Title RECALLS 9 - NP5 - SC ✅

RECALLS 9 EXAMINATION NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) NOVEMBER 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: You are a mental health nurse dealing with patients currently experiencing a crisis. You use your knowledge on crisis management to help these patients. The following questions apply. 1. In the rape crisis center, a woman is being seen a few days after she was raped. She reports that she has not had any appetite, she is experiencing anxiety and depression, and that she has been having nightmares. You as the nurse make an assessment on the woman to determine if it is appropriate for her to be admitted to the hospital. Which of the following priority questions should the nurse ask the woman? A. The client’s reaction to the event, including any suicidal thoughts. B. The client’s perceptions of her current skills for coping with the event. C. The availability of the client’s personal support systems. D. The effect of the event on other aspects of the client’s life. 2. An anxious, sobbing 19 year old is brought to the crisis shelter for an interview. She says, “I think I am pregnant but I don’t know what to do!” Which of the following nursing interventions is most appropriate for her situation at this time? A. Ask the client about the type of things that she had thought of doing. B. Give the client some ideas about what to expect to happen next. C. Recommend a pregnancy test after acknowledging the client’s distress. D. Question the client about her feelings and possible parental reactions. 3. You’re the nurse on duty when you saw an anxious 41-year-old client say that she would “rather die than be pregnant.” Which of the following responses by the nurse is most helpful? A. “Try not to worry until after the pregnancy test.” B. “You know, pregnancy is a normal event.” C. “You’re only 40 years old and not too old to have a baby.” D. “I see you’re upset. Take some deep breaths to relax a little.” 4. You were doing some charts when a client comes to the crisis center in a very distressed state. He tells you that he just cannot get over being fired from his job last week. He says that he already asked for help and talked to friends. He says, “I’ve tried everything to get through this, but nothing is working. Please, help me!” Which of the following should you, as the nurse, use as the initial crisis intervention strategy? A. Referral for counseling. B. Support system assessment. C. Emotion management. D. Unemployment assistance. 5. Getting the client’s significant others involved in helping with the immediate crisis as soon as possible is one of the major roles in crisis intervention. You as the nurse determine that the support persons are prepared to help when they verbalize which of the following? A. The name and phone number of the client’s physician. B. Emergency resources and when to use them. C. The coping strategies they are using. D. Long-term solutions they plan to tell the client to use. SITUATION: You are a nurse tasked to work with patients coping with their illnesses. 6. A client was diagnosed with an acute cardiac illness. The nurse should determine that the client lacks understanding of her illness and her ability to make changes in her lifestyle when they verbalize which of the following statements? A. “I already have my airline ticket, so I won’t miss my meeting tomorrow.” B. “These relaxation tapes sound okay; I’ll see if they help me.” C. “No more working 10 hours a day for me unless it’s an emergency.” D. “I talked with my husband yesterday about working on a new budget together.” 7. You just admitted a 19-year-old client who was recently diagnosed with leukemia. What is the most appropriate short term goal for the nurse and the client to establish? A. Accepting his death as imminent. B. Expressing his angry feelings to the nurse. C. Decreasing interaction with peers to conserve energy. D. Gaining an intellectual understanding of the illness. 8. The client hospitalized for diagnosis and treatment of atrial fibrillation states to the nurse, “Please hand me the telephone. I need to check on my stocks and bonds.” Which of the following responses by the nurse is most therapeutic? A. “You will get more upset if you make that call.” B. “You have atrial fi brillations. Let’s talk about what that means.” C. “You really don’t care about the fact that you’re sick, do you?” D. “Do you realize you have a life-threatening condition?” 9. The colostomy club made arrangements to meet with a client who will undergo a bowel surgery. Which of the following is accomplished when a representative of the colostomy club visits the client preoperatively? A. Letting the client know that he has resources in the community to help him. B. Providing support for the physician’s plan of therapy for the client. C. Providing the client with support and realistic information on the colostomy. D. Convincing the client that he will not be disfigured and can lead a full life. 10. One of your patients in the ward directs profanities at you, the nurse, then abruptly hangs his head and pleads to you, “Please forgive me. Something came over me. Ugh, why do I say those things?” As a knowledgeable nurse, you interpret this as which of the following? 1 | Page