1.

Miss X is reading her notes on paraphilia when you see the

paraphilias. She was able to learn that word acted on urges, because
sexual arousal involving observing an you can have the urge, but you
unsuspecting person is naked, disrobing are not acting on it, so you
or engaging in sexual activity. So this is cannot diagnose paraphilia in
called: that manner.
b. diagnosis is made when the
C. voyeurism individual has not acted on
Because it says observing the word urges, but is extremely
observing is already there. distressed by the urges against
casino, but cannot act within
2. Mr. P is not able to explain his sexual the urges,
desires and gratification, but he claims c. diagnosis is made when the
being sexually aroused upon touching individual is planning to act on
and rubbing against a person unknown urges.
to him in public areas d. diagnosis is made with the
individual, has no urges but
B.Frotteurism.
extremely distressed by other
3. sexual activity involving a free urges.
pubescent child or children is called an 7. patient M has a persistent or recurrent
partial or complete failure to attain and
A. pedophilia maintain erection until completion of
his sexual activity with his partner. He
4. sexual arousal involving real acts in
says he also lacked the subjective sense
which psychological or physical
of sexual excitement and pleasure
suffering and humiliation of the victim
during sexual activity.
is sexually exciting to the person.
sexual sadism B. male erectile disorder
The one who hurts is actually gratified
when it comes to sexual sadism.. 8. patient Y is experiencing a persistent or
5. Number five. Zoloft is also an recurrent failure to obtain or maintain
antidepressant which is classified under lubrication or swelling response of
SSRI. Its generic name is guys. sexual excitement until completion of
B. sertraline sexual activity and a honeymoon
6. Which of the following is true regarding period. As a nurse, you will understand
the diagnosis of paraphilia? that this condition is called.
a. diagnosis is made when the a. hypoactive sexual desire
individual has acted on urges, disorder
on urges, or is extremely 9. appears distant or persistent or
distressed by the urges. That recurrent delay in absence of orgasm
should be the right answer. You following a normal sexual excitement,
can only have the diagnosis for
 considering the person's age and other don't. How would gender identity re-
factors is called letter applied in Jenny's condition? These are
the following choices.
C. male orgasmic disorder a. she has gender dysphoria
10. a persistent recurrent genital pain in b. she doesn't have gender
either male or female before, during, dysphoria.
and after sexual intercourse not cause c. Z will only be diagnosed with
by lack of lubrication are vaginismus. gender dysphoria, depending
a. Dyspareunia on how long she has felt this
11. a persistent recurrent involuntary way.
spasm of the musculature of the outer d. she says she is transgender
third of the vagina, which interferes 15. Which of the following defines as
with the coitus, is called cisgender?
a. miss M who feels like a man
D .vaginismus b. Mister R, who was born male
and acts as a male
12. Miss R feels she is a male. This also
c. miss T who prefers to be called
manifested in her outward behavior
sir but is able to engage in a
that expresses her masculinity and this
relationship with men or
is called
women.
C. gender identity
d. miss N who is aware of her
13. patient V is a transgender. Which of the
femininity despite her
following would most likely be false
masculine ways.
about Mr. V?
Situation: A TV show has exposed a
a. patient V assumes the gender
group of foreigners engaging in various
identity of a man.
sexual, unacceptable sexual acts in the
b. patient V feels like he doesn't
country.
belong in his body.
16. These foreigners who are expressing
c. patient V was once a female but
their sexually unacceptable ways of
identifies as being a man.
experiencing sex, is collectively known
d. patient V was born as a
in medical terminology as which
hermaphrodite
condition.
a transgender man. She was born D. paraphilia and guys
as female and she became a paraphilia. Answer. When you
transgender man. You know, are into the act of paraphilia
hermaphrodite means again. She guys, a paraphilia becomes a
has two organs. It was not actually, condition. Paraphilia. So if I call
uh, included into the data which on a person who was diagnosed
was given as a hermaphrodite with paraphilia then I would call
him paraphilia. Now guys the
14. Z wants to be a man because man and term sexual aberration and
her company get promoted and women letter C sexual deviation are
 also acceptable terminologies c. inquiring about the client's
when it comes to paraphilia. perception or appraisal of the
However, these are not medical neighbor's death
terminology and they are not d. inquiring about and examining
