NCM 117 Lec-Prelim
NCM 117 Lec-Prelim
Correct
Question text
During the period of enlightenment, a social reformer who believed that the society was obligated to
those who were mentally ill and promoted adequate shelter, nutritious food, and warm clothing, paved
the way to a more moral treatment of the mentally ill, by the name of:
a.
Eugene Bleuler
b.
c.
Leonardo da Vinci
d.
Aristotle
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Question 2
Incorrect
Question text
While doing her interaction with the client, the nurse practices active listening and focuses on the clients
energies. The nurse also clarifies preconceptions and expectations of the nurse to the client. On what
phase of the nurse-client relationship are they in?
a.
Exploitation
b.
Termination
c.
Identification
d.
Orientation
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Question 3
Incorrect
Question text
The client begins to pace and clench his fist. What should the nurse do in this instance?
a.
b.
c.
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Question 4
Correct
Question text
SITUATION: Mr. Bean, a 3rd year student of University of Cebu was assigned in the male ward of the
Center for Behavioral Sciences in VSMMC. He encountered patients with different diagnoses. Some were
hesitant to interact to the people around and some were also aggressive and energetic. Mr. Bean then
reviewed what he had learned in his Psychiatric Nursing class. Mr. Bean recalls that this is defined as not
merely the absence of mental disorder, rather it originates in a persons biology and then is
demonstrated in the type, quantity, quality of the individuals perception, thoughts, emotions and
behaviors.
a.
Mental Health
b.
Mental Illness
c.
Psychiatric Nursing
d.
Mental Challenge
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Correct
Question text
SITUATION: Ms. Howard is a 19-year old nursing student of Concord University who is about to have her
clinical experience in the Psychiatric ward of a local hospital. She is part of a group of students who were
given the opportunity to care for the mentally-ill patients. Before the said exposure, she must take into
consideration the different principles related to therapeutic communication and the therapeutic nurse-
client relationship. The theorist who defined nursing as a significant , therapeutic, interpersonal process
is:
a.
b.
Dorothea Orem
c.
Betty Neuman
d.
Hildegard Peplau
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Question 6
Correct
Question text
Sad to say, a stigma has been associated to Mental illness. As nurses, one of our role as client advocates
is to reduce that stigma. Which statement most clearly shows stigma with respect to mental illness?
a.
The main reason for mental illness is that mothers are working instead of staying home with their
children
b.
People with mental illness are too weak to overcome their emotions
c.
Biological, personal, environmental and sociocultural factors influence the development of Mental
Illness
d.
If people with mental illness would use some self-discipline, they would not have so many problems
e.
Many mental illnesses are not genetically transmitted. People can never change their genes
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The correct answer is: Biological, personal, environmental and sociocultural factors influence the
development of Mental Illness
Question 7
Incorrect
Question text
Self- awareness is the first step a psychiatric health nurse must undergo before moving into the
psychiatric setting. This is very important so as beliefs, values and perceptions will be clearly examined
and therefore will not affect the nurses interaction with the client. Which of the following statements
reflects Self-Awareness:
a.
b.
c.
A.J., you can stay up later than the other clients tonight
d.
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The correct answer is: I do not like the client in room 10 who is a very disturbing alcoholic
Question 8
Correct
Question text
Throughout the assessment, Mr. Casey displays disorganized thinking, jumping from one idea to another
with no clear relationship between the thoughts. The nurse would document the client as having which
of the following?
a.
Loose associations
b.
Concrete thoughts
c.
Word salad
d.
Ideas of reference
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Question 9
Correct
Question text
Which of the following questions is best to ask when assessing the clients judgment and decision
making?
a.
b.
c.
If you found yourself downtown without money or a car, how would you get home
d.
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The correct answer is: If you found yourself downtown without money or a car, how would you get
home
Question 10
Correct
Question text
Hildegard Peplau is best known for her writing about which of the following?
a.
Psychopharmacology
b.
Humane treatment
c.
Community-based care
d.
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Question 11
Correct
Question text
When Mr. Casey was admitted to the psychiatric unit and states, I am president of the largest
corporation in the world. Everyone comes to me for advice. The client is exhibiting which of the
following?
a.
Grandiosity
b.
Delirium
c.
Loose associations
d.
