It always seems impossible until its done. D.

Disseminates information about alcohol and its

~Nelson Mandela
effects.

Topics 3. Letty says, Give me ten (10) minutes to recall the

name of our college professor who failed many
Topics or concepts included in this exam are:
students in our anatomy class. She is operating on
her:
Attention Deficit Hyperactivity Disorder (ADHD)
Autism
A. Subconscious
Child Abuse
B. Conscious
Delirium Tremens
C. Unconscious
Dementia
D. Ego
Desensitization
Malingering 4. The superego is that part of the psyche that:
Mental Retardation
Sexual Abuse A. Uses defensive function for protection.
Sexual Disorder B. Is impulsive and without morals.
Phobia C. Determines the circumstances before making
Therapeutic Communication decisions.
Theories and theorists related to Psychiatric D. The censoring portion of the mind.
Nursing
5. Primary level of prevention is exemplified by:

1. Mental health is defined as: A. Helping the client resume self-care.

A. The ability to distinguish what is real from what is not.
B. A state of well-being where a person can realize his
own abilities can cope with normal stresses of life and
work productively.
C. Is the promotion of mental health, prevention of
mental disorders, nursing care of patients during illness
and rehabilitation
D. Absence of mental illness
B. Ensuring the safety of a suicidal client in the
institution.
C. Teaching the client stress management techniques
D. Case finding and surveillance in the community
6. Situation: In a home visit done by the nurse, she
suspects that the wife and her child are victims of
abuse. Which of the following is the most
appropriate for the nurse to ask?

2. Which of the following describes the role of a A. Are you being threatened or hurt by your partner?
technician? B. Are you frightened of you partner.
C. Is something bothering you?
A. Administers medications to a schizophrenic patient. D. What happens when you and your partner argue?
B. The nurse feeds and bathes a catatonic client
C. Coordinates diverse aspects of care rendered to the
patient
7. The wife admits that she is a victim of abuse and tests reveal negative results. The client has which
opens up about her persistent distaste for sex. This somatoform disorder?
sexual disorder is:
A. Somatization Disorder
A. Sexual desire disorder B. Hypochondriasis
B. Sexual arousal disorder C. Conversion Disorder
C. Orgasm disorder D. Somatoform Pain Disorder
D. Sexual Pain Disorder
12. Freud explains anxiety as:
8. What would be the best approach for a wife who is
still living with her abusive husband? A. Strives to gratify the needs for satisfaction and
security
A. Heres the number of a crisis center that you can call B. Conflict between id and superego
for help . C. A hypothalamic-pituitary-adrenal reaction to stress
B. Its best to leave your husband. D. A conditioned response to stressors
C. Did you discuss this with your family?
D. Why do you allow yourself to be treated this way. 13. The following are the appropriate nursing
diagnosis for the client EXCEPT:
9. Which comment about a 3-year-old child if made
by the parent may indicate child abuse? A. Ineffective individual coping
B. Alteration in comfort, pain
A. Once my child is toilet trained, I can still expect her to C. Altered role performance
have some. D. Impaired social interaction
B. When I tell my child to do something once, I dont
expect to have to tell. 14. The following statements describe somatoform

C. My child is expected to try to do things such as dress disorders:

and feed.
A. Physical symptoms are explained by organic causes
D. My three (3)-year-old loves to say NO.
B. It is a voluntary expression of psychological conflicts

10. The primary nursing intervention for a victim of C. Expression of conflicts through bodily symptoms

child abuse is: D. Management entails a specific medical treatment

A. Assess the scope of the problem 15. What would be the best response to the clients

B. Analyze the family dynamics repeated complaints of pain:

C. Ensure the safety of the victim

A. I know the feeling is real tests revealed negative
D. Teach the victim coping skills
results.

11. Situation: A 30-year-old male employee B. I think youre exaggerating things a little bit.

frequently complains of low back pain that leads to C. Try to forget this feeling and have activities to take it

frequent absences from work. Consultation and off your mind.

