PAMANTASAN NG CABUYAO

Banay-Banay, Cabuyao City, Laguna

BACHELOR OF SCIENCE IN NURSING

DIAGNOSTIC EXAMINATION III-A

COMMUNITY HEALTH NURSING 2 & PSYCHIATRIC NURSING
GENERAL INSTRUCTIONS:
1. This test questionnaire contains 100 test questions
2. Click only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid
your answer.
3. For laptop and pc user sharing your screen is a must while cellphone user needs to submit recording
while taking your exam.
4. Avoid late turn ins, 1.5 hours is allotted for this exam. Submit on time to avoid problems.
5. BE HONEST.

Situation: Assessment at the community-level of care is a multidisciplinary undertaking that

involves the member of the health team. The public health nurse uses data that have already
been collected and are available and or gathers primary data for community diagnosis.

1. Assessment is the first step in the nursing process. In the setting, which of the following
objectives of assessment by the public health nurse is NOT included?
A. Identify specific risk factors related to health and health problems.
B. Define the nature of the health status and health related problems
C. Identify clients who should be given priority for care.
D. Determine who should be referred to different health care facilities.

2. Conducting a community assessment leads to a community diagnosis, its products

consists of a profile of the community’s state of health. As a process, the public health
nurse actively participates in community diagnosis. The MOST common method of
data collection that is accurate and provides the biggest bulk of community data is the
________.
A. Observation
B. Community census
C. Interview
D. Records review

3. The data on health and disease can be gathered from different sources. Which of the
following sources provide a MOST accurate set of data?
A. Population health profile from school and factory clinics.
B. Births and death from city/municipality registrar.
C. Morbidity data from filed personnel.
D. Mortality cases from medical death certificates.

4. Data analysis involves qualification, description and classification of data which would
reveal community health problems. An analysis of the social, economic, environmental
and political factors that influence health is categorized as:
A. Health resources problems
 B. Health status problems
C. Health-related problems
D. Comprehensive problems

Situation: Public Health Nurse Naomi applies model and concepts in epidemiology relevant to
her nursing practice.

5. Nurse Naomi encourages that parents to have their kinds receive measles vaccination
stating that those who are susceptible may have serious consequences. She also tells
them of the benefits of the immunization. Most parents decide to have the
immunization. Which of the following models is used to guide parent’s decision?
A. Pender’s Health Promotion Model
B. Precede-Proceed Model
C. Reasoned Action Model
D. Health Belief Model

6. In this situation, Nurse Naomi notes that the agent in the epidemiolocal triad that brings
about measles is the ______.
A. Genetic susceptibility
B. School
C. climate
D. virus

7. Nurse Naomi has to be alert about the time interval between the invasion by an
infection agent and the appearance of the first sign or symptom of the disease. This is
referred to as ______.
A. Generation time
B. Incubation period
C. Communicability period
D. Virulence

8. Should an outbreak of a gastrointestinal illness resulting from a food-borne pathogen

happens, Nurse Naomi would likely to think that this is a/an:
A. attack rate
B. secular trend
C. point epidemic
D. event-related cluster

9. Which of the following denotes that resistance of an entire community to an infectious

agent as a result of the immunity of a large proportion of individuals to the agent?
A. Active immunity
B. Passive immunity
C. Natural immunity
D. Herd immunity

Situation: A public health nurse is giving orientation to three beginning nurses who are hired
by the local government unit under the Nurse Deployment Programs.
10. In the first session, the nurse presented the organization chart of the Rural Health Unit.
Which of the following aspects of organizational structure is illustrated in the chart?
1. Type of work being done
2. Extent of coordination to be done
3. Levels of management
4. Line and staff relationship
A. 2, 3, 4
B. 3 and 4
C. 1, 3, 4
D. 1 and 3

11. The PHN wants to emphasize to the new nurses it is important to observe professional
accountability which is taking responsibility for ones actions. She explains that
accountability can be done by:
1. Asking assistance from the doctor
2. Performing nursing tasks in a safe manner
3. Reporting and documenting assessment and interventions
4. Evaluating client’s response to nursing care given
5. Evaluating the care when there is complaint by the client
A. 1, 2, 3
B. 1, 3, 5
C. 2, 4, 5
D. 2, 3, 4

