research? Shin Jea Tribe. He studied the way of life, tradition and societal

NURSING PRACTICE V: Care of Clients with Physiologic and Psychosocial Alterations (Part C)
TOPRANK REVIEW ACADEMY, Inc.Page 3 of 6
structure of these people. Marz will best use which research part of her treatment plan. The nurse understands that the
design? purpose of this approach is to:
A. Historical C. Phenomenological A. Help the client identify and examine dysfunctional thought
B. Case study D. Ethnographic and beliefs
B. Emphasize social interaction with clients who withdraw
49. Janno researched on TB, its transmission, causative agent, C. Provide a supportive environment and a therapeutic
and factors, treatment, signs and symptoms, as well as community
medication and all other in depth information about D. Examine intrapsychic conflicts and past events in life
tuberculosis. This study is best suited for which research design?
A. Historical C. Phenomenological 58. The nurse is preparing to provide reminiscence therapy for
B. Case study D. Ethnographic a group of clients. Which of the following clients will the nurse
MAY SUBJECT NA MAY FOCUS CORRELATIONAL select for this group?
50. Jesse is to conduct a study about the relationship of the A. A client who experiences profound depression with moderate
number of family members in the household and the electricity cognitive impairment
bill. Which of the following is the best research design suited for B. A catatonic, immobile client who appears withdrawn
this study? C. An undifferentiated schizophrenic client who has delusion of
1. Descriptive 4. Correlational reference
2. Exploratory 5. Comparative D. A client with mild depression who exhibits and demonstrates
3. Explanatory 6. Experimental normal cognition
A. 1,4
B. 2,5 59. Which intervention would be typical of a nurse using
C. 3,6 cognitive behavioral approach to a client experiencing low self-
D. 1,5 esteem?
E. 2,4 A. Use of unconditional positive regard
B. Classical conditioning
Situation: Understanding different models of care is a C. Analysis of free association
necessary part of the nurse-patient relationship. D. Examination of negative thought patterns
51. The focus of this therapy is to have a positive environmental
manipulation, physical and social to effect a positive change. 60. Which of the following therapies has been strongly
A. Milieu C. Behavior advocated for the treatment of post traumatic stress disorders?
B. Psychotherapy D. Group A. ECT
B. Group therapy 10 members
52. The client asks the nurse about Milieu therapy. The nurse C. Hypnotherapy
responds knowing the primary focus of Milieu therapy can be D. Psychoanalysis
best described by which of the following?
A. A form of behavior modification therapy 61. The nurse knows that the maximum number of members in
B. A cognitive approach of changing the behavior group therapy is:
C. A living learning of working environment A. 4 C. 10
D. A behavioral approach to changing behavior B. 8 D. 16

53. A nurse is caring for a client with phobia who is being treated 62. The nurse is providing information to a client with the use
for the condition. The client is introduced to short periods of of Disulfiram (Antabuse) for the treatment of alcohol abuse. The
exposure to the phobic object while in relaxed state. The nurse nurse understands that this form of therapy works on what
understands that this form of behavior modification is best Text principle?
described as:Systematic desensitization vs flooding ( abrupt) A. Negative reinforcement C. Operant conditioning
A. Systematic desensitization C. Self-control therapy B. Aversion therapy D. Gestalt therapy
B. Aversion therapy D. Operant conditioning ( ALCOHOLIC PATIENTS)
63. A biological or medical approach in treating psychiatric
54. A client with major depression is considering cognitive patient is:
therapy. The client asks the nurse: “How does this treatment A. Milieu therapy C. Behavioral therapy
work?” The nurse responds by telling the client that: B. Somatic therapy D. Psychotherapy
A. “This kind of therapy helps you examine how your thoughts
and feelings contribute to your difficulties.” 64. Which of these nursing actions belongs to the secondary
B. “This type of treatment helps you examine how your past life level of preventive intervention?( SCREENING, DIAGNOSTIC, or actual condition)
has contributed to your problems.” A. Providing mental health consultation to health care providers
C. “This type of treatment helps you to confront your fears by B. Providing emergency psychiatric services
exposing you to the feared objects abruptly.” C. Being politically active in relation to mental health issues
D. “This type of treatment will help you relax and develop new D. Providing mental health education to members of his
coping skills.” community

55. A client states: “I get down on myself when I make 65. When the nurse identifies a client who has an attempt to
mistakes.” Using cognitive therapy approach, the nurse should: commit suicide, the nurse should:
A. Teach the client relaxation exercises to diminish stress A. Call a priest
B. Provide the client with mastery experience to boost self- B. Counsel the client
esteem C. Refer the client to the psychiatrist
C. Explore the client’s past experiences that cause the illness D. Refer the matter to the police

Situation: Rose seeks psychiatric consultation because

D. Help the client modify the belief that anything less than of intense fear of dying in an airplane which has greatly
perfect is horrible affected her chances of success in her job.