your psychiatric terminologies the client's feelings that may
where these guys are sociology block adaptive coping
classes. But this is not a 20. . Laboratory work is prescribed for a
sociology class because you will client who has been experiencing
be nurses, you have to come up delusions. when the nurse approaches
with the right terminology. the client to obtain a specimen of the
17. The nursing diagnosis of this client is: B. client's blood, the client begins to
altered sexual patterns shout, here, all vampires led me out of
a. sexual dysfunction. here. The most appropriate nursing
b. Altered sexual patterns response is which of the following?
c. disturbed sexual orientation. a. I’m not going to hurt you, I’m
d. sexual process disturbance. here to help you
Guys there are no okay. There b. What makes you think I am a
are no signs that these were vampire?
manifested by the client. c. I’ll leave and comeback later for
18. The profile of persons who sexually your blood
abuse children includes guys. d. It must be fearful to think
a. male 35 to 70 years old. Okay, others want to hurt you.
now for people usually, uh, who 21. A client says to the nurse, “I'm going to
are abusers of children, who are die. And I wish my family would stop
pedophiles, they are male. They hoping for a cure. I get so angry when
are 35 to 70 years old. Yun lang, they carry on like this After all, I'm the
guys for you to determine that one who's dying.” The most therapeutic
they are pedophiles response by the nurse is :
demographically and a. You're feeling angry that your
classification family continues to hope for
19. a nurse is working with a client who has you to be cured? Guys, this is
sought counselling after trying to rescue what you call reflecting.
a neighbor involved in a house fire. In b. I think we should talk more
spite of the client's efforts, the neighbor about your anger with your
died. Which action does the nurse family at the very end.
engage in with the client during the c. well, it sounds like you're being
working phase of the nurse-client pretty pessimistic after all,
relationship? years ago people died of
a. exploring the client's potential pneumonia
for self-harm d. have you shared your feelings
b. exploring the client's ability to with your family?
function again.
22. a client who is delusional says to the b. the client will function at the
nurse, the federal guards were sent to highest level of independence
kill me. What is the nurse best ? possible
a. the guards are not out to kill c. the client will complete all ADLs
you independently within a one
b. I don't believe this is true. hour time frame
c. I don't know anything about the d. the nursing staff will attend to
guards. Do you feel afraid that all of the clients ADL needs
people are trying to hurt you during the hospital stay.
guys? 25. The nurse observes that a client is
d. what makes you think the facing agitated and presenting
guards were sent to hurt you aggressive gestures. The client's speech
for a day? pattern is rapid and affect is belligerent.
23. A nurse is discharging a client with a Based on these observations, what is
history of command hallucinations to the nurse's immediate priority of care?
harm self or others. The nurse provides a. providing safety for the client
instruction to the client about and other clients on the unit.
interventions for hallucinations and b. offering the client a less
anxiety, and determines that the client stimulating area in which to
understands this instruction If the client calm down and gain control.
states which of the following? c. clients and the unit with a
a. My medication makes me sense of comfort and safety.
anxious. d. assisting the staff in caring for
b. I can call my therapist when I’m the client in a controlled
hallucinating so that I can talk environment.
about my feelings and plans 26. A nurse is caring for male old male
and not hurt anyone. client diagnosed with catatonic stupor.
c. I’ll got to support group and talk The client is lying on the bed with his
so that I don’t hurt anyone. body folded into a fetal position. Which
d. I won’t get anxious or hear of the following is the most appropriate
things if I get enough sleep and nursing intervention?
eat well. a. leaving the client alone and
24. The nurse develops a nursing diagnosis intermittently checking on him
of self-care deficit for an elderly client b. taking the client into the day
with dementia. Which of the following room with other clients so that
is the most appropriate goal for this they can help watch him
client? Guys invented an elderly client, c. sitting quietly beside the client
so an appropriate goal letter V and asking occasional open
a. the client will be admitted a ended questions.
long term facility to have d. asking direct questions to
activities of daily living needs encourage the client to talk.