12. Accountability also includes a commitment to continuing education to stay current

knowledgeable. According to the Guidelines Implementing Continuing Professional
Education for Nurses (CPE), from which of the following can a nurse earn credit units?
1. Participation in seminars
2. Engagement in a research project
3. As peer reviewer
4. Innovations
A. 2 and 3 only
B. 1, 2, 3, 4
C. 1 and 2 only
D. 1, 3, 4

13. The PRIMARY purpose for requiring continuing education is to _____.

A. Qualify for work abroad
B. Improve nursing competency after registration
C. Comply with the Board of Nursing requirements
D. Ensure legal practice

14. To better address emerging public health issues, a public health nurse enrolls in a
course in:
A. Ethics
B. Research
 C. communication
D. Leadership

Situation: As a public Health nurse, you are aware that many members of the community are
poor and underserved, affected their health status.

15. In the Philippines, poverty remain a challenge the following are some facts on poverty
based on the latest (2015) statistical report. Which statement is NOT included?
A. 28 percent of the country‟s 97 million people live below the poverty line
B. Fifteen million Filipinos will rise above poverty in 2020.
C. Farmers, fishermen and children consistently posted the highest poverty incidence.
D. More than 12 million Filipinos are living in extreme poverty.

16. In identifying factors that contribution to poverty, homelessness, and poor health of a
deprived segment of a population, which of the following should you assess?
A. Mental illness and community support
B. Provision of social support and basic services
C. Mobility and age of family members
D. Neighborhood environment and sanitation

17. In another segment of the community, you realize that there are young adult members
who have poor nutritional habits. You know that these are risk factors for diabetes and
cardiovascular disease. These risk factors can affect their ______.
A. Future potential to change their dietary habits
B. Ability to obtain health services.
C. Ability to network social support systems
D. Health status and employment potential

18. You have learned that people with mental and psychosocial disabilities are a
vulnerable group. Who are restricted in their ability to access essential health and
social care. In your advocacy, you will include the following messages, EXCEPT:
A. Persons with mental and psychosocial disabilities should be confined in an
institution
B. Employment and job opportunities must be created for people with mental and
psychosocial disabilities.
C. Mental health should be included in services during and after emergencies and
disasters.
D. Mental health services should be integrated systematically into all health services
including primary level care.

Situation: In any setting of nursing practice including community health, records management
such as documentation and record keeping, is important.

19. Documentation is a critical component to the delivery of healthcare. It is a tool which

serves many purposes. Which of the following is NOT included?
A. Create a permanent record for the patient’s future care
B. Provide material for discussion
 C. Plan and evaluate a patient’s treatment
D. Ensures continuity of care

20. When recording the home visit, it is important for the public health nurse to _____.
A. Document the visit only when there are significant changes
B. Follow the agency format for recording and documentation
C. Complete the charting every Friday of the week
D. Use phrases in outline form

21. The nurse should document intelligently and clearly. There are ways to help protect
against an allegation of falsifying a medical record. These are the following:
1. Date, time, and sign every entry.
2. Make entries soon after care is given.
3. Written legibly.
4. Be thorough, accurate, and objective.
5. Use only approved abbreviations.
A. 1, 2, 3, 4, and 5
B. 1, 3, and 5
C. 2, 3 and 4
D. 2, 4, and 5

22. Public health nurses must know that all records have a lifecycle and retention
scheduling. Clinical records must be retained in the health care facility for:
A. Anytime with client’s permission
B. Ten years from last date of service
C. Two years from date of client’s last visit
D. Five years from date of client admission

Situation: George is a 15-year-old adolescent who lives with his mother father, and several
siblings. He is hospitalized in a provincial hospital after a suicide attempt.

23. When performing a family assessment, select what the nurse must first determine.
A. How the family expresses and manages emotions
B. The communication patterns between the patient and parents
C. Names and relationships among family members
D. The meaning that the patient’s suicide attempt has for family members

24. Which of the following is the BEST QUESTION for the nurse to ask to assess a family’s
ability to cope?
A. “Do you think your family copes effectively?”
B. “What do you think of the current family problem?”
C. “What strengths does your family have?”
D. “Can you describe how you successfully handled one family problem?”