D. So tell me more about the pain.
16. Situation: A nurse may encounter children with
mental disorders. Her knowledge of these various
disorders is vital. When planning school
interventions for a child with a diagnosis of attention
deficit hyperactivity disorder, a guide to remember is
to:
A. Provide as much structure as possible for the child
B. Ignore the childs overactivity.
C. Encourage the child to engage in any play activity to
dissipate energy
D. Remove the child from the classroom when disruptive
behavior occurs
17. The child with conduct disorder will likely
demonstrate:
A. Easy distractibility to external stimuli.
B. Ritualistic behaviors
C. Preference for inanimate objects.
D. Serious violations of age related norms.
18. Ritalin is the drug of choice for children with
ADHD. The side effects of the following may be
noted:
A. Increased attention span and concentration
B. Increase in appetite
C. Sleepiness and lethargy
D. Bradycardia and diarrhea
19. School phobia is usually treated by:
A. Returning the child to the school immediately with
family support.
B. Calmly explaining why attendance in school is
necessary
C. Allowing the child to enter the school before the other
children
D. Allowing the parent to accompany the child in the
classroom
20. A 10 year old child has very limited vocabulary
and interaction skills. She has an I.Q. of 45. She is
diagnosed to have Mental retardation of this
classification:
A. Profound
B. Mild
C. Moderate
D. Severe
21. The nurse teaches the parents of a mentally
retarded child regarding her care. The following
guidelines may be taught except:
A. Overprotection of the child
B. Patience, routine, and repetition
C. Assisting the parents set realistic goals
D. Giving reasonable compliments
22. The parents express apprehensions on their
ability to care for their maladaptive child. The nurse
identifies what nursing diagnosis:
A. Hopelessness
B. Altered parenting role
C. Altered family process
D. Ineffective coping
23. A 5-year-old boy is diagnosed to have autistic
disorder. Which of the following manifestations may
be noted in a client with autistic disorder?
A. Aargumentativeness, disobedience, angry outburst
B. Intolerance to change, disturbed relatedness,
stereotypes
C. Distractibility, impulsiveness, and overactivity
D. Aggression, truancy, stealing, lying
24. The therapeutic approach in the care of an
autistic child includes the following EXCEPT:
A. Engage in diversionary activities when acting -out
B. Provide an atmosphere of acceptance
C. Provide safety measures
D. Rearrange the environment to activate the child
25. According to Piaget, a 5-year-old is at what stage
of development:
C. Encouraging adequate fluids and nutritious foods
D. Administering Librium as ordered
29. Another client is brought to the emergency room
by friends who state that he took something an hour
ago. He is actively hallucinating, agitated, with an
irritated nasal septum.

A. Sensorimotor stage A. Heroin

B. Concrete operations B. Cocaine
C. Pre-operational C. LSD
D. Formal operation D. Marijuana

26. Situation: The nurse assigned to the
detoxification unit attends to various patients with
substance-related disorders. A 45 years old male
revealed that he experienced a marked increase in
his intake of alcohol to achieve the desired effect
30. A client is admitted with needle tracks on his
arm, stuporous and with pin point pupil will likely be
managed with:
A. Naltrexone (Revia)

This indicates: B. Narcan (Naloxone)

C. Disulfiram (Antabuse)
A. Withdrawal D. Methadone (Dolophine)
B. Tolerance
C. Intoxication 31. Situation: An old woman was brought for

