NURSING PRACTICE V 6.

The most advantageous therapy for a preschool age child

Situation: Understanding different models of acre is a with a history of physical and sexual abuse would be:
necessary part of the nurse patient relationship. a. Play
1. The focus of this therapy is to have a positive b. Psychoanalysis
environmental manipulation, physical and social to effect c. Group
a positive change. d. Family
a. Milieu 7. An 18-year-old client is admitted with the diagnosis of
b. Psychotherapy anorexia nervosa. A cognitive behavioral approach is
c. Behavior used as part of her treatment plan. The nurse understand
d. Group that the purpose of this approach is to:
2. The client asks the nurse about milieu therapy. The nurse a. Help the client identify and examine
responds knowing that the primary focus of milieu dysfunctional thoughts and beliefs
therapy can be best described by which of the following? b. Emphasize social interaction with clients who
a. A form of behavior modification therapy withdraw
b. A cognitive approach of changing the behavior c. Provide a supportive environment and a
c. A living, learning or working environment therapeutic community
d. A behavioral approach to changing behavior d. Examine Intrapsychic conflict and past events in
3. A nurse is caring for a client with phobia who is being life
treated for the condition. The client is introduced to short 8. The nurse is preparing to provide reminiscence therapy
periods of exposure to the phobic object while in relaxed for a group of clients. Which of the following clients will
state. The nurse understands that this form of behavior be nurse select for this group?
modification can be best described as a. A client who experiences profound depression
a. Systematic desensitization with moderate cognitive impairment
b. Self-control therapy b. a catatonic, Immobile client with moderate
c. Aversion Therapy cognitive impairment
d. Operant conditioning c. An undifferentiated schizophrenic client with
4. A client with major depression is considering cognitive moderate cognitive impairment
therapy. The client says to the nurse, “How does this d. A client with mild depression who exhibits
treatment works?” the nurse responds by telling the client who demonstrates normal cognition
that: 9. Which intervention would be typical of a nurse using
a. N cognitive-behavioral approach to a client experiencing
b. “This type of treatment helps you examine how low self-esteem?
your past life has contributed to your problems.” a. Use of unconditional positive regard
c. “This type of treatment helps you to confront b. Analysis of free association
your fears by exposing you to the feared object c. Classical conditioning
abruptly” d. Examination of negative thought patterns
d. “This type of treatment will help you relax and 10. Which of the following therapies has been strongly
develop new coping skills.” advocated for the treatment of post- traumatic stress
5. A client state, “I get down on myself when I make disorders?
mistake.” Using cognitive therapy approach, the nurse a. ECT
should: b. Group Therapy
a. Teach the client relaxation exercise to diminish c. Hypnotherapy
stress d. Psychoanalysis
b. Provide the client with Mastery experience to 11. The nurse knows that in group therapy, the maximum
boost self-esteem number of members to include is:
c. Explore the client’s past experience that causes a. 4
the illness b. 8
d. Help client modify the belief that anything less c. 10
than perfect is horrible d. 16
12. The nurse is providing information to a client with the use 19. The fear and anxiety related to phobia is said to be
of disulfiram (Antabuse) for the treatment of alcohol abruptly decreased when the patient is exposed to what is
abuse. The nurse understands that this form of therapy feared through:
works on what principle? a. Guided Imagery
a. Negative Reinforcement b. Systematic desensitization
b. Operant conditioning c. Flooding
c. Aversion therapy d. Hypo therapy
d. Gestait therapy 20. Based on the presence of symptom, the appropriate
13. A biological or medical approach in treating psychiatric nursing diagnosis is:
patient is: a. Self-esteem disturbance
a. Million therapy b. Activity intolerance
b. Behavioral therapy c. Impaired adjustment
c. Somatic therapy d. Ineffective individual coping
d. Psychotherapy Situation: Mang Jose, 39-year-old farmer, unmarried had
14. Which of these nursing actions belong to the secondary been confined in the National center for mental health for
level of preventive intervention? three years with a diagnosis of Schizophrenia.