25. The mother of George asks the nurse, “Why do you want to do a family assessment?
My teenager is the patient, not the rest of us.” What is the BEST response of the
nurse?
 A. “Family dysfunction might have caused the mental illness.”
B. “Every family member „s perception of events is different and adds to the total
picture.”
C. “Family members provide more accurate information than the patient.”
D. “Family assessment is a protocol for care of all patients with mental illness.”

26. Which information is the nurse MOST likely to find when assessing the family of a
patient with mental illness?
A. Power in the family is maintained in the parental dyad and rarely delegated.
B. Several family members have serious problems with their psychological health.
C. Stress that living with a mentally ill member has challenged the family’s function.
D. The family exhibits many characteristics of dysfunctional families.

27. Parents of George say, “We have never known anymore who was mentally ill. We have
no one to talk to because none of our friends understand the problems we are facing.”
Which of the following is the nurse’s MOST helpful intervention?
A. Facilitate achievement of normal developmental tasks of the family.
B. Build the parent’s self-concept as coping patterns.
C. Teach the parents techniques of therapeutic communication.
D. Refers the parents to a support group.

28. The Rural Health Nurse and the Rural Health Physician are explaining the home care
that will be needed by a patient with Tuberculosis. The patient’s spouse states angrily
that it will not be possible to provide the care recommended. What is the BEST
response by the nurse?
A. “I would like to listen to your concerns about the prescribed care.”
B. “It is important that you do. What the physician has prescribed.”
C. I can come back after you talk with your spouse about the care.”
D. “Let me review what is needed again, then I’ll talk to you later.”

Situation: Nurse Roger is assigned in a disaster- prone province in the Visayas. He is aware
that with increased frequency of disaster happening, he must respond quickly and efficiently
to assist the population affected by calamities.

29. Which of the following BEST defines a disaster?

A. Any event that results in multiple deaths.
B. Devastation that covers a broad geographic area.
C. Devastation that cannot be relieved without assistance.
D. The event results in multiple injuries, deaths, and property damage

30. Nurse Roger is guided by the ICN framework of disaster nursing competencies. This
framework consists of four areas in the continuum of disaster management that
corresponds to the four stages of disaster. What consists of the FIRST stage?
A. Response
B. Preparedness
C. Prevention
D. Recovery
31. Nurse Roger has invited several agencies in the community to a meeting to discuss the
disaster plan for the community. Which of the following BEST describes the purpose of
this meeting? To _______.
A. Enhance communication among agencies in the community
B. Increase stability in the community
C. Manage response to disasters in the community
D. Improve overall community functioning

32. Nurse Roger adapts professional nursing skills in recognizing and meeting the physical
and emotional needs resulting from a disaster. For people who are willing to talk
ensuing a disaster, which of the following in the MOST appropriate approach?
A. “I am with you. It is good you are trying to release your distress by crying. It will
make you feel better. “
B. “What you need to do now is to wait for instructions and services to be provided.”
C. “Don‟t feel bad. Others are in the same situation as yours.”
D. “You need not cry. You need to move on and build your life again.”

33. As he passed by a road going to an evacuation center, Nurse Roger encountered a

flash flood. A flash flood _______.
A. Occurs suddenly and for a short duration
B. Is caused by the blocking of drains
C. Is caused by heavy rains
D. Occurs in urban areas

Situation: Ms. Lontok, a public Health Nurse Supervisor, is a preparing a supervisory plan
for midwives under her charge. A supervisory plan is a written document on how to
organize and systematizes supervisory activities.

34. Ms. Lontok prioritizes supervisory needs and problems based on the following criteria,
EXCEPT ________.
A. convenience to both parties to address needs
B. degree of importance of the identified need
C. availability of resources needed
D. activities needed to meet the identified need

35. During the actual supervisory visit, which of the following is NOT expected of Ms.
Lontok? She ________.
A. discusses the objective of the visit
B. expresses appreciation and support given for the visit
C. conveys a formal, strict approach to the midwives
D. explains the process and outcomes of the visit

36. After setting the objectives and selecting the activities, Ms. Lontok would need to
identify the indicators for evaluation. Which one is NOT included?
A. Needs met
B. Performance increased
 C. Promotion achieved
D. Quality of service improved

Situation: As a public health nurse, Ms. Isay intends to focus on a specific population to
advocate, educate, collaborate with members from a community to improve health of the
people.

