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Nursing Test V

November 21, 2009 by Admin · 15 Comments  · Email This Post Email This Post · Print This Post Print This Post

The scope of  this Nursing Test V is parallel to the NP5 NLE Coverage:

  • Psychiatric Nursing

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1. A 17-year-old client has a record of being absent in the class without permission, and “borrowing” other people’s things without asking permission.  The client denies stealing; rationalizing instead that as long as no one was using the items, there is no problem to use it by other people.  It is important for the nurse to understand that psychodynamically, the behavior of the client may be largely attributed to a development defect related to the:





2. A client tells the nurse, “Yesterday, I was planning to kill myself.”  What is the best nursing response to this cient?





3. In crisis intervention therapy, which of the following principle that the nurse will use to plan her/his goals?





4. The nurse enters the room of the male client and found out that the client urinates on the floor.  The client hides when the nurse is about to talk to him.  Which of the following is the best nursing intervention?





5. A young lady with a diagnosis of schizophrenic reaction is admitted to the psychiatric unit.  In the past two months, the client has poor appetite, experienced difficulty in sleeping, was mute for long periods of time, just stayed in her room, grinning and pointing at things.  What would be the initial nursing action on admitting the client to the unit?





6. A 16-year-old girl was diagnosed with anorexia.  What would be the first assessment of the nurse?





7. On an adolescent unit, a nurse caring to a client was informed that her client’s closest roommate dies at night.  What would be the most appropriate nursing action?





8. A woman gave birth to an unhealthy infant, and with some body defects.  The nurse should expect the woman’s initial reactions to include:





9. A client in the psychiatric unit is shouting out loud and tells the nurse, “Please, help me.  They are coming to get me.”  What would be the appropriate nursing response?





10. A client who is severely obese tells the nurse, “My therapist told me that I eat a lot because I didn’t get any attention and love from my mother.  What does the therapist mean?”  What is the best nursing response?





11. After the discussion about the procedure the physician scheduled the client for mastectomy.  The client tells the nurse, “If my breasts will be removed, I’m afraid my husband will not love me anymore and maybe he will never touch me.”  What should the nurse’s response?





12. The child is brought to the hospital by the parents.  During assessment of the nurse, what parental behavior toward a child should alert the nurse to suspect child abuse?





13. A nurse is caring to a client with manic disorder in the psychiatric ward.  On the morning shift, the nurse is talking with the client who is now exhibiting a manic episode with flight of ideas.  The nurse primarily needs to:





14. The nurse is caring to an autistic child.  Which of the following play behavior would the nurse expect to see in a child?





15. The client is telling the nurse in the psychiatric ward, “I hate them.”  Which of the following is the most appropriate nursing response to the client?





16. The mother visits her son with major depression in the psychiatric unit.  After the conversation of the client and the mother, the nurse asks the mother how it is talking to her son.  The mother tells the nurse that it was a stressful time.   During an interview with the client, the client says, “we had a marvelous visit.”  Which of the following coping mechanism can be described to the statement of the client?





17. A male client is quiet when the physician told him that he has stage IV cancer and has 4 months to live.  The nurse determines that this reaction may be an example of:





18. A nurse is caring to a female client with five young children.  The family member told the client that her ex-husband has died 2 days ago.  The reaction of the client is stunned silence, followed by anger that the ex-husband left no insurance money for their young children.  The nurse should understand that:





19. A client who is manic comes to the outpatient department.  The nurse is assigning an activity for the client. What activity is best for the nurse to encourage for a client in a manic phase?





20. The nurse is about to administer Imipramine HCI (Tofranil) to the client, the client says, “Why should I take this?”  The doctor started me on this 10days ago; it didn’t help me at all.”  Which of the following is the best nursing response:





21. Which of the following drugs the nurse should choose to administer to a client to prevent pseudoparkinsonism?





22. The nurse is caring to an 80-year-old client with dementia?  What is the most important psychosocial need for this client?