Confabulation
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Question 12
Incorrect
Question text
During the morning mental health meeting, the social worker criticizes Mr. Bean because the client
complained of receiving his medication late. The most effective way for Mr. Bean to deal with this
situation is to:
a.
b.
c.
tell the social worker she is out of line
d.
Feedback
The correct answer is: leave the meeting and look at the medication chart
Question 13
Incorrect
Question text
A student nurse is assigned to care for a client whose sexual orientation differs from her own. She needs
to seek clinical supervision if she attempted to:
a.
b.
c.
d.
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Question 14
Correct
1.00 points out of 1.00
Question text
During the admission assessment, the nurse asks Mr. Casey, How are you feeling? The client responds, I
feel, I kneel, do you steal? The nurse recognizes this response as which of the following?
a.
Neologisms
b.
Flight of ideas
c.
Echolalia
d.
Clang association
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Question 15
Correct
Question text
One evening, Mr. Casey leaves his room and begins marching in the hall. When approached by the
nurse, the client says, God says Im supposed to guard the area. Which of the following responses would
be best?
a.
You are just imagining these things. Do not pay any attention to the voices.
b.
I understand you hear a voice. You and I are the only ones in the hall, and I dont hear a voice.
c.
This guarding responsibility can make you tired. You rest for now, and Ill guard I your behalf for a while.
d.
The voices are part of your illness and they will leave in time.
Feedback
The correct answer is: I understand you hear a voice. You and I are the only ones in the hall, and I dont
hear a voice.
Question 16
Correct
Question text
a.
b.
Interpreting proverbs
c.
d.
Discussing hypothetical situations for problem solving and decision making
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The correct answer is: Discussing hypothetical situations for problem solving and decision making
Question 17
Correct
Question text
A nurse assesses a newly admitted client. Select the example of offering self.
a.
I hope you will feel better after we get your medication doses stabilized
b.
Tell me why you felt you had to be hospitalized for treatment of your depression
c.
I have had stressful experiences in life also. Hospitalization is not the end of the world
d.
I would like to spend some time helping you get comfortable talking to me
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The correct answer is: I would like to spend some time helping you get comfortable talking to me
Question 18
Incorrect
Question text
In initiating the therapeutic nurse-client relationship, Mr. Bean considers that building trust is important
in:
a.
b.
c.
d.
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Question 19
Correct
Question text
SITUATION: Mr. Casey is a 35-year old patient who was admitted due to behavioral changes secondary
to Schizophrenia. He has a history of aggressive behavior precipitated by delusion that somebody is
trying to harm him. The nurse observes Mr. Caseys pacing in the hallway, muttering to himself and
avoiding close contact with anyone. The nurse caring for Mr. Casey must take into consideration the
different principles of Therapeutic Communication, Clients Response to Illness, Legal and Ethical Issues
and the different Considerations in the care of patient with Schizophrenia. If Mr. Casey states, Im here to
get help but has a rigid posture, clenched fists and an agitated facial expression. This communication will
be documented as:
a.
Congruent
b.
Abstract
c.
Incongruent
d.
Covert
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Question 20
Incorrect
Question text
a.
Mr. Jones, there is no reason to feel upset because your family loves you
b.
Mr. Jones, it sounds like you are depressed because of your recent job loss
c.
Mr. Jones, you must be feeling pretty low because you are so quiet
d.
Mr. Jones, I find it difficult to believe that losing your job makes you depressed
Feedback
The correct answer is: Mr. Jones, you must be feeling pretty low because you are so quiet
Question 21
Correct
Question text
A childs parents enter the nurses station yelling, What is wrong with you people? My daughter cut
herself and you allowed it to happen. I thought my child would be safe here. Select the assertive
response for the nurse.
a.
I cant hear you if youre screaming. Lets sit down and talk about it
b.
c.
d.
Feedback
The correct answer is: I cant hear you if youre screaming. Lets sit down and talk about it
Question 22
Correct
Question text
A significant change in the treatment of persons with mental illness occurred in the 1950s when:
a.
b.
c.
d.
Feedback
The correct answer is: Psychotropic drugs became available for use
Question 23
Correct
Question text
From among these client outcomes, which outcome should Mr. Bean first direct his interventions to a
client who has depression? The client will:
a.
b.
contract with the team to report the incidence of suicidal thoughts within 24 hours.
d.