met.
27. A depressed client has been started on administered, it is important that the
a tricyclic antidepressant. The nurse nurse
teaches the client to expect to notice a a. C. monitor the client's blood
significant change in the depression level regularly.
within: 32. A client in the hyperactive phase of
a. mood disorder bipolar type, is receiving
b. lithium carbonate. The nurse notes that
c. 1 to 4 weeks like any other the client's lithium level is 1.8 milli
drug. Okay, for psycho Pharma equivalent per liter. It would be most
1 to 4 weeks. 1 to 4 weeks. It's appropriate for the nurse?
not hours, it's not days. a. continue the usual dose of
d. lithium and note any adverse
28. number 28. A psychiatric client is to be reaction.
discharged with orders for haloperidol b. We discontinue the drug until
or Haldol therapy. When developing a the lithium serum develops 2.5
teaching plan for discharge. The nurse mil equivalent per liter
should include cautioning the client c. ask the physician to increase
against ? the dose of lithium because the
a. driving at night blood lithium level is too low
b. staying in the sun. there is what d. hold the drug and notify the
you call photosensitivity with physician immediately because
client who are taking the blood lithium level may be
haloperidol or Haldol. toxic.
c. ingesting wines and cheeses. 33. Neuroleptics are the drugs of choice to
(You cannot do this if you are relieve symptoms of anxiety.
taking MAOI). a. psychosis - schizophrenia. All
d. taking medications containing schitz clients are psychotics
aspirin. 34. A nurse in the mental health unit is
29. A nurse is evaluating the medication having a conversation with the client
regimens of a group of clients to diagnosed with post-traumatic stress
determine whether the therapeutic disorder. The client seems upset and
level has been achieved. For which anxious. The most appropriate nursing
medication should the nurse review the response to the client is which of the
client serum blood level? following?
a. valproic acid (Defaquin) a. don't worry so much - advising
30. If clients do not abide by their b. everything is going to be all
restrictions while taking MAOI, it is right. – stereotype/false
likely that they will develop? reassurance
a. occipital headache. c. I can see that you are upset. -
31. A client is receiving lithium carbonate This is making observation.
while this medication is being
 d. why are you having so much extrapyramidal side effects of the
trouble controlling your neuroleptic drug.
anxiety? a. Antipsychotics or neuroleptics
35. A common side effect of neuroleptic is
They are given in conjunction with
your answer should be letter D
a. antipsychotic or neuroleptic. Your
answer should be letter D because
b.
c. you have to remember yung mga
d. unintentional tremors. - drugs na ito. Bipyridine and
benzocaine are given as an anti-
pseudo parkinsonism
36. A client with schizophrenia who has parkinsonism agent. They are to
prevent the fighting. The pseudo
type two negative symptoms is started
on risperidone (asphodel). The nurse parkinsonism effects
would evaluate that the medication has 39. Trust is very essential in the process of
been effective for the type 2 (negative psychotherapy. This may develop in the
sx) symptoms. nurse client relationship when the
a. nurse :
b. a. avoiding setting
c. shows interest in unit activities. b. encourages the client to use
37. A client with depression is to receive testing behavior.
fluoxetine (Prozac), a caution that the c. tells the client how he should
nurse must remember when initiating behave.
treatment with this drug is that? d. Using consistency in
a. eight must be given with milk approaching the client.
and crackers 40. A client has just begun to discuss
b. important feelings when the time of the
c. The blood level may not be interview is up. The next day when the
sufficient to cause noticeable nurse meets with the client in the
improvement for 2 to 4 weeks agreed upon time, the initial
Prozac now effects of eight intervention would be to say:
weeks eight weeks nakikita ang a. good morning. How are you
result. Although for the others today? - ask that during an
they will say 6 or 7 week ordinary day
makikita mo na but for majority b. Yesterday you were talking
in the eight weeks. about some very important
38. Drugs such as trihexyphenidyl, feelings. Let's continue.
bipyridine and benztropine are often c. What would you like to talk
describe or prescribe in conjunction about today? – broad opening
with: artane (trihexyphenidyl). d. nothing. And wait for the client
Bipyridine (aquiniton) benztropine to introduce a topic.
(cogentin) - They combat the
41. These are common statements made 45. A patient says to the nurse, I want to
without sincerity and recognized by tell you something, but you mustn't tell
patients most of the time. anyone else which of the following