D. Psychological dependence evaluation due to the hospital for evaluation due to

27. The client admitted for alcohol detoxification
develops increased tremors,
irritability, hypertension, and fever. The nurse
should be alert for impending:
A. Delirium tremens
B. Korsakoffs syndrome
C. Esophageal varices
D. Wernickes syndrome
28. The care for the client places priority on which of
the following:
A. Monitoring his vital signs every hour
B. Providing a quiet, dim room
increasing forgetfulness and limitations in daily
function. The daughter revealed that the client used
her toothbrush to comb her hair. She is manifesting:
A. Apraxia
B. Aphasia
C. Agnosia
D. Amnesia
32. She tearfully tells the nurse I cant take it when
she accuses me of stealing her things. Which
response by the nurse will be most therapeutic?
A. Dont take it personally. Your mother does not mean
it.
B. Have you tried discussing this with your mother?
C. This must be difficult for you and your mother.
D. Next time ask your mother where her things were last
seen.
33. The primary nursing intervention in working with
a client with moderate stage dementia is ensuring
that the client:
A. Receives adequate nutrition and hydration
B. Will reminisce to decrease isolation
C. Remains in a safe and secure environment
D. Independently performs self-care
34. She says to the nurse who offers her breakfast,
Oh no, I will wait for my husband. We will eat
together The therapeutic response by the nurse is:
A. Your husband is dead. Let me serve you your
breakfast.
B. Ive told you several times that he is dead. Its time to
eat.
C. Youre going to have to wait a long time.
D. What made you say that your husband is alive?
35. Dementia, unlike delirium, is characterized by:
A. Slurred speech
B. Insidious onset
C. Clouding of consciousness
D. Sensory perceptual change
36. Situation: A 17-year-old gymnast is admitted to
the hospital due to weight loss
and dehydration secondary to starvation. Which of
the following nursing diagnoses will be given
priority for the client?
A. Altered self-image
B. Fluid volume deficit
C. Altered nutrition less than body requirements
D. Altered family process
37. What is the best intervention to teach the client
when she feels the need to starve?
A. Allow her to starve to relieve her anxiety
B. Do a short term exercise until the urge passes
C. Approach the nurse and talk out her feelings
D. Call her mother on the phone and tell her how she
feels
38. The client with anorexia nervosa is improving if:
A. She eats meals in the dining room.
B. Weight gain
C. She attends ward activities.
D. She has a more realistic self-concept.
39. The characteristic manifestation that will
differentiate bulimia nervosa from anorexia nervosa
is that bulimic individual
A. Have episodic binge eating and purging
B. Have repeated attempts to stabilize their weight
C. Have peculiar food handling patterns
D. Have threatened self-esteem
40. A nursing diagnosis for bulimia nervosa is
powerlessness related to feeling not in control of
eating habits. The goal for this problem is:
A. Patient will learn problem-solving skills
B. Patient will have decreased symptoms of anxiety.
C. Patient will perform self-care activities daily.
D. Patient will verbalize how to set limits on others.
41. In the management of bulimic patients, the
following nursing interventions will promote a
therapeutic relationship EXCEPT:
A. Establish an atmosphere of trust
B. Discuss their eating behavior.
C. Help patients identify feelings associated with binge-
purge behavior
D. Teach patient about bulimia nervosa
42. Situation: A 35-year-old male has an intense fear
of riding an elevator. He claims As if I will die
inside. This has affected his studies The client is
suffering from:
A. Agoraphobia
B. Social phobia
C. Claustrophobia
D. Xenophobia
43. Initial intervention for the client should be to:
A. Encourage to verbalize his fears as much as he
wants.
B. Assist him to find meaning to his feelings in relation to
his past.
C. Establish trust through a consistent approach.
D. Accept her fears without criticizing.
44. The nurse develops a countertransference
reaction. This is evidenced by:
A. Revealing personal information to the client
B. Focusing on the feelings of the client.
C. Confronting the client about discrepancies in verbal or
non-verbal behavior
D. The client feels angry towards the nurse who
resembles his mother.
45. Which is the desired outcome in conducting
desensitization:
A. The client verbalize his fears about the situation
B. The client will voluntarily attend group therapy in the
social hall.
C. The client will socialize with others willingly
D. The client will be able to overcome his disabling fear.
46. Which of the following should be included in the
health teachings among clients receiving Valium:
A. Avoid taking CNS depressant like alcohol.
B. There are no restrictions in activities.
C. Limit fluid intake.
D. Any beverage like coffee may be taken
47. Situation: A 20-year-old college student is
admitted to the medical ward because of sudden
onset of paralysis of both legs. Extensive
examination revealed no physical basis for the
complaint. The nurse plans intervention based on
which correct statement about conversion disorder?
A. The symptoms are conscious effort to control anxiety
B. The client will experience a high level of anxiety in
response to the paralysis.
C. The conversion symptom has symbolic meaning to
the client
D. A confrontational approach will be beneficial for the
client.
48. Nikki reveals that the boyfriend has been
pressuring her to engage in premarital sex. The
most therapeutic response by the nurse is:
A. I can refer you to a spiritual counselor if you like.
B. You shouldnt allow anyone to pressure you into sex.
C. It sounds like this problem is related to your
paralysis.
D. How do you feel about being pressured into sex by
your boyfriend?
49. Malingering is different from somatoform
disorder because the former:
A. Has evidence of an organic basis.
B. It is a deliberate effort to handle upsetting events
C. Gratification from the environment are obtained.
D. Stress is expressed through physical symptoms.
50. Unlike psychophysiologic disorder Linda may be C. Stress management techniques
best managed with: D. Psychotherapy

A. Medical regimen
B. Milieu therapy