37. Nurse Isay collects data and monitors the health status of the population. Which of the
following core public functions is being implemented?
A. Assurance
B. Policy development
C. Assessment
D. Prevention

38. Nurse Isay included in her data collection the number and proportion of persons aged
25 or older with less than a high school education. Which of the following BEST
describes this data?
A. Health status data
B. Health care resource information
C. Health risk factors
D. Sociodemographic data

39. Working in the community with an aggregate/population, who does Ms. Isay MOST
likely to interact with?
A. Students in a local high school
B. Patients at the local hospital
C. Residents who play basketball
D. Christians in the community

40. Ms. Isay has a clear understanding of population focused practice. Which of the
following characteristics would she MOST likely display?
A. Improving the effectiveness of care provided
B. Sponsoring a fund-raising project
C. Volunteering for a community action
D. Providing health interventions for individuals

41. Ms. Isay is working to improve population-focused care in the community. Which of the
following BEST described a key opportunity for nurses like her to accomplish this goal?
A. Assuming traditional nursing roles
B. Conducting community assessments
C. Specializing in community health practice
D. Influencing public health policy

42. What is the appropriate approach for the community/public health nurse in balancing
individual privacy and community’s needs for safety and security?
A. Fulfill agency policies first.
B. Implement professional standards of nursing practice.
 C. Remember the group needs outrank individual needs.
D. Seek a balance between individuals need and the community’s needs.

43. Regarding informed consent, which of the following statements is TRUE?

A. Client may not be told about costs and alternatives to treatment.
B. Consent must be voluntary.
C. Only parents themselves should give consent for minor children.
D. Legally incompetent adults can give consent.

44. The client has a living will in which he states he does not want to be kept alive by
artificial means even at home. The client’s family wants to disregard the client’s wishes
and have him maintained on artificial life support. The most appropriate initial course of
action for the nurse would be to:
A. Allow the family to ventilate their feelings and concerns, while maintaining the role
of client advocate.
B. Tell the family that they have no legal rights.
C. Report the situation to the hospital’s Ethics Committee.
D. Advise the family that they have the right to ignore the living will as the patient
cannot speak.

45. During a routine visit, the nurse noted that Perlita, 20-year old wife and mother, has
several bruises at various stages of healing. She tells the nurse that she fell. Failure to
report your findings is an example of ____________.
A. malpractice
B. reasonable prudence
C. maleficence
D. negligence

46. Which of the following examples would indicate observance of client confidentiality?
A. Reading a friend’s chart in another health care facility.
B. Describing a difficulty with a client in a health team conference.
C. Using a client’s name in a social conversation
D. Talking about the client’s symptoms in front of family members.

Situation: Non-Communicable Diseases (NCDs) remain to be the major health challenges in

the Philippines and globally. The specific population group that are mostly afflicted by these
chronic conditions, such as diabetes and cardiovascular diseases, are those aged 60 and
above.

47. When caring for a patient with type 2 diabetes who has been discharged, which topic
will be MOST important to include in your health teaching?
A. Impact of the patient’s family history on likelihood of developing diabetes.
B. Symptoms indicating that the patient should contact the health care provider.
C. Effect of endogenous insulin on transportation of glucose into cells
D. Function of the liver in formation of glycogen and gluconeogenesis
 48. To obtain the MOST complete information when doing an assessment for a 75-year-old
patient, you will _________.
A. ask the patient to write down medical problems and medications
B. use a geriatric assessment instrument to evaluate the patient.
C. interview both the patient and the primary patient caregiver
D. review the patient’s chart for the history of medical problems

49. Which information about a 77-year-old patient who is being assessed by the public
health nurse us of UTMOST concern? The patient __________.
A. says, “I don’t goes on my daily walks since I had pneumonia two months ago.”
B. tells the nurse, “I prefer to manage my life without much help from others.”
C. uses three different medications for chronic heart and joint problems.
D. organizes medications in a marked pillbox “so I don’t forget them.”