a. responses with the nurse would be
b. stereotype responses appropriate, and the choices are letter
42. Any nurse who administered A
antipsychotic medications must be alert a. I am glad you can trust me.
for early signs and symptoms of, b. I have to reveal anything that
a. neuroleptic malignant would be essential to your
syndrome - emergency treatment.
situation wherein the patient c. the nurse and the patient have
would develop hyperthermia a special relationship.
b. pseudo parkinsonism d. I am bound to keep it secret
c. dystonia because of confidentiality
d. blurred vision 46. This therapeutic communication
43. Andy a middle-aged patient says to the technique communicates refer to the
nurse “I don't deserve to live”. The most patient and the nurse's genuine interest
therapeutic initial response by the in the
nurse would be to: a. Suggesting
a. continue to listen to Andy while b. Summarizing
maintaining direct eye contact. c. Verbalizing
b. remain with Andy until she d. clarifying
states she feels better. 47. A male nurse is caring for a client. The
c. say hi to Andy. You sound client states, you know, I've never had a
depressed and lean towards her male nurse before. The nurses best
d. Ask Andy what he means by I reply would be ang letter C,
don't deserve to live. a. does it bother you to have a
44. Which of the following actions should a male nurse?
nurse take during the pre-interaction b. that there aren't many of us
phase of the nurse patient relationship? who are a minority
a. exploring personal feelings c. how do you feel about having a
regarding care of the mental male nurse?
health patients.-- that is doing d. you sound upset. Would you
self-awareness. prefer a female nurse?
b. establishing boundaries for the 48. During a group meeting, a male client
patient and the nurse - tells everyone of his fear of his
orientation phase impending discharge from the hospital.
c. determining if the patient goals It would be most appropriate for the
results from stressors. - group leader to respond.
working phase a. you ought to be happy that you
d. identifying goals and then are leaving
strategies. – orientation phase
 b. maybe you're not ready to be statement is a therapeutic response by the
discharged yet. nurse manager?
c. Maybe others in the group have
similar feelings that they would a. . "I will be able to talk with you
in 15 minutes after I complete
share. – supporting each other
by sharing nursing rounds."
b. "You have a project to save the
d. how many in the group feel that
this member is ready to be world? I'd really like to hear
discharged now for? - about that after I
finish rounds."
humiliating the px
49. a client attending a mental health c. "Well, sit right down and eat
your breakfast. You're not going
daycare unit is scheduled for several
diagnostic studies. Which client to save the world on an empty
behavior has receive adequate stomach."
d. "You hurt your father because
preparation for this studies?
a. Client request the test to be of these thoughts, and you
won't leave here until
reexplained
b. The client repeatedly check the you can control yourself
better."
appointment card
c. The client paces the hallway the 52. A patient's unresolved feelings
morning before the test related to loss would be MOST LIKELY observed
d. The client arrives early and during which phase of the therapeutic nurse-
waits quietly to be called for the patient relationship?
test
50. A male nurse reminds the client that it’s A. Trusting
time for the group therapy. The client
B. Working
responds by yelling at the nurse “You’re
always telling me what to do like my C. Orientation
father!”. This clients response is an
example of: D. Termination
a.
53. The nurse is working with a
b. Transference
client who has sought counseling after trying to
51. The night nurse reported to the nurse rescue a neighbor involved in a house fire. In
manager that a client was admitted to the spite of the client's efforts, the neighbor died.
mental health unit after attacking his father Which action does the nurse engage in with the
with an iron for interrupting him at his client during the working phase of the nurse-
computer. During nursing rounds, this client client relationship?
interrupts the nurse manager and says, "I need
a. Exploring the client's potential for
to get out of here, so I can work on my
self-harm
computer project to save the world!" Which
 b. Exploring the client's ability to 56. In a nurse -patient interaction it
function is most important for nurse Liwayway to
implement which of the following nursing
c. Inquiring about the client's intervention:
perception or appraisal of the neighbor's
death A.Help Rod identify effective coping
style
d. Inquiring about and examining the
client's feelings that may block B. Reorient Rod to reality
adaptive coping
C. Help Rod identify significant others
who can provide emotional support