Feedback
The correct answer is: contract with the team to report the incidence of suicidal thoughts within 24
hours.
Question 24
Correct
Question text
To distinguish the different roles of the interdisciplinary team, this situation was given to Mr. Bean by his
clinical instructor: The parent of a 10-year-old who has been taking Ritalin had consumed stocks of the
medication and asks the nurse to give her a prescription. Select the nurses best action.
a.
Call the doctor before deciding to give the parent a new prescription.
b.
Explain that the psychologist will have to assess the child before giving a prescription.
c.
Conduct a comprehensive assessment and evaluation and then inform the parent the child no longer
needs to take the medication.
d.
Feedback
The correct answer is: Explain that the psychologist will have to assess the child before giving a
prescription.
Question 25
Correct
Question text
The patient states to the nurse I cannot stand myself and the way I look. Which of the following
responses is NOT therapeutic?
a.
b.
c.
d.
Feedback
The correct answer is: All the patients here feel the same as you do.
Question 26
Correct
Question text
Client: I had an accident. Nurse: Tell me about your accident. This exemplifies which of the following
therapeutic communication techniques?
a.
Making observation
b.
general lead
c.
assessing relationships
d.
offering self
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Question 27
Correct
Question text
During the working phase of a therapeutic relationship, which of the following actions by the nurse
would best help the client to explore problems?
a.
b.
c.
Referring the client to a self-help group
d.
Feedback
The correct answer is: Encouraging the client to clarify feelings and behavior
Question 28
Correct
Question text
A common concern of nurses taking care of psychiatric patients is the fear of:
a.
b.
Catching illness
c.
d.
Short temperedness
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Question 29
Correct
Question text
In the space of 5 minutes, the Mr. Casey has been laughing and euphoric, then angry, then crying for no
reason that is apparent to the nurse. This behavior would be best described as:
a.
Labile mood
b.
Flight of ideas
c.
Lack of insight
d.
Tangential thinking
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Question 30
Incorrect
Question text
SITUATION: Mr. Bean, a 3rd year student of University of Cebu was assigned in the male ward of the
Center for Behavioral Sciences in VSMMC. He encountered patients with different diagnoses. Some were
hesitant to interact to the people around and some were also aggressive and energetic. Mr. Bean then
reviewed what he had learned in his Psychiatric Nursing class. Mr. Bean designs an hour-by-hour plan
for working with clients for the day. Select the best analysis of Mr. Beans action:
a.
His plan is likely to result in feelings of frustration
b.
c.
d.
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Question 31
Correct
Question text
The patient told the student nurse Im here on a secret mission for the government. Dont blow my cover.
Which response by the student nurse would be most therapeutic?
a.
It sounds like you have some concerns about your privacy. You are safe here
b.
You have lost touch with reality, which is a symptom of your illness
c.
Lets talk about something other than your mission for the government
d.
Feedback
The correct answer is: Your admission papers do not list you as a government employee
Question 32
Correct
Question text
a.
Orientation
b.
Motivation
c.
Thinking
d.
Memory
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Question 33
Incorrect
Question text
The client says to the nurse, I feel really close to you. You are the only true friend I have. The most
therapeutic response the nurse can make is:
a.
Since ours is a professional relationship, lets explore other opportunities in your life for friendship
b.
I am sure there are other people in your life who are your friends; besides, we just met
c.
d.
It makes me feel good that you trust me so much; it is important for the work we are doing together
Feedback
The correct answer is: Since ours is a professional relationship, lets explore other opportunities in your
life for friendship
Question 34
Correct
Question text
A young adult was informed of a positive laboratory test for HIV. The client tells the nurse, Well, I know
what I need to do now. What is the nurses next action?
a.
b.
d.
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Question 35
Correct
Question text
When Mr. Bean was trying to determine which patient he should attend to first, he applies the principles
of prioritization. Mr. Bean would most likely prioritize::
a.
b.
A newly admitted client diagnosed with major depression whose assessment is incomplete.
c.
A client who recently became unemployed and has a 10 year history of daily alcohol use.
d.
Feedback
The correct answer is: A newly admitted client diagnosed with major depression whose assessment is
incomplete.
Question 36
Correct
Question text
a.
b.
c.
d.