a. Providing mental health consultation to health 21. The most common defense mechanism used by a
care providers paranoid client is:
b. Providing emergency psychiatric services a. Displacement
c. Being politically active in relation to mental b. Rationalization
health issues c. Suppression
d. Providing mental health education to members of d. Projection
the community 22. A relevant nursing diagnosis for clients with auditory
15. When the nurse identifies a client, who has attempted to hallucination is:
commit suicide the nurse should: a. Sensory perceptual alteration
a. calls a priest b. Altered thought process
b. counsel the client c. Impaired social interaction
c. refer the client to the psychiatrist d. Impaired verbal communication
d. refer the matter to the police 23. During mealtime, Jose refused to eat telling that the food
Situation: Rose seeks psychiatric consultation because of was poisoned. The nurse should:
intense fear of flying in an airplane which has gently a. Ignore his remark
affected her chances of successful in her job. b. Offer him food in his own container
16. The most common defense mechanism used by phobic c. Show him how irrational his thinking is
client is: d. Respect his refusal to eat
a. Suppression 24. When communicating with Jose, the nurse considers the
b. Denial following except:
c. Rationalization a. Be warm and enthusiastic
d. Displacement b. Refrain from touching Jose
17. The goal of the therapy in phobia is: c. Do not argue regarding his hallucination and
a. Change her lifestyle delusion
b. Ignore tension producing situation d. Use simple, clear language
c. Change her reaction towards anxiety Situation: Gringo seeks psychiatric counseling for his
d. Eliminates fear producing situations ritualistic behaviour of counting his money as many as 10
18. The therapy most effective for client’s with phobia is: times before leaving home.
a. Hypnotherapy 25. An initial appropriate are nursing diagnosis is:
b. Cognitive therapy a. Impaired social interaction
c. Group therapy b. Ineffective individual coping
d. Behavior therapy c. Impaired adjustment
d. Anxiety moderate
26. Obsessive compulsive disorder is BEST described by: 31. The preparation of a patient for ECT ideally is MOST
a. Uncontrollable impulse to perform an act or ritual similar to preparation for a patient for:
repeatedly a. Electroencephalogram
b. Persistent thoughts b. General anesthesia
c. Recurring unwanted and disturbing though c. X-ray
alternation with a behavior d. Electrocardiogram
d. Pathological persistence of unwilled thought, 32. Which of the following is a possible side effect which
feeling or impulse you will discuss with the patient?
27. The defense mechanism used by persons with obsessive a. Hemorrhage with the brain
compulsive disorder is undoing and it Is best described in b. Encephalitis
one of the following statements: c. Robot-like body stiffness
a. Unacceptable feelings or behavior are kept out of d. Confusion, disorientation and short-term
awareness by developing the opposite behavior or memory loss
emotion 33. Informed consent is necessary for the treatment for
b. Consciously unacceptable instinctual drives are involuntary clients. When this cannot be obtained,
diverted into personally and socially acceptable permission may be taken from the:
channels a. social worker
c. Something unacceptable already done b. next of kin or guardian
d. Transfer of emotions associated with a particular c. doctor
person, object or situation to another less d. chief nurse
threatening person, object or situation 34. after ECT, the nurse should do this action before giving
28. To be more effective, the nurse who cares for persons the client fluids, food or medication:
with obsessive compulsive disorder must possess one of a. assess the gag reflex
the following qualities: b. next of kin or guardian
a. Compassion c. assess the sensorium
b. Patience d. check 02 sat with a pulse oximeter
c. Consistency Situation: Mrs. Ethel Agustin 50 y/o, teacher is afflicted
d. Friendliness with myasthenia gravis.
29. Persons with OCD usually manifest: 35. Looking at Mrs. Agustin, your assessment would include
a. Fear the following except:
b. Apathy a. Nystagmus
c. Suspiciousness b. Difficulty of hearing
d. Anxiety c. Weakness of the levator palpebrae
Situation: The patient who is depressed will undergo d. Weakness of the ocular muscle
electroconvulsive therapy: 36. In an effort to combat complications which might occur
30. Studies on biological depression support relatives should he taught;
electroconvulsive therapy as mode of treatment. That a. Checking cardiac rate
rationale is: b. Taking blood pressure reading
a. ECT produces massive brain damage which c. Techniques of oxygen inhalation
destroys the specific area containing memories d. Administration of oxygen inhalation
related to the events surrounding the development 37. The drug of choice for her condition is;
of psychotic condition a. Prostigmin
b. The treatment serves as a symbolic punishment b. Morphine
for the client who feels guilty and worthless c. Codeine
c. ECT relieves depression psychological y by d. Prednisone
increasing the norepinephrine level 38. As her nurse, you have to be cautious about
d. ECT is seen as a life-threatening experience and administration of medicine, if she is under medicated this
depressed patients mobilized all their bodily can cause;
defenses to deal with this attack a. Emotional crisis
 b. Cholinergic crisis d. Biologic treatment for mental disorder
c. Menopausal crisis Situation: Dennis 40 y/o married man, an electrical engineer
d. Myasthenia crisis was admitted with the diagnosis of paranoid disorder. He has
39. If you are not extra careful and by chance you give over become suspicious and distrustful 2 months before
medication, this would lead to: admission. Upon admission, he kept on saying, “my wife has
a. Cholinergic crisis been planning to kill me.”