SITUATION: D. Encourage Rod to express his feelings

54. Rod, 40 yrs. Old seeks help for 57. Which one of the ff. Is an
difficulty staying asleep and sudden outburst s essential part of therapeutic process in planning
anger. He manifested these symptoms six for the care of Rod?
months after his wife and two children died in
A. Recognizing the role of Rod’s family
an airplane crash; One day after admission he
says to nurse Liwayway , “ can you help me, I in the treatment plan
have been through a lot of mental anguish “ She B. Understanding the behavior of Rod
therapeutically responds by saying one of the
following; C. Self understanding

A. “ If you’ll let me , i am here to help D. Therapeutic use of self

you”

B. “ I think you have to divert your mind

SITUATION:
by engaging in some recreational activities”
A teacher, Flora, 52 years old, with severe
C. “ I’ll be able to understand better if
depression was admitted to the hospital. Her
you’ll tell me more about it”
past history regaled she had suicidal ideation
D. “ You have to help yourself get over and has expressed feelings of helplessness.
with your feeling of anxiety”

55. Nurse Liwayway identifies one of the

58. One of the following
following nursing diagnosis;
statements is true with regard to the care of a
A.Altered thought process depressed patient like Flora:

B. Ineffective individual coping a. all depressed clients are potentially

suicidal
C. Impaired social interaction

D. Impaired adjustment
 b. most suicidal persons give no a. involve the family in planning for
warning discharge of Flora

c. only mentally ill persons commit b. accept her appraisal of the situation
suicide and explore their alternatives

d. the chance of suicide decreases as c. discourage her from thinking that no

depression lessen one wants to live with her

59. During the initial stage of d. encourage her to discuss discharge

hospitalization, the most appropriate nursing plans her family
intervention in planning activities for Flora is:
62. All of the following are side
a. allow her to choose what she wants effects of anxiolytics, EXCEPT:
to do each day
a. dizziness
b. provide daily schedule of activities for
her to follow b. drowsiness

c. observe for signs which will indicate c. dry mouth

her willingness to participate in any activity d. delusion
d. schedule one's activity per day to 63. Antidepressants restored levels
give her time to rest of the following neurotransmitter, EXCEPT:
60. One morning Flora says to the a. serotonin
nurse. "Go away and leave me alone. All I want
is rest." The nurse response therapeutically b. epinephrine
when she replies:
c. acetylcholine
a. "Since you say you are tired, I'll check
d. dopamine
you later."
64. Which of the following is a
b. "I am going to stay with you for a
MAOI?
while."
a. MARPLAN
c. "When would you like me to return."
65. Average dose of Thorazine
d. "Why do you want me to leave."
ranges from?
61. Flora is being prepared for
a. 30-800mg/day
discharge. However, she says "I am afraid to go
home, no one wants to live with me." One of 66. Mydriasis is one side effect
the following would be the appropriate nursing of…which means?
intervention;
a. dilation of pupils
 67. Pill rolling tremors, mask-life a. Fluvoxamine (Luvox)
face and muscle rigidity are manifestations of?
b. Benztropine (Cogentin)
a. Pseudoparkinsonism
c. Amantadine (Symmetrel)
68. Which side effect of
d. Diphenhydramine (Benadryl)
antipsychotic, patients feel like having ants in
the pants? 73. A nurse is planning care for a
client with bipolar disorder who is experiencing
a. akathisia
psychomotor agitation. Which of the following
69. Chlordiazepoxide hydrochoride activities should the nurse plan for this client?
is a minor tranquilizer and it’s brand name is?
A) Reading letters and books in a quiet
a. Librium environment.

