Title RECALLS 1 - NP5 - SC ✅

RECALLS 1 EXAMINATION NURSING PRACTICE V CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) NOV 2025 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE V” on the box provided Situation: Lea, 75 years, a retired nurse, is a full caregiver for her husband who has Alzheimer disease. She complains and says. “my vision is getting worse. A lot of time, my body aches. I’ve lost interest in eating and I seem to have lost weight. What if I can’t care for my husband anymore? I’m reaching the end of my rope. Yet, when asked by the nurse if she is depressed, her response is an unqualified “NO.” 1. Depression is often overlooked especially adults because of the belief that it is normal for older adults to be less active, less engaged and somatically preoccupied. Which of the following repercussions of this belief warrant the MOST urgency for health care professionals to consider? A. Older persons suffer in silence, remaining either undiagnosed or misdiagnosed B. Greater risk for developing heart disease C. It can mean suicide D. Longer hospital stays and decreased ability to follow health regimens 2. Lea is reluctant to be interviewed by the nurse. In order to assess mental health issues, it is MOST important for the nurse to create an environment of: A. Kind firmness and control B. Respect, compassion and reassurance C. Psychological safety and security D. Privacy and confidence 3. Lea’s verbalizations prompt the nurse to assist her to become aware of the existential aspects of depression such as: A. Denial and cognitive dissonance B. Little or no social support C. Death, isolation and meaninglessness D. Somatic complaints 4. Pharmacotherapy is the mainstay treatment for older adults with moderate to severe depression. Nurses should observe caution in the administration of monoamine oxidase inhibitors because of the risk of: A. Orthostatic hypotension B. Neuromalignant syndrome C. Hypertensive crisis D. Serotonin syndrome 5. Older adults like Lea respond slowly to antidepressants, and clinicians should assess for response at: A. 8-12 weeks B. 2-3 weeks C. 4-6weeks D. 12-16 weeks Situation: Nurses have an important role in establishing an environment that satisfies the biological, psychosocial, and spiritual needs of clients. They are often challenged with issues and problems in creating therapeutic environment for clients. 6. In structuring a therapeutic environment, it is MOST important for the nurse to: A. Safeguard physical safety and psychological security. B. Keep an effective social order that recognizes authority. C. Keep a restrictive environment to prevent patient assaultiveness. D. Maintain a closed-door policy to instill order and disciple. 7. Environment as referred to in ‘milieu therapy’ refers to the: A. Building and grounds where patients interact. B. People with different personalities who relate with one another. C. Physical environment and relationships of people within. D. Immediate physical surroundings that create an ambience for the patients 8. Attitude therapy safeguards the therapeutic application of attitudes toward patients. Rico, seeks attention from the staff by repeatedly deviating and not participating in structured activities. It is BEST for the nurse to: A. Respond: “it is okay for as long as you don't bother anyone” B. Have a patient watcher monitor him closely. C. Ignore the behavior. D. Respond: “we have agreed on a schedule. I expect you to follow.” 9. The nurse is aware that these patients are likely to be exploited in a group setting. These are the patients who are: A. Suspicious B. Sociable C. Withdrawn D. Hostile 10. A therapeutic community aims to: A. Have team leaders to check physical presence and attendance of patients in ward activities. B. Constantly monitor implementation of ward policies and rules. C. Encourage patient interactions, group problem solving and decision making. D. Encourage patients to police themselves and impose sanctions on ward violations. Situation: A nurse researcher in the Psychiatric unit is undertaking a study on the relationship between depressive symptoms and motivation to lose weight among high school overweight teens in selected schools at the National Capital Region. 11. The study design to be used by the researcher is: A. Experimental B. Predictive correlational C. Non-experimental D. Descriptive correlational 12. Which of the following is true about the study design being used by the researchers? A. There is no researcher intervention. B. It is safe to infer causal relationships in this study 1 | Page