b. Menopausal crisis 45. A paranoid individual who cannot accept the guilt
c. Emotional crisis demonstrate one of the following defense mechanisms;
d. Myasthenia crisis a. Denial
Situation: Rosanna 20 y/o unmarried patient believes that b. Projection
the toilet for the female patient in contaminated with AIDS c. Rationalization
virus and refuses to use it unless she flushes it three times d. Displacement
and wipes the seat same number of times with antiseptic 46. One morning, Dennis was seen tilting his head as if he
solution. was listening to someone. An appropriate nursing
40. ?? intervention would be;
a. Adjust to a strange environment a. Tell him to socialize with other patient to divert
b. Express her anxiety his attention
c. Develop the sense of trust in another person b. Involve him in group activities
d. Control unacceptable impulses or feelings c. Address him by name to ask if he is hearing
41. Assessment data upon admission help the nurse to voice again
identify this appropriate nursing diagnosis d. Request for an order of antipsychotic medicine
a. Ineffective denial 47. When he says, “These voices are telling me my wife is
b. Impaired adjustment going to kill me.” A therapeutic communication of the
c. Ineffective individual coping nurse is which one of the following;
d. Impaired social interaction a. “I do not hear the voices you say you hear”
42. An effective nursing intervention to help Rosana is; b. “are you really sure you heard those voices?”
a. Convincing her to use the toilet after the nurse c. “I do not think you heard those voices?”
has used it first d. “whose voices are those?”
b. Explaining to her that AIDS cannot be 48. The nurse confirms that Dennis is manifesting auditory
transmitted by using the toilet hallucination. The appropriate nursing diagnosis she
c. Allowing her to flush and clear the toilet seat identifies is;
until she can manage her anxiety a. Sensory perceptual alteration
d. Explaining to her how AIDS is transmitted b. Self-esteem disturbance
43. The goal for treatment for Rosana must be directed c. Ineffective individual coping
toward helping her to; d. Defensive coping
a. Walk freely about her past experience 49. Most appropriate nursing intervention for a client with
b. Develop trusting relationship with others suspicious behavior is one of the following;
c. Gain insight that her behavior is due to feeling a. Talk to the client constantly to reinforce reality
of anxiety b. Involve him in competitive activities
d. Accept the environment unconditionally c. Use Non-Judgmental and Consistent approach
44. Psychotherapy which is prescribed for Rosana is d. Project cheerfulness in interacting with the
described as; patient
a. Establishing an environment adapted to an Situation: clients with Bipolar disorder receives a very high
individual patient need nursing attention due to the increasing rate of suicide related
b. Sustained interaction between the therapist to the illness.
and client to help her develop more functional 50. The nurse is assigned to care for a recently admitted
behavior client who has attempted suicide. What should the nurse
c. Using dramatic techniques to portray do?
interpersonal conflicts
 a. Search the client’s belongings and room of the following activities would be most appropriate for
careful y for items that could be used to this client?