70. neuroleptic (antipychotics) are B) Involving the client in a card game

psychopharmacologic drug indicated for? with other clients on the unit.

a. Mania C) Providing an activity such as checkers

for the client.
b. Depression
D) Including the client in a clay-molding
c. Personality disorder class that is scheduled for today.
d. Schizophrenia 74. a nurse is reviewing the plan of
71. Which is a frequent finding in clients care for a client with a diagnosis of depression,
with paraphiliac sexual disorders? the nurse note that a nursing diagnosis of
altered nutrition less than body requirements is
1. Other covert or overt emotional problems are documented on the plan of care. Which of the
present following would NOT be a component of the
plan of care to improve the clients nutrition?
2. Gonadal and pituitary hormone deficiencies
are involved a. Allow the client to eat alone in the
room if the client request to do so
3. Overassociation with society's fringe groups
has thwarted judgement b. Include the client in selecting food
from the food menu
4. An inadequate physical development of the
sexual organs has occurred c. Offer small high calorie, high protein
snack during the day and evening
72. A psychiatrist prescribes an
anti-obsessional agent for a client who is using d. Offer high calorie fruits through out
ritualistic behavior. A common anti-anxiety the day and evening
medication used for this type of client would
be: 75. A client diagnosed with depression is
not eating adequately and at times even refuses
to eat at all. What should the nurse plan to do to the nurse, “How does this treatment works?”
to meet the client's nutritional needs? The nurse responds by telling the client that:

A. “This type of treatment helps you

a. Force foods and fluids. examine how your thoughts and feelings
b. Restrict social activities until food intake contribute to your difficulties”
is increased.
B. “This type of treatment helps you
c. Promptly provide snacks and meals
when the client requests them. examine how your past life has contributed to
d. Provide small, frequent meals that your problems.”
include the client's food preferences. C. “This type of treatment helps you to
76. A physician has prescribed medication confront your fears by exposing you to
therapy to a client with alcohol abuse problem the feared object abruptly.
to assist in maintenance of sobriety. The nurse
reviews that the client had use which of the D. “This type of treatment will help you
following medication have been prescribed. relax and develop new coping skills.”

a. Chlordiazepoxide hydrocholoride 79. The nurse is planning activities for a

(Librium) client who has bipolar disorder with aggressive
b. Clonidine (Catapres) social behavior. Which of the following would
c. Disulfiram (antabuse) be most appropriate activities for this client?
d. Pyridoxine hydrochloride (vit. B6)
a. Ping pong

b. Basketball
77. A patient with a diagnosis of major
c. Chess
depression who has attempted suicide says to
the nurse, "I should have died! I've always been d. Writing
a failure. Nothing ever goes right for me."
Which response demonstrates therapeutic 80. The one factor that is most important in
communication? evaluating the risk of suicide in a depressed
client is the?
A "You have everything to live for."
a. Presence of multiple personal
B "Why do you see yourself as a problems
failure?"
c. Impending anniversary of the lost of a
C "Feeling like this is all part of being loved one
depressed."
81. Lithium carbonate is the drug of choice
D. "You've been feeling like a failure for for?
a while?"
Manic episode/ bipolar disorder
78. A client with major depression
is considering cognitive therapy. The client say
 82. All of the following are
manifestations of pseudoparkinsonism, EXCEPT:

a. Mask-like face

b. Pill rolling tremors

c. Festinating gait

d. Mania

83. NMS cardinal sign

a. Hyperthermia

84. Parnate is an antidepressant

classified as:

MAOIs

85. Any nurse who administers

antipsychotic medication must be alert for early
signs and symptoms of:

a. Neuroleptic Malignant Syndrome

b. Pseudoparkinsonism

c. Sedation

d. Blurred vision