Title RECALLS 8 - NP5 - SC ✅

A. 1,2,3,4,5 B. 1,2,3 C. 1,3,4,5 D. 2,4,5 13. An unconscious patient was rushed to the ER and was given Naloxone (Narcan). Which of the following would indicate that the antidote is effective? 1. decreased pulse rate 4. increased respiration 2. pinpoint pupils 5. Consciousness 3. warm skin A. 1,3,5 B. 1,2,4 C. 4,5 D. 3,4,5 14. Which of the following should the nurse on duty expect to assess in a patient manifesting late signs of heroin withdrawal? A. Vomiting and diarrhea B. yawning and diaphoresis C. lacrimation and rhinorrhea D. restlessness and irritability 15. While you are on duty as a nurse in the ICU, you witness your coworker injecting what appears to be an opioid drug into their antecubital area. As a nurse, what should you do? A. Report the incident to the nursing supervisor immediately B. Lock the coworker and ask for an explanation privately C. Ignore the situation to avoid conflict D. Document the behavior anonymously without informing anyone Situation: A patient arrives at the Crisis Intervention Unit in a state of emotional distress, expressing confusion, anxiety, and an inability to cope. As a nurse, you recognize this as a situational crisis where the individual's usual coping mechanisms have failed. 16. A 14-year-old patient who may be pregnant shares that she has been hooking up with someone she describes as her "situationship." As the nurse, what should be your initial response? A. “You mean you have sexual intercourse with your situationship? ” B. “Describe what you mean by hooking up?” C. “Tell me more about what happened during your sexual intercourse. “ D. “Why did you assume that the boy liked you? “ 17. You are a nurse reviewing the chart of a patient admitted to the mental health unit. Upon review, you note that the patient is experiencing anxiety due to a situational crisis. As a nurse, you understand that this type of crisis is typically caused by? A. Witnessing a murder in the workplace. B. Death of the patient’s sister. C. Returning from combat as a post-war veteran. D. Being married to a long-term partner. 18. A nurse is creating a plan of care for a patient in a crisis state. When developing a care plan, the nurse should consider: A. Being in a crisis means the patient is suffering from a mental or emotional disorder. B. All patients show the same symptoms during a crisis situation. C. A patient’s response to a crisis in the same way, and what is a crisis for one person is also a crisis for another. D. A patient’s response to a crisis is individualized, and what one person considers a crisis may not be the same for someone else. 19. You are a nurse in a mental health unit speaking with a patient who is the sole survivor of a plane crash. Since the incident, the patient has been experiencing recurrent nightmares and difficulty sleeping. During the conversation, the patient says, “I don’t understand why they all had to die and I didn’t!” This statement suggests the patient is experiencing: A. Night terrors B. Suicidal ideation C. Survivor’s guilt D. Stress disorder 20. Based on the situation above, as a future topnotcher, you know that the most therapeutic response would be: A. “Why do you think that way? “ B. “That sounds really difficult. Can you tell me more about how you're feeling? ” C. “It’s okay to cry. I will always be here on your side.” D. “You should be thankful for the second life that God gave you.” Situation: Defense mechanisms are cognitive distortions that a person uses unconsciously to maintain a sense of being in control of a situation, to lessen discomfort, and to deal with stress. Because defense mechanisms arise from the unconscious, the person is unaware of using them. 21. A nurse reminds a patient that it is time for his bath. The patient yells in response, “You always tell me what to do! You're just like my evil stepmother! ” This behavior is an example of: A. Symbolism B. Transference C. Countertransference D. Reaction Formation 22. A patient argues with the nurse that smoking can’t be so bad because it keeps her calm and relaxed when she is stressed. The nurse is knowledgeable that the patient is using what type of defense mechanism; A. Sublimation B. Intellectualization C. Rationalization 23. A nursing board topnotcher was brought to the emergency room following an accident related to alcohol intoxication. Once stabilized and transferred to the ward, he repeatedly rings the call bell every 15 minutes to request assistance from the nurse on duty. The nurse recognizes that the patient is demonstrating which type of ego defense mechanism? A. Regression B. Repression C. Compensation D. Displacement 24. You are a nurse working in a mental health unit. One of your patients, who holds a corporate position, was recently observed being yelled at by his spouse. During your interview with him, the patient becomes hostile and begins shouting at you. As a nurse, you recognize that the patient is exhibiting which ego defense mechanism? A. Denial B. Projection C. Displacement D. Introjection 25. The nurse is assessing a patient suspected of being in the early stages of dementia. Which defense mechanism would the nurse most likely observe? A. Reaction Formation B. Substitution C. Confabulation D. Compensation Situation: A nurse is equipped with the appropriate knowledge and skills in dealing patients with Personality Disorder. The following questions apply. 26. While caring for a patient with a personality disorder, the nurse begins to feel irritated and frustrated due to the patient’s behavior. As a psychiatric nurse, what is the most appropriate action to take? A. Tolerance B. Self-control C. Self-awareness D. Responsibility 27. Which nursing diagnosis is the priority of care at a time of admission for a patient diagnosed with antisocial personality disorder: A. Social isolation B. Risk for Violence directed at others C. Personal identity disturbance D. Risk for fluid volume deficit 28. A patient arrives for a psychiatric appointment wearing an elaborate ballgown and heavy theatrical makeup. She 2 | Page