50. When caring for an older adult who lives in a rural area, you will ____________.
A. ensure transportation to appointments with the health care provider.
B. Assess the patient for chronic diseases that are unique to rural areas.
C. obtain adequate medications for the patient to last for 4 to 6 months.
D. suggest that the patient move to an urban area for better health care

Situation: You are a staff nurse in a Rehabilitation Center for Substance Abuse.

51. You admitted an intoxicated patient for alcohol withdrawal. Which of the following
interventions should you implement to help the client become sober?
A. have the patient take a cold shower
B. walk the patient around the unit
C. Provide the patient a quiet room to sleep in
D. Give patient a black coffee to drink

52. While obtaining the history of a patient with several cases of driving under the influence
of alcohol, you asked about the amount of alcohol the patient consumes daily. He
answered, “I just have a few drinks with the guys after work”. Which of the following
would be your MOST therapeutic response?
A. “That’s all the patients here say at first”.
B. “You say you have a few drinks, but you have a multiple arrests”.
C. “I think you cannot handle a few drinks”.
D. “Then you should have somebody driving for you”.

53. Which of the following assessment data provides the best information on the patient’s
physiologic response and the effectiveness of the medication prescribed for alcohol
withdrawal?
A. Sleep pattern
B. Evidence of tremors
C. Vital signs
D. Nutritional status
 54. One of your patients is manifesting signs and symptoms of alcohol withdrawal such as:
tremors, diaphoresis, and hyperactivity. Blood pressure is 190/92 mm.Hg and pulse
rate of 92 beats/min. which of the following medications should you expect to be
ordered for this patient?
A. Lorazepam (Ativan)
B. Haloperidol (Haldol)
C. Naloxone (Narcan)
D. Benztropin(Cogentin)

55. A patient discharged from an alcohol rehabilitation program was on Clonazepam

(Klonopin) 0.5 mg. three times a day. Several months later he reported having
insomnia, shakiness, sweating, and one seizure. Which of the following questions
should you ask FIRST? Ask if he _____________.
A. has stopped taking the Klonopin suddenly
B. has been drinking alcohol with the Klonopin
C. has developed tolerance to the Klonopin and needs to increase the dose.
D. is having a panic attack and needs to take extra Klonopin.

Situation: Nurse Fatima who is on-duty in a psychiatric unit is assigned to care for patients at-
risk for suicide.

56. Nurse Fatima should pursue assessment of suicide risk for individuals who display
tendencies to be _____________.
A. Compulsive, obsessive, or weak
B. risk-taking, aggressive, or controlling
C. hostile, impulsive, or depressed
D. blaming, abusive, or confused

57. On admission, the nursing diagnosis for Gringo, who is depressed and suicidal is, “Risk
for suicide.” An appropriate outcome for this diagnosis at discharge from the hospital is,
“The patient will _____________.
A. not harm self while hospitalized
B. be able to problem-solve effectively
C. increase feelings of self-worth
D. develop a trusting relationship with the nursing staff.

58. Which of the following statements would BEST represent Nurse Fatima’s attempt to
assess a patient’s current ability to organize and enact a suicide wish?
A. “What is your educational background?”
B. “What plan do you have for committing suicide?”
C. “Have you ever thought about hurting yourself?”
D. “Are your self-destructive thoughts frequent?”

59. A male suicidal patient is found by Nurse Fatima as he tries to hang himself in the
bathroom. What nursing intervention would address the patient’s need for safety while
maintaining his self-esteem?
A. Advise him to use the bathroom only with staff supervision.
 B. Tell him that the police is coming to rescue him.
C. Place him in the seclusion room with 15-minute checks.
D. Assign a nursing staff to remain with him all times.

60. In evaluating the effectiveness of the care provided for a self-destructive patient, the
BEST approach is to __________.
A. modify the plan as little as possible to avoid confusing the patient.
B. make sure the staff has followed the original care plan.
C. involve the patient in the process of evaluation.
D. identify maladaptive coping behaviors.