attempted suicide. a. Ping pong
b. Express trust that the client won’t cause self-harm b. Linen delivery
while in the facility. c. Chess
c. Respect the client’s privacy by not searching any d. Basketball
belongings. 56. The nurse assesses a client with admitted diagnosis of
d. Remind all staff members to check on the client bipolar affective disorder, mania. The symptoms
frequently. presented by the client that requires the nurse’s
51. In planning activities for the depressed client, especially immediate intervention is the client’s:
during the early stages of hospitalization, which of the a. Outlandish behavior and inappropriate dress
following plan is best? b. Grandiose delusion of being a royal descendant
a. Provide an activity that is quiet and solitary to of king Arthur
avoid increased fatigue such as working on a c. Nonstop physical activity and poor nutritional
puzzle and reading a book. intake
b. Plan nothing until the client asks to participate in d. Constant incessant talking that includes sexual
the milieu topics and teasing the staff
c. Offer the client a menu of daily activities and ask 57. A nurse is conducting a group therapy session and during
the client to participate in all of them the session, A client with mania consistently talks and
d. Provide a structured daily program of demonstrate the group. The behavior is disrupting the
activities and encourage the client to group interaction. The nurse would initially:
participate a. Ask the client to leave the group session
52. A client with a diagnosis of major depression, recurrent b. Tell the client that she will not be allowed to
with psychotic features is admitted to the mental health attend any more group sessions.
unit. To create a safe environment for the client, the nurse c. Tell the client that she needs to allow another
most Importantly devises a plan of care that deals client in a group time to talk
specifically with the clients: d. Ask other nurses to escort the client out of the
a. Disturbed thought process group session.
b. Imbalanced nutrition 58. A professional artist is admitted to the psychiatric unit for
c. Self-care deficit treatment of bipolar disorder. During last 2 weeks, the
d. Deficient knowledge client has created 154 paintings, slept only 2 to 3 hours
53. The client is taking a tricyclic anti-depressant, which of every 2 days, and lost 18 lb. (8.2 kg). Based on Maslow’s
the following is an example of TCA? hierarchy of needs, what should the nurse provide this
a. Paxil client with first?
b. Nardil a. The opportunity to explore family dynamics
c. Zoloft b. Help with re-establishing a normal sleep
d. Pamelor pattern
54. The client visits the physician’s office to seek treatment c. Experiences that build self-esteem
for depression, feelings of hopelessness, poor appetite, d. Art materials and equipment
insomnia, fatigue, low self-esteem, poor concentration, 59. The physician orders lithium carbonate (Lithonate) for a
and difficulty in making decisions. The client states that client who’s in the manic phase of bipolar disorder.
these symptoms began at least 2 years ago. Base on this During lithium therapy, the nurse should watch for which
report, the nurse suspects: adverse reactions?
a. Cyclothymic disorder a. Anxiety, restlessness, and sleep disturbance
b. Bipolar disorder b. Nausea, diarrhea, tremor, and lethargy
c. Major depression c. Constipation, lethargy, and ataxia
d. Dysthymic disorder d. Weakness, tremor, and urine retention
55. The nurse is planning activities for a client who has Situation: Annie has a morbid fear of heights. She asks the
bipolar disorder, which aggressive social behavior. Which nurse what desensitization therapy is:
60. The accurate information of the nurse of the goal of a. Professional advancement through research
desensitization is: participation
a. To help the client relax and progressively b. To validate results of new nursing modalities
work up a list of anxiety provoking situations c. For financial gains
through imagery d. To improve nursing care
b. To provide corrective emotional experiences 66. Each nurse participants were asked to identify a Problem.
through a one-to-one intensive relationship After the identification of the research problem, which of
c. To help clients in a group therapy setting to take the following should be done?
on specific roles and re-enact in front of an a. Methodology
audience, situation in which interpersonal conflict b. Acknowledgment
is involved c. Review of related literature
d. To help clients cope with their problems by d. Formulate hypothesis
learning behaviors that are more functional and 67. Which of the following communicate the results of the
be better equipped to face reality and make research to the readers? They facilitate the description of
decisions. the data.
61. It is essential in a desensitization for the patient to: a. Hypothesis
a. Have rapport with the therapist b. Research problem
b. Use deeps breathing or another relaxation c. Statistics
technique d. Tables and graphs
c. Assess one’s self for the need of an anxiolytic 68. In quantitative date, which of the following described as
drug the distance in the scoring unites of the variable from
d. Work through unresolved unconscious conflicts highest to the lower?