56. The most advantageous therapy for preschool age child with 66. The most common defense mechanism used in phobic
a history of physical and sexual abuse would be: clients is:
A. Play C. Group A. Suppression C. Denial
for
B. Psychoanalysis Adult D. Family B. Rationalization D. Displacement

57. An 18-year-old client is admitted with the diagnosis of 67. The goal of therapy in phobia is: Text
anorexia nervosa. A cognitive behavioral approach is used as A. Change her lifestyle

NURSING PRACTICE V: Care of Clients with Physiologic and Psychosocial Alterations (Part C)
TOPRANK REVIEW ACADEMY, Inc.Page 4 of 6
B. Ignore reaction-producing situation Text 78. The defense mechanism used by persons with obsessive
C. Change her reaction towards anxiety compulsive disorder is undoing and it is best described in which
D. Eliminate fear-producing situation of the following statements?
A. Unacceptable feelings or behaviors are kept out of awareness
68. The therapy most effective for client’s phobia is: by developing the opposite behavior or emotion
A. Hypnotherapy C. Cognitive therapy B. Consciously unacceptable instinctual drives are diverted into
B. Group therapy D. Behavioral therapy personally and socially acceptable channels
SUBCONCIOUS LEVEL C. Something unacceptable already done is symbolically acted
69. The fear and anxiety related to phobia is said to be abruptly out in reverse
decreased when the patient is exposed to what is feared D. Transfer of emotions associated with a particular person,
through: object, or situation to another less threatening person, object or
A. Guided imagery C. Flooding situation
B. Systematic desensitization D. Hypnotherapy
79. To be more effective, the nurse who cares for persons with
70. Based on the presence of symptoms, the appropriate obsessive compulsive disorder must possess which of the
nursing diagnosis for Rose is: following qualities?
A. Self-esteem disturbance A. Compassion C. Patience
B. Activity intolerance B. Consistency D. Friendliness
C. Impaired adjustment
D. Ineffective individual coping 80. Persons with OCD usually manifest:
A. Fear C. Suspiciousness
Situation: Gerry, 35-year old farmer, unmarried, had B. Apathy D. Anxiety
been confined in the National Center for mental health
for three years with a diagnosis of schizophrenia. Situation: The patient who is depressed will undergo
electroconvulsive therapy.
71. The most common defense mechanism used by a paranoid
client is: TRUST ISSUES 81. Studies on biological depression support electroconvulsive
A. Displacement C. Rationalization therapy as a mode of treatment. The rationale is:
B. Suppression D. Projection yung fear ko sa ibang tao A. ECT produces massive brain damage which employs the
specific area containing memories related to the events
72. Gerry says to you: “The voices are telling me bad things surrounding the development of psychotic condition
again!” Your best response is:
Aknowledge the patient, present reality and distract the patient
B. The treatment serves as a symbolic punishment for the client
A. “Whose voices are those?” who feels guilty and worthless
B. “I doubt what the voices are telling you.” C. ECT relieves depression psychologically by increasing the
C. “I do not hear the voice you say you hear.” norepinephrine level
D. “What are the voices telling you?” D. ECT is seen as a life-threatening experience and depressed
patients mobilize bodily defenses to deal with this attack
73. A relevant nursing diagnosis for clients with auditory
hallucination is: 82. The preparation for a patient for ECT ideally is most similar
A. Sensory perceptual alteration HALLUCINATIOn to the preparation for a patient for:
(SEDATIVES, MUSCLE RELXANTS , ANESTHESIA)
B. Altered though process DELUSION Text A. Electroencephalogram C. General anesthesia
C. Impaired social interaction Text
Text
B. X-ray D. Electrocardiogram
D. Impaired verbal communication Text
Text
Text Text
Text 83. Which of the following is a possible side effect which you will
74. During meal time, Gerry refused to eat telling that the Text food discuss with the patient?
was poisoned. The nurse should: Text A. Hemorrhage within the brain
A. Ignore his remark B. Encephalitis
B. Offer him food in its container C. Robot-like body stiffness
C. Show him how irrational his thinking is SIDE EFFECT D. Confusion, disorientation, and short term memory loss
D. Respect his refusal to eat SIMPLY TO REORIENT THE PATIENT
84. Informed consent is necessary for the treatment for
75. When communicating with Gerry, the nurse considers the involuntary clients. If this cannot be obtained, permission may
following, except: ( FIRM AND DIRECT APPROAH) be taken from the:
A. Be warm and enthusiastic A. Social worker
B. Refrain from touching Gerry B. Doctor
C. Do not argue regarding his hallucinations and delusions C. Next of kin or guardian
D. Use simple, clear language D. Chief nurse