Situation: The nurse’s work environment plays a vital role in her ability to provide quality
patient care. Inadequate resources in health care and unhealthy conditions in the workplace
result to nurse’s work stress.

61. Burnout is a phenomenon that is BEST characterized by _____________.

A. emotional exhaustion: depersonalization: and reduced personal accomplishment
B. growing dissatisfaction among nurses due to changing career expectations.
C. increased absenteeism and fast turnover of nurses due to toxic work
environment.
D. conflict between demands of work and family.

62. A common response to unhealthy work environment is physical tension. This can be
overcome by progressive muscle relaxation which basically involves __________.
A. focusing on an image to relax
B. active physical exercise like aerobics
C. releasing muscles from tension.
D. listening to a relaxation audio program.

63. Bio-behavioral interventions are being used increasingly by both nurses and patients in
stress management. The following are examples of such intervention except
___________.
A. progressive muscle relaxation
B. pharmacotherapy
C. guided imagery
D. mindful meditation

64. Ace, a young overweight nurse, is making five to ten sticks of cigarettes a day. He
claimed that he learned to smoke to relieve his stress caused by toxic assignments in
the ward. Along with the smoking he became a stress-eater. He decided to undergo a
lifestyle modification which begins with ____________.
A. eating the right kind of foods
B. a recognition of the impact of unhealthy habits
C. doing a regular daily exercise.
D. a constructive and positive attitude in life.
 65. Ace is a well-informed nurse on the smoking cessation program of the Department of
Health. As a next step to his decision to stop smoking, Ace needs ___________.
A. commitment
B. motivation
C. information
D. skills to implement change

Situation: In the Psychiatric ward nurses are discussing the other factors that caused of
Alzheimer’s disease (AD). And they all agree that it is a degenerative disease of the brain
caused by gradual death and loss of brain cells resulting to progressive and irreversible
Dementia.

66. Which of the following nursing intervention is most helpful in meeting the needs of an
older adult hospitalized with the diagnosis of Dementia of the Alzheimer’s type?
A. providing a nutritious diet high in carbohydrates and protein
B. simplifying the environment as much as possible while eliminating the need for
choices
C. developing a consistent nursing plan with fixed time schedules to provide for
emotional needs
D. providing an opportunity for many alternative choices in the daily schedule to
stimulate interest

67. The nurse recognizes that Dementia of the Alzheimer’s type is characterized by:
A. aggressive acting-out behavior
B. periodic remissions and exacerbations
C. hypoxia of selected areas of brain tissue
D. areas of brain destruction called senile plaques

68. A 75-year-old man with the diagnosis of Dementia has been cared for by his wife for 5
years. For the past 2 years he has not spoken and incontinent of urine and feces.
During the last month he has changed from being placid and easygoing to agitated and
aggressive. He is admitted to a Psychiatric hospital for treatment with
Psychopharmacology. Which is the priority nursing care while this client is in the
psychiatric facility?
A. managing his behavior
B. preventing further deterioration
C. focusing on the needs of the wife
D. establishing on the needs of the wife

69. When attempting to understand the behavior of an older adult diagnosed with Vascular
Dementia, the nurse recognizes that the client is probably:
A. not capable of using any defense mechanisms
B. using one method of defense for every situation
C. making exaggerated use of old, familiar mechanism
D. attempting to develop new defense mechanism to meet the current situation.
 70. The Nurse develops a nursing diagnosis of self-care deficit for an older client with
Dementia. Which of the following is the most appropriate goal for this client?
A. The client will be admitted to a long care facility to have activities of daily living
needs met
B. The client will function at the highest level of independence possible
C. The client will complete all activities of daily living independently within one (1)
hour time frame
D. The Nursing staff will attend to all the client’s activities of daily living needs
during the hospitalization

Situation: Sonia is a 28-year-old graduate school student in a leading private university. She
came in a psychiatric unit due to sleeplessness but claiming she is still overactive. She
revealed she has a history of depression when she was 18 years old and was into drugs.
Further evaluation revealed Sonia is suffering from a bipolar disorder, rapid cycling mood
disorder classification.