62. In this level of anxiety, cognitive capacity diminishes. a. Frequency
Focus becomes limited and client experiences tunnel b. Median
vision. Physical signs of anxiety become more c. Mean
pronounced. d. Range
a. Severe anxiety 69. The expresses the variability of the data in reference to
b. Mild anxiety the mean. It provides as with a numerical estimate of how
c. Panic far, on the average the separate observation is from the
d. Moderate anxiety mean:
63. Antianxiety medications should be used with extreme a. Mode
caution because long term use can lead to: b. Median
a. Parkinson like syndrome c. Standard deviation
b. Hepatic failure d. Frequency
c. Hypertensive crisis Situation: Survey and Statistics are important part of
d. Risk of addiction research that is necessary to explain the characteristics of the
64. The nursing management of anxiety related with post- population.
traumatic stress disorder includes all of the following 70. According to the WHO statistics on the homeless
EXCEPT: population around the world, which of the following
a. Encourage participation in recreation of sports groups of people in the world disproportionately
activities represents the homeless population
b. Reassure client’s safety while touching client a. Hispanics
c. Speak in a calm soothing voice b. Asians
d. Remain with the client while fear level is high c. African Americans
SITUATION: you are fortunate to be chosen as part of the d. Caucasians
research team in the hospital. A review of the following 71. All but one of the following is not a measure of Central
IMPORTANT nursing concepts was made. Tendency:
65. As a professional, a nurse can do research for varied a. Mode
reason except: b. Standard deviation
 c. Variance c. Selection of subjects in the control group is
d. Range randomized
72. In the value: 87, 85, 88, 92, 90; what is the mean? d. There is a careful selection of subjects in the
a. 88.2 experimental group
b. 88.4 79. The researcher implemented a medication regimen using
c. 87 a new type of combination drug to manic patients while
d. 90 another group of manic patient receives the routine drugs.
73. In the value: 80, 80, 80, 82, 82, 90, 90, 100; What is the The researcher however handpicked the experimental
mode? group for they are the clients with multiple episodes of
a. 80 bipolar disorder. The researcher utilized which research
b. 82 design?
c. 90 a. Quasi- experimental
d. 85.5 b. Phenomenological
74. In the value: 80, 80, 10 10, 25, 65, 100, 200; What is the c. Pure experimental
median? d. Longitudinal
a. 71.25 Situation 19: as a nurse, you are expected to participate in
b. 22.5 initiating or participating in the conduct of research studies
c. 10 and 25 to improve nursing practice. You to be updated on the latest
d. 72.5 trends and issues affected the professional and the best
75. Draw lots, lottery table of random numbers or a sampling practices arrived at by the profession.
that ensures that each element of the population has an 80. You are interested to study the effects of mediation and
equal and independent chance of being chosen is called: relaxation on the pain experienced by cancer patients.
a. Cluster What type of variable is pain?
b. Stratified a. Dependent
c. Simple b. Independent
d. Systematic c. Correlational
76. An investigator wants to determine some of the problems d. Demographic
that are experienced by diabetic clients when using an 81. You would like to compare the support system of patient
insulin pump. The investigator went into a clinic where with chronic illness to those with acute illness. How will
the personally knows several diabetic clients having you best state your problem?
problem with insulin pump. The type of sampling done a. A descriptive study to compare the support
by the investigator is called: system of patients with chronic illness and
a. Probability those with acute illness in terms of
b. Snowball demographic data and knowledge about
c. Purposive intervention
d. Incidental b. The effects of the types of support system of
77. If the researcher implemented a new structured patient with chronic illness and those with acute
counselling program with a randomized group of subjects illness
and a routine counselling with another randomized group c. A comparative analysis of the support system of
of subjects, the research is utilizing which design? patients with chronic illness and those with acute
a. Quasi Experimental illness
b. Comparative d. A study to compare the support system of
c. Experimental patients with chronic illness and those with acute
d. Methodological illness.
78. Which of the following is not true about a pure e. What are the differences of the support system
experimental research? being received by patient with chronic illness and
a. There is a control group patients with acute illness?
b. There is an experimental group 82. You would like to compare the support system o0f
patients with chronic illness to those with acute illness.
