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

A. Explore her coping behaviors B. Determine the meaning of her personal crisis C. Assess her developmental level and experience D. Let her identify current stressors 30. The nurses involved in the care of Kia feel caught in a bind because there is a need to rescue in the event that she cuts herself again and a need not to be manipulated by her. It is MOST therapeutic for the nursing team to recognize: A. Being strict regarding imposition of external controls B. Writing a “no cutting on self” contract C. Developing of a trust relationship D. Taking self- responsibility by signing a waiver Situation: Children are unique requiring specialize nursing care. To nurse a child, health care professional need to be aware that children are physically smaller and their bones grow and mature at different rates. 31. A 10-month-old infant has developmental dysplasia of the hip following confirmation of the diagnosis by ultrasonography. She is placed in Pavlik Harness. Which of the following should you expect the infant to be positioned? A. Supine B. Trendelenburg C. Flexed abduction D. Flexed adduction 32. With the application of the harness, the nurse should keep in mind the following EXCEPT? A. Assess skin daily. B. The baby should wear the harness at all times except while bathing C. Harness should be worn above the clothing continually. D. Instructing the parents on the practicalities of daily care and continuous support 33. The infant did not respond to treatment with Pavlik Harness. A surgical program is undertaken. She was admitted into hospital for a 1-week period of gallows traction. The mother asks the nurse what Gallows traction is. The nurse responds correctly if she states: A. It is a skin traction applied to the legs which are flexed at a 90-degree angle at the hips. B. The child’s head provides counter traction. C. Type of traction with the legs in an extended position D. Uses skin traction on the lower leg and a padded sling under the knee 34. The nurse should pay particular attention to which part of the body of the infant in gallows traction? A. Back B. Hips C. Lower extremities D. Skin 35. The tractions is removed after 1 week and the infant is bathed prior to surgery. Which of the following constitute this intervention? A. Bathing is necessary for hygienic measures B. Cleanse the skin and allows for the gentle removal of the adhesive traction C. Allows for adequate physical preparation D. A routine procedure prior to surgery to prevent complications Situation: Aubrey is a 40-year-old wife who was brought by neighbors to the emergency room confused and crying with body bruises and swollen eyes. She claimed that she was physically abused by her husband who was intoxicated with alcohol. She is admitted for brief hospitalization for further observation and crisis intervention. 36. The admitting nurse is aware that the following should be carefully documented EXCEPT: A. Quote of Aubrey’s account of the incident that led to the injuries B. Specific and factual assessment of physical injuries incurred by Aubrey C. Photographs of Aubrey’s physical injuries D. Neighbors claim regarding estranged relationship of Aubrey and husband 37. The nurse did a process recording of an interaction with Aubrey. The following descriptions about process recording are true EXCEPT: A. Recording of the verbatim account of the entire interaction, including verbal and non-verbal B. Tool to improve interpersonal communication techniques C. A form of documentation for professional development D. Helps the nurse in analyzing content of interaction 38. Which of the following information about Aubrey is LEAST ESSENTIAL FOR CRISIS ITNERVENTION? A. Aubrey perception of the event B. Longitudinal life history C. How Aubrey is coping with the present situation D. Availability of friends or family for support 39. Aubrey asked the nurse if she may have a photocopy of her records. The nurse is aware that client records belong to the: A. Health facility B. Health team members C. Family of the client D. Client 40. Potential benefits of the use of computers in documentation have been recognized, however clients are MOST concerned about: A. Validity B. Accuracy C. Reliability D. Confidentiality Situation: Nurse Louise functions as a team leader and coordinates a small group of nurses in the psychiatric unit to provide care to a small group of patients. 41. As coordinator of the team her main function is to: A. Allow team members to practice high degree of authority B. Encourage the growth and training of each member C. Know the condition and needs of all the patients assigned to the team D. Assume responsibility of the team for planning, directing and evaluating the patient’s care 42. As team leader, Nurse Louise assumes which of the following duties? A. Assessing patients and planning care B. Directing and assisting team members C. Giving direct patient care D. Coordinating patient activities 43. Nurse Louise’s team is using a team nursing model. Weighing things, this model has advantages and also disadvantages. Of the following choices, which one is the ADVANTAGE: A. Use of each team member special expertise in caring for patients B. Direct patient care provided by a few nurses C. Team leader direct the team for effective care D. Provide total patient care 44. To make team nursing succeed, nurse Louise as coordinator of the team MUST possess which of the following? 1. Good communication skills 2. Delegation ability 3. Strong clinical skills 4. Create a cooperative working environment A. 2,3,and 4 B. 1 and 3 C. all except 4 D. all 45. Nurse Louise brings together the members to work as a group. She has successfully accomplished teamwork by means of: A. Expertise of each member B. Well define goals and objectives of the team C. Clinical skills of team members D. Adequate planning and control Situation: It is important for a psychiatric nurse to be knowledgeable about the different psychiatric medications administered to patients. The following questions will test you about psychopharmacology: 3 | Page