23. A client tells the nurse, “I don’t want to eat any meals offered in this hospital because the food is poisoned.”  The nurse is aware that the client is expressing an example of:





24. A client is admitted in the hospital.  On assessment, the nurse found out that the client had several suicidal attempts.  Which of the following is the most important nursing action?





25. The nurse suspects that the client is suffering from depression.  During assessment, what are the most characteristic signs and symptoms of depression the nurse would note?





26. The client in the psychiatric unit states that, “The goodas are coming! I must be ready.”  In response to this neologism, the nurse’s initial response is to:





27. A male client diagnosed with depression tells the nurse, “I don’t want to look weak and I don’t even cry because my wife and my kids can’t bear it.”  The nurse understands that this is an example of:





28. A female client tells the nurse that she is afraid to go out from her room because she thinks that the other client might kill her.  The nurse is aware that this behavior is related to:





29. A female client is taking Imipramine HCI (Tofranil)  for almost 1 week and shows less awareness of the physical body.  What problem would the nurse be most concerned?





30. A 6-year-old client dies in the nursing unit.  The parents want to see the child.  What is the most appropriate nursing action?





31. A 20-year-old female client is diagnosed with anxiety disorder.  The physician prescribed Flouxetine (Prozac).  What is the most important side effects should a nurse be concerned?





32. A nurse is assigned to activate a client who is withdrawn, hears voices and negativistic.  What would be the best nursing approach?





33. A nurse is going to give a rectal suppository as a preoperative medication to a 4-year-old boy.  The boy is very anxious and frightened. Which of the following statement by the nurse would be most appropriate to gain the child’s cooperation?





34. A depressed client is on an MAO inhibitor?  What should the nurse watch out for?





35. A 16-year-old girl is admitted for treatment of a fracture.  The client shares to the nurse caring to her that her step-father has made sexual advances to her.  She got the chance to tell it to her mother but refuses to believe.  What is the most therapeutic action of the nurse would be:





36. A client with a diagnosis of paranoid disorder is admitted in the psychiatric hospital.  The client tells the nurse, “the FBI is following me.  These people are plotting against me.”   With this statement the nurse will need to:





37. A nurse is completing the routine physical examination to a healthy 16-year-old male client.  The client shares to the nurse that he feels like killing his girlfriend because he found out that her girlfriend had another boyfriend.  He then laughs, and asks the nurse to keep this a secret just between the two of them.  The nurse reviews his chart and notes that there is no previously history of violence or psychiatric illness.  Which of the following would be the best action of the nurse to take at this time?





38. Which of the following person will be at highest risk for suicide?





39. A male client is repetitively doing the handwashing every time he touches things.  It is important for a nurse to understand that the client’s behavior is probably an attempt to:





40. In a mental health settings, the basic goal of nursing is to:





41. A 3-year-old boy is brought to the emergency department.  After an hour, the boy dies of respiratory failure.  The mother of the boy becomes upset, shouting and abusive, saying to the nurse, “If it had been your son, they would have done more to save it.  “What should the nurse say or do?





42. The nurse is interacting to a client with an antisocial personality disorder.  What would be the most therapeutic approach of the nurse to an antisocial behavior?





43. A 55-year-old male client tells the nurse that he needs his glasses and hearing aid with him in the recovery room after the surgery, or he will be upset for not granting his request.  What is the appropriate nursing response?





44. The male client had fight with his roommates in the psychiatric unit.  The client agitated client is placed in isolation for seclusion.  The nurse knows it is essential that:





45. A medical representative comes to the hospital unit for the promotion of a new product.  A female client, admitted for hysterical behavior, is found embracing him.  What should the nurse say?





46. A client with dementia is for discharge.  The nurse is providing a discharge instruction to the family member regarding safety measures at home.  What suggestion can the nurse make to the family members?