 Considering that the hypothesis was: “Clients with b. A study, measuring nutrition and weight loss/gain
chronic illness have lesser support system than clients in clients with cancer
with acute illness.” What type of research is this? c. A study examining oxygen levels after
a. Descriptive endotracheal suctioning
b. Correlational, Non-Experimental d. A study measuring difference in blood pressure
c. Experimental before, during and after procedure
d. Quasi Experimental 88. An 85-year-old client in a nursing home tells a nurse “I
83. In any research study where individual persons are signed the papers of that research study because the
involved, it is important that an informed consent of the doctor is so insistent and I want him to taking care of
study is obtained. The following are essential information me.” Which client right is being violated?
about the consent that you should disclose to the a. Right of self determination
prospective subjects except: b. Right to full disclosure
a. Consent to incomplete disclosure c. Right to privacy and confidentiality
b. Description of benefits, risks, and discomforts d. Right not to be harmed
c. Explanation of procedure 89. A supposition or system od idea that is proposed to
d. Assurance of anonymity and confidentiality explain a given phenomenon best defines:
84. In the Hypothesis: “The utilization of technology in a. A paradigm
teaching improves the retention and attention of the b. A theory
nursing students. “Which is the dependent variable? c. A concept
a. Utilization of technology d. A conceptual framework
b. Improvement in the retention and attention Situation: Mastery of research design determination is
c. Nursing students essential in passing the NLE.
d. teaching 90. Ana wants to know if the length of time she will study for
Situation: you are actively practicing nurse who has just the board examination is proportional to her board rating.
finished you graduate studies. You learned the value of During the June 2008 board examination, she studied for
research and would like to utilize the knowledge and skills 6 months and gained 68%, on the next board exam, she
gained in the application of research to the nursing service. studied for 6 months again for a total of 1 year and gained
The following question applies to research. 74%, on the third board exam, she studied for 6 months
85. Which type of research inquiry investigates the issues of for a total of 1 and a half Year and gained 82%. The
human complexity (e.g. understanding the human research design she used is:
expertise) a. Comparative
a. Logical Position b. Experimental
b. Positivism c. Correlational
c. Naturalistic inquiry d. Qualitative
d. Quantitative research 91. Anton was always eating high fat diet. You want to
86. Which of the following studies is based on quantitative determine if what will be the effect of high cholesterol
research? food to Anton in the next 10 years. You will use:
a. A study examining the bereavement process in a. Comparative
spouse of clients with terminal cancer b. historical
b. A study exploring the factors influencing weight c. correlational
control behavior d. longitudinal
c. A study measuring the effects of sleep 92. community A was selected randomly as well as
deprivation on wound healing community B, nurse Edna conducted teaching to
d. A study examining client’s feelings before, community A and assess if community A will have a
during and after bone marrow aspiration. better status that community B. this is an example of:
87. Which of the following studies is based on the qualitative a. comparative
research? b. experimental
a. A study examining client’s reaction to stress c. correlational
after open heart surgery d. qualitative
93. Ana researched on the development of a new way to 99. Diana is to conduct study about the relationship of the number
measure intelligence by creating a 100-item questionnaire of family members in the household and the electricity bill.
that will assess the cognitive skills of an individual. The Which of the following is the best research design suited for
design best suited for this study is: this study?
1. Descriptive a. 1,4
a. Historical
2. Exploratory
b. Survey b. 2,5
3. Explanatory
c. Methodological c. 3,6
4. Correlational
d. Case study 5. Comparative
d. 1,5
94. Gen is conducting a research study on how mark, an 6. Experimental e. 2,
AIDS client lives his life. A design sited for this study is:
a. Historical
b. Phenomenological
c. case study
d. ethnographic
95. Marco is to perform a study about how nurses perform
surgical asepsis during World War II. A design best for
this study is:
a. Historical
b. Phenomenological
c. Case study
d. Ethnographic
96. Tonyo conducts sampling at barangay 412. He Collected
100 random individuals and determine who is their
favorite comedian actor. 50% said Dolphy, 20% said Vic
Sotto, while some answered Joey De Leon, Allan K,
Michael V. Tonyo conducted what type of research
study?
a. Phenomenological
b. Non-experimental
c. Case study
d. Survey
97. Jane visited tribe located somewhere in China, it is called
the Shin Jea tribe. She studied the way of life, tradition
and the societal structure of these people. Jane will best
use which research design?
a. Historical
b. Phenomenological
c. Case study
d. ethnographic
98. Anjoe researched on TB. Its transmission, causative agent
and factors, treatment sign and symptoms as well as
medication and all other in-depth information about
tuberculosis. This study is best suited for which research
design?
a. Historical
b. Phenomenological
c. Case study
d. Ethnographic