dramatically insists on being seen right away, claiming to be in extreme psychological distress. Based on these behaviors, which personality disorder is most likely? A. Borderline B. Narcissistic C. Histrionic D. Antisocial 29. A patient is acting out hostile and aggressive by shouting towards the nurse and fellow patients. The most effective way to deal with the patient initially is to: A. Redirect the patient and lock them in their room. B. Administer PRN tranquilizer C. Set limits on the behavior by verbal commands D. Apply restraints and place the patient in the isolation room. 30. Shiela was diagnosed with major depressive disorder; upon observation, she is not eating the meal provided by the nurse. When the nurse encourages her to eat, she remains silent and appears withdrawn. As the nurse, you know that the best nursing action is to: A. Leave the patient alone and return after a few hours. B. Sit with the patient and offer supportive presence without forcing her to eat. C. Tell the patient that she has to finish the food or you will report her to the psychiatrist. D. Set limits on the behavior by verbal commands Situation: You are a newly licensed nurse assigned to the psychiatric ward. You see different patients with various psychiatric conditions. 31. You are a nurse assigned to the psychiatric ward, you noticed that the patient would follow every move he would make. When he moves his hand, the patient would also move his hand. This is called: A. Waxy Flexibility B. Echolalia C. Circumstantiality D. Echopraxia 32. The patient’s relative would like to visit her cousin at the psychiatric ward. An inspection was done before she entered the mental health facility. Which of the following items is not allowed inside the mental health facility? A. Rosary bracelet B. Running shoes C. Biscuits D. Cake 33. While making rounds, you noticed that one of your patients says the following line “I have money, I want to study, my sugar daddy, I have an auntie.” This is an example of? A. Clang association B. Word salad C. Flight of ideas D. Neologism 34. A patient grabs and about to throw the chair. The nurse best response by saying: A. “Don’t be silly!” B. “Stop! Put that chair down.” C. “Stop! The security will be here in a minute.” D. “Calm down or I will kick you.” 35. A patient approaches you requesting a “camel break,” referring to a cigarette break. When you deny the request, the patient becomes agitated and claims that another nurse allows it, then begins calling you names. As a therapeutic and professional nurse, what is the most appropriate response? A. Explain the unit policy calmly and consistently enforce the rule. B. Ignore the patient and walk away to avoid conflict. C. Allow the break and go with the patient just this once to prevent escalation. D. Argue with the patient and defend your decision assertively. 36. The superego is a part of the self that says: A. I want what I want B. I want it that way C. I want it I got it D. I should not want that 37. Resolution of the Oedipal complex takes place when the child overcomes the castration complex and: A. Rejects the parent of the same sex B. Identifies with the parent of the same sex C. Imitates the behavior of the opposite-sex parent D. Suppresses all feelings toward both parents 38. A toddler develops a residual of the anal phase of Freud’s psychosexual development. The nurse recognizes that an anal-retentive personality would most likely exhibit which of the following characteristics? A. Antisocial Personality B. Dirty and disorganized C. Histrionic personality D. Meticulous and perfectionist 39. During preschool, the nurse would expect a female child may develop all of the following except: A. Electra Complex B. Oedipal Complex C. Penis Envy D. Attachment to the parent of opposite sex 40. According to Sigmund Freud, if an infant frequently cries and is ignored, the child is more likely to develop into: A. Narcissistic B. Paranoid C. Secure D. Obsessive-Compulsive Situation: A patient from Sitio Barongbarong, a small community nestled at the foot of a mountain, has been admitted to the psychiatric facility for the treatment of depression and schizophrenia. As the nurse assigned to provide holistic care, it is essential to remain guided by the key principles of managing individuals with major depressive disorder and schizophrenia. 41. You are a nurse doing a care plan for your patient with depression and schizophrenia. Your patient believes in “kulam” and uses treatment by an “albularyo.” As a nurse, you should do which of the following? A. Tell the patient to avoid believing in “albularyo” because it has no scientific basis. B. Explain to the patient that there is no such thing as “kulam” and should be disregarded. C. Avoid discussing the patient’s belief in the albularyo to prevent reinforcing delusions. D. Involve the “albularyo” in a consultation with the patient, primary healthcare provider, and nurse. 42. The patient is not responding to the tricyclic antidepressant ordered by his psychiatrist. He is then switched to monoamine oxidase inhibitors. Which statement by the patient needs further teaching? A. “I must refrain from eating aged cheese or yeast products.” B. “All cheese is considered aged except cottage cheese, cream cheese, ricotta cheese, and processed cheese slices.” C. “Good thing I can still eat adobo from my favorite restaurant.” D. “I understand that I should avoid tyramine-rich food to prevent drug reactions.” 43. While conducting your rounds, a patient says, “The voices are telling me that I am evil and that I’m going to be punished.” Which of the following would be the most therapeutic response by the nurse? A. “Why do you think they are saying that you are evil? .” B. “The voices are not real, so don’t worry about it.” C. “Can you tell me more about what the voices are saying to you?” D. “I do not hear the voices, but the words must be frightening for you.” 44. Which of the following patients is/are the priority for admission to an acute care facility as evaluated by the nurse? 1. Patients who are not sleeping 2. Patients who are not compliant with medication 3. Patients who are dangerous to self and others 4. Patients who live alone 5. Patients who are acutely psychotic A. 2,3,5 B. 3,4,5 C. 3,5 3 | Page