71. Which of the following characterizes Rapid Cycling Mood disorder?

A. Exaggeratedly energetic behavior
B. Depressive episodes alternating with at least one manic episode
C. Hypomanic episodes alternating with depressive episode of two years duration
D. Two or more mood episodes of two years duration

72. In your interview with Sonia, she said "I have special power that's why I was sent by
God to make this world a better place." This is a manifestation of:
A. Paranoia
B. Delusion of grandeur
C. Delusion of persecution
D. Denial

73. You heard of Sonia telling another nurse, - there are people who wants to harm me
because I have special power." This is a manifestation of what behavior?
A. Mania
B. Hallucination
C. Delusion of grandeur
D. Delusion of persecution

74. Which of the following is the first line treatment for acute mania?
A. Imipramine
B. Sodium valproate
C. Electro-convulsive therapy
D. Lithium carbonate

75. Which of the following statements best describes severe depression?

A. Anxiety and panic attack are characteristics of other condition
B. Sonia wakes up early
C. Sonia's depression is less in the morning but worsens toward the end of the day
D. Delusion and hallucinations do not occur
Situation: You are a staff nurse in the psychiatric unit of the hospital. One of the most
common conditions you care for are patients with anxiety. The following questions relate to
this statement.

76. Distorted perceptions, loss of rational thinking, and failure to perceive potential harm to
characteristics of which level of anxiety?
A. Severe
B. Panic
C. Mild
D. Moderate

77. The patient with obsessive-compulsive disorder attempts to control anxiety through
ritualistic behaviors. Which of the following nursing interventions will increase the
patient’s sense of security?
A. Distract the patient from rituals with other activities
B. Stop the client from doing the rituals
C. Encourage the patient to talk about the purpose of the rituals
D. Allow the patient to perform the rituals

78. You are teaching a patient with generalized anxiety about foods. What would you
instruct the patient as to what food to avoid?
A. High-fat foods
B. Caffeine
C. Sodium
D. Refined sugars

79. A patient with panic disorder is learning to counter negative thoughts of “I’m going to
die” with “This only anxiety and it will pass”. The patient is using which of the following
THERAPEUTIC APPROACHES?
A. Cognitive restructuring
B. Behavior modification
C. Systematic desensitization
D. Conscious relaxation

80. You have a patient having a panic attack. Your MOST APPROPRIATE action is to
______.
A. stay with the patient while allowing an adequate personal space
B. to explain in detail what is happening to promote the patient’s understanding
C. place the patient in an area with other people who can offer support
D. reassure the patient that the situation is not as bad as he thinks it is

Situation: You are a staff nurse in the psychiatric unit of the hospital taking care of patients
with various psychiatric disorders. The following questions relate to this statement.
81. Few minutes past midnight, a patient with mania approached you in the nurse’s station.
He demands that his psychiatrist come to the unit now and write an order for a pass to
go home. Your MOST THERAPEUTIC response is ________.
A. “I can’t call your psychiatrist now, but you can talk to me about your request for
a pass”
B. “You must really be upset to want a pass immediately. I will give you a PRN
medication.”
C. “Go to the recreation room while I call your psychiatrist”
D. “Don’t be unreasonable. I can’t call your psychiatrist at this time of the night.”

82. You are concerned about the lack of food and fluid intake of one of your patients with
mania. What foods should you select, that would BEST meet the patient’s nutritional
needs?
A. Peanut butter, sandwich, and milk
B. Carrots, celery, raisins, apple
C. Beef and non-diet soda
D. Steak and baked potato

83. You observed a patient with mania taking food from other patient’s food tray during
lunch time. Your nursing intervention should be based on what rationale?
A. The patient’s behavior is not an important threat to anyone’s physical safety
B. The patient needs food and fluids in any way as possible
C. As soon as lunch is over, the patient will calm down
D. Other patients need to be protected from the intrusive behavior of other patients.