Situation: Bruno seeks psychiatric counseling for his 85. After ECT, What should the nurse do before giving the client
ritualistic behavior of counting his money as many as 10 food, fluid, or medication?
times before leaving home. A. Assess the gag reflex Risk for aspiration
B. Assess the sensorium
76. What is the most appropriate initial nursing diagnosis? C. Ask for the passage of flatus
A. Impaired social interaction D. Check O2 saturation with a pulse oximeter
B. Ineffective individual coping
C. Impaired adjustment Situation: Mrs. Janna Montenegro, 52 years old, teacher,
D. Anxiety: Moderate is affected with myasthenia gravis. involve muscles

77. Obsessive compulsive disorder is best described by: 86. Looking at Mrs. Montenegro, your assessment would include
A. Uncontrollable impulse to perform act or ritual repeatedly the following except:
B. Persistent thought A. Nystagmus PTOSIS
C. Recurring, unwanted and disturbing thoughts alternating with B. Difficulty of hearing
behavior C. Weakness of levator palpebrae
D. Pathological persistence of unwilled thought, feeling, or D. Weakness of the ocular muscle
impulse
Text 87. In an effort to combat complications which might occur,
relatives should be taught:
A. Checking cardiac rate

NURSING PRACTICE V: Care of Clients with Physiologic and Psychosocial Alterations (Part C)
TOPRANK REVIEW ACADEMY, Inc.Page 5 of 6
Text Text
 Myasthemic crisis
B. Taking blood pressure reading
-undermedicated , patient improves A. Walk freely about her past experience
C. Technique of oxygen inhalation Cholinergic crisis - B. Develop trusting relationship with others SELF - AWARENESS
D. Administration of oxygen inhalation C. Gain insight that her behavior is due to feeling of anxiety
D. Accept the environment unconditionally
88. The drug of choice for her condition is:
A. Prostigmine (Pyrostigmine) 95. Psychotherapy, which is prescribed for Tessa, is described
B. Morphine as:
C. Codeine A. Establishing an environment adapted to an individual patient
D. Prednisone needs
B. Sustained interaction between the therapist and client to help
89. As her nurse, you have to be cautious about administration her develop more functional behavior
of medication, if she is undermedicated this can cause: C. Using dramatic techniques to portray interpersonal conflicts
A. Emotional crisis D. Biological treatment for mental disorders
B. Cholinergic crisis
C. Menopausal crisis Situation: Tom, a 38-year old married man, an industrial
D. Myasthenic crisis engineer, was admitted with the diagnosis of paranoid
disorder. He has become suspicious and mistrustful two
90. If you are not extra careful and by chance you give months before admission. Upon admission, he kept
overmedication, this would lead to: saying: “My wife has been planning to kill me.”
A. Emotional crisis
B. Cholinergic crisis 96. A paranoid individual who cannot accept the guilt
C. Menopausal crisis demonstrates which of the following defense mechanisms?
D. Myasthenic crisis A. Denial
B. Projection
Situation: Tessa, 25 years of age, unmarried, believes C. Rationalization
that the toilet for female patients is contaminated with D. Displacement
AIDS virus and refuses to use it unless she flushes it
three times and wipes the seat same number of times 97. One morning, Tom was seen tilting his head as if he was
with antiseptic solution. listening to someone. An appropriate nursing intervention would
be:
91. The fear of using “contaminated toilet seat” can be A. Tell him to socialize with other patients to divert his attention
attributed to Tessa’s inability to: B. Involve him in group activities
A. Adjust to a strange environment C. Address him by his name to ask if he is hearing voices again
B. Express her anxiety D. Request for an order of antipsychotic medicine
C. Develop the sense of trust in other persons
D. Control unacceptable impulses or feelings 98. He says “These voices are telling me that my wife is going
to kill me.” A therapeutic response by the nurse is:
92. Assessment data upon admission helps the nurse identify A. “I do not hear the voices you say you hear.”
which appropriate nursing diagnosis? B. “Are you really sure you heard those voices?”
A. Ineffective denial C. “I don’t think you heard those voices.”
B. Impaired adjustment D. “Whose voices are those?”
C. Ineffective individual coping OCD
D. Impaired social interaction 99. The nurse confirms that Tom is manifesting auditory
hallucination. The appropriate nursing diagnosis is:
93. An effective nursing intervention to help Tessa is: A. Sensory perceptual alteration HALLUCINATION
A. Convincing her to use the toilet after the nurse has used it B. Self-esteem disturbance
first C. Ineffective individual coping
B. Explaining to her that AIDS cannot be transmitted through D. Impaired verbal communication
the toilet seat
C. Allowing her to flush and clean the toilet seat until she can 100. What is the most appropriate nursing intervention for a
manage her anxiety client with suspicious behavior?
D. Explaining to her how AIDS is transmitted A. Talk to the client constantly to reinforce reality
B. Involve him in competitive activities
94. The goal of treatment for Tessa must be directed towards C. Use non-judgmental and consistent approach
helping her to: D. Project cheerfulness in interacting with the patient

NURSING PRACTICE V: Care of Clients with Physiologic and Psychosocial Alterations (Part C)
TOPRANK REVIEW ACADEMY, Inc.Page 6 of 6