47. A 30-year-old married woman comes to the hospital for treatment of fractures.  The woman tells the nurse that she was physically abused by her husband.  The woman receives a call from her husband telling her to get home and things will be different.  He felt sorry of what he did.  What can the nurse advise her?





48. A female client was diagnosed with breast cancer.  It is found to be stage IV, and a modified mastectomy is performed.  After the procedure, what behaviors could the nurse expects the client to display?





49. A client is withdrawn and does not want to interact to anybody even to the nurse.  What is the best initial nursing approach to encourage communication with this client?





50. Which of the following nursing approach is most important in a client with depression?







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Comments

15 Responses to “Nursing Test V”
  1. neth says:
    August 8, 2010 at 1:42 pm

    ano ba tlga sagot alcoholic o ung my previuos attempt? i think i need to read books tlga. . haha. . sana pumasa ako ng dec board exam . . :/

    Reply
  2. ann says:
    June 14, 2010 at 4:12 am

    person who has history of previous suicidal attempts are more prone of having suicidal ideations rather than those who are alcoholic. Dear Admin pls check/review question no.38. The key answer is quite confusing…

    Reply
  3. yvonne says:
    May 27, 2010 at 8:29 pm

    it helps me to improve my test taking strategy,,more more!!!!

    Reply
  4. jay tayag says:
    May 24, 2010 at 7:38 pm

    nakakaconfused lang ibang sagot…pero thanks sa may ari ng site na ito…napakalaking tulong…thanks…sana makapasa kami thid july 2010 nursing local board exam.. GOD bless us…

    Reply
  5. jojo says:
    May 24, 2010 at 7:21 pm

    at ungas…hahahhahaha!!! i can’t get over with the rationalization you have…hahhahhaha!!! but you are right. alcoholics are at higher risks not because they frequently talked anything including suicide but because alcohol depresses serotonin level in the hippocampus of the brain. Decreased serotonin increases impulsitivity and aggrssion, and likewise, increases suicidal ideation!!!! @ ungas..hahahhahahahaha

    Reply
  6. janet says:
    May 21, 2010 at 10:19 am

    some of the comments here are right… i took a review and some of this questions are discussed, iba sagot doon at dito… iam kind a confused.. anu b tlga?…

    Reply
    • francis says:
      June 11, 2010 at 5:21 pm

      iba-iba ksi cla kinukuhanan ng mga rationale nla kya ganun….pero its better 2 read more books to know more about da topics!!actually yn dn problema ng mga retaker ksi nga d b d nla nllabas yn mga rationale ng n exam nla kya nkkconfuse kng anu b talaga un sagot!!kya its better 2 read more books lyk i said kanina!!wahahahaha!!
      GUD LUK sten!!kya ntn 2!

      Reply
  7. jef says:
    March 15, 2010 at 5:05 pm

    number 47 stem sa question what can the nurse advise? isn’t advising untherapeutic therefore nurses should avoid it i think there is something wrong with the question…
    I agree with riki although alcoholic pt are susceptible but for pt who had a previous attempts they are more prone than the alcoholic pt

    Reply
  8. BENZ says:
    March 6, 2010 at 4:44 pm

    YEAHHHHH!!!!!! I MADE IT! PLEASE POST MORE BECAUSE IT REALLY HELP ME ON MY STUDIES………

    Reply
  9. ecko-zero says:
    November 26, 2009 at 9:35 pm

    yeah i agree with you dude.. the most potential is the one with previous suidical attempt

    Reply
  10. riki says:
    November 24, 2009 at 5:42 pm

    Number 38.
    Alcoholic clients are more susceptible to committing suicide than clients who had previous attempts to killing themselves?
    Ain’t it the other way around?
    Thanks.

    Reply
    • ungas says:
      May 11, 2010 at 9:26 pm

      @ riki yes i do think that alcoholic clients are more susceptible to commit suicide because most of the time they’re drunk so tendency is to think of everything & that includes committing suicide unlike those who has previous attempts,,

      Reply

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