84. Which of the following activities would you select to provide distraction for a patient
with manic behavior?
A. Reading a book
B. Going for a walk
C. Plating checkers
D. Ceramics and whittling

85. Which of the following would include therapeutic activities for the patient with mania?
A. Bingo and knitting
B. Playing Cards and checkers
C. Drawing and folding towels
D. Ceramics and whittling

86. Nurse Hazel is caring for a male client who experience false sensory perceptions with
no basis in reality. This perception is known as:
A. Hallucinations
B. Delusions
C. Loose associations
D. Neologisms

87. Nurse Maureen is developing a plan of care for a female client with anorexia nervosa.
Which action should the nurse include in the plan?
A. Provide privacy during meals
 B. Set-up a strict eating plan for the client
C. Encourage client to exercise to reduce anxiety
D. Restrict visits with the family

88. A 20-year-old client was diagnosed with dependent personality disorder. Which
behavior is not most likely to be evidence of ineffective individual coping?
A. Recurrent self-destructive behavior
B. Avoiding relationship
C. Showing interest in solitary activities
D. Inability to make choices and decision without advice

89. A male client is diagnosed with schizotypal personality disorder. Which signs would this
client exhibit during social situation?
A. Paranoid thoughts
B. Emotional affect
C. Independence needs
D. Aggressive behavior

90. Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial
goal for a client diagnosed with bulimia is.
A. Encourage to avoid foods
B. Identify anxiety causing situations
C. Eat only three meals a day
D. Avoid shopping plenty of groceries

91. Nurse Tony was caring for a 41-year-old female client. Which behavior by the client
indicates adult cognitive development?
A. Generates new levels of awareness
B. Assumes responsibility for her actions
C. Has maximum ability to solve problems and learn new skills
D. Her perception is based on reality

92. A 39-year-old mother with obsessive-compulsive disorder has become immobilized by

her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis
of O.C. disorder is often:
A. Problems with being too conscientious
B. Problems with anger and remorse
C. Feelings of guilt and inadequacy
D. Feeling of unworthiness and hopelessness

93. Coney with borderline personality disorder who is to be discharge soon threatens to
“do something” to herself if discharged. Which of the following actions by the nurse
would be most important?
A. Ask a family member to stay with the client at home temporarily
B. Discuss the meaning of the client’s statement with her
C. Request an immediate extension for the client
D. Ignore the client’s statement because it’s a sign of manipulation

94. Joey a client with antisocial personality disorder belches loudly. A staff member asks
Joey, “Do you know why people find you repulsive?” this statement most likely would
elicit which of the following client reaction?
 A. Defensiveness
B. Embarrassment
C. Shame
D. Remorsefulness

95. Which of the following approaches would be most appropriate to use with a client
suffering from narcissistic personality disorder when discrepancies exist between what
the client states and what actually exist?
A. Rationalization
B. Supportive confrontation
C. Limit setting
D. Consistency

96. Nurse Perry is aware that language development in autistic child resembles:
A. Scanning speech
A. Speech lag
B. Shuttering
C. Echolalia

97. A 60-year-old female client who lives alone tells the nurse at the community health
center “I really don’t need anyone to talk to”. The TV is my best friend. The nurse
recognizes that the client is using the defense mechanism known as.
A. Displacement
B. Projection
C. Sublimation
D. Denial

98. When working with a male client suffering phobia about black cats, Nurse Trish should
anticipate that a problem for this client would be?
A. Anxiety when discussing phobia
B. Anger toward the feared object
C. Denying that the phobia exist
D. Distortion of reality when completing daily routines

99. Nurse Penny is aware that the symptoms that distinguish post-traumatic stress
disorder from other anxiety disorder would be:
A. Avoidance of situation & certain activities that resemble the stress
B. Depression and a blunted affect when discussing the traumatic situation
C. Lack of interest in family & others
D. Re-experiencing the trauma in dreams or flashback

100. Nurse Jonel is providing information to a community group about violence in the
family. Which statement by a group member would indicate a need to provide
additional information?
A. “Abuse occurs more in low-income families”
B. “Abuser Are often jealous or self-centered”
C. “Abusers use fear and intimidation”
D. “Abuser usually have poor self-esteem”
 GOODLUCK & KEEP SAFE EVERYONE!

PREPARED BY:

PROF. ISABELITA N. ISIP

DEPT. CHAIR

VALIDATED AND APPROVED BY:

PROF. SHALINI S. BARROSO

DEAN