Feedback
The correct answer is: promote trust by reducing tension and frustration
Question 37
Correct
Question text
At shift change report, a group of nurses discuss a client who covers his head with underwear. Select the
appropriate use of Humor in this situation.
a.
Let us all show acceptance of this client by wearing underwear on our heads too
b.
Well, this is a psychiatric hospital, and that is craziness for you. That is what we are all about
c.
Another challenge for us! Does anybody have ideas of how to manage this behavior
d.
Feedback
The correct answer is: Humor is not appropriate for this situation.
Question 38
Incorrect
Question text
In caring for psychiatric patients in the ward, Mr. Bean takes note that which of the statement below is
BEST attributed to psychiatric nursing care?
a.
b.
c.
Therapeutic regimen is the same for patients with similar diagnoses
d.
It is a unique science
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Question 39
Correct
Question text
Good afternoon. Mr. Hollick. My name is John Toth and a I am a student nurse of University of Cebu
College of Nursing Banilad campus. I will be your nurse today from 3 to 10:30 p.m. This statement is
made for the purpose of:
a.
b.
c.
d.
Offering both first and last name so the client can choose a comfortable way to address the nurse.
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Question 40
Correct
Question text
SITUATION: A group of nursing students were tasked to review on the history on mental health nursing
as part of their preparation prior to being assigned in the different affiliated psychiatric facilities. The
creation of asylums during the 1800s was meant to:
a.
b.
c.
d.
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Question 41
Correct
Question text
Mr. Casey is reluctant to take his prescribed oral medication. The most therapeutic response by the
nurse to this refusal is:
a.
What is it about the medicine you dont like
b.
c.
I can see that you're uncomfortable now, so we can wait until tomorrow.
d.
You know you have to take this medicine for your own good.
Feedback
The correct answer is: What is it about the medicine you dont like
Question 42
Incorrect
Question text
The nurse asks Mr. Casey, What is similar about a cow and a horse? and What do a bus and an airplane
have in common? These questions would best assess which of the following areas?
a.
Memory
b.
Insight
c.
Intellectual function
d.
Judgment
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Question 43
Correct
Question text
As Sunshine performs her function as a psychiatric nurse, she recognizes that this nursing activity
touches the patients heart more profoundly:
a.
b.
c.
d.
Providing music
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Question 44
Incorrect
As a client with mental illness is discharged from a facility, Mr. Bean invites the client to a birthday party
for a staff psychologist. Select the correct analysis of this scenario:
a.
b.
The nurses action helps the client to transition into community living.
c.
d.
Feedback
The correct answer is: The nurses action helps the client to transition into community living.
Question 45
Incorrect
Question text
Each day presents a unique set of challenges when working with clients who have mental disorders. The
following are principles that will facilitate the nurse-client relationship, the clients well-being, and the
nurses action.
a.
b.
inform clients of the rationale for not keeping promises
c.
d.
foster independence
e.
make observations
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Question 46
Correct
Question text
During the psychotherapy, the nurse was seated with crossed legs and arms folded across the chest. For
Mr. Casey, this gesture may mean:
a.
b.
Openness
c.
Unacceptance
d.
Non-threatening
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Question 47
Correct
Question text
When assuming the role of a student nurse in the psychiatric-mental health setting, which behavior
would be LEAST effective in helping to achieve personal and professional growth?
a.
b.
c.
d.
Feedback
The correct answer is: Completing a task for a client instead of repeatedly prompting him to finish it
Question 48
Correct
A client with a bipolar mood disorder in the manic phase had been hyperactive and sarcastic to the
nurse and other clients. This behavior has been decreasing and the client tells the nurse, My husband
and I have problems getting along sometimes. We see things differently. The response by the nurse that
would be LEAST therapeutic is:
a.
b.
c.
d.
Tell me about a specific time when you and your husband had problems
Feedback
The correct answer is: You are calmer today. What has made the difference
Question 49
Correct
Question text
Cognizant of the role of a psychiatric health nurse, Mr. Bean should embody what general attitude of
nurses toward patients in a psychiatric facility?
a.
c.
d.
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Question 50
Incorrect
Question text
In the ward, Mr. Bean is looking forward to his duty because one of his patients is a single, attractive 21-
year-old woman who came in as an outpatient. The psychodynamic term for Mr. Beans response to his
patient is best termed:
a.
Projection
b.
Empathy
c.
Transference
d.
Countertransference
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