Content text RECALLS 1 - NP5 - SC
design C. It proves causation. D. Effective means of collecting data 13. Which of the following inclusion criteria should be observed by the researcher in selecting the subjects? A. Current diagnosis of major depression. B. High school students with body mass index of 25 or greater. C. Enrolled in high school in NCR. D. High school students with aged limit of 16 – 20 years. 14. The independent variable for this study is: A. Weight loss B. Not applicable C. Depressive symptoms D. Motivation 15. One of the statistical approaches to be used by the researcher in analyzing whether a relationship exists between the number of depressive symptoms and motivation to lose weight is: A. Chi square test B. Analysis of covariance C. Pearson’s coefficient of correlation D. Product moment correlation Situation: Jelly is 12 years old, looks like she is 9 and acts she is 4. She has lightning – quick hands and can grab things off the desk, out of the staff’s pockets and off food trays in the blink of an eye. She is cute and known for getting black eyes and bruises. Wherever she is, there is trouble, but according to her, it is always someone else’s fault. She loves to run away from the Child and Adolescent Unit of the hospital and being chased by young staff members. 16. From the behavior of Justine, the nurse infers that a fundamental issue is Jelly’s: A. Difficulty developing stable relationships B. Inability to learn from past experiences C. Withdrawn attention D. Suspiciousness and mistrustful of others 17. With other children in the unit, Jelly smiles with glee watching adult staff struggle to take time to fix the place and put things in order every time she and other children create chaos. This pattern of behavior is: A. Assaultive B. Demanding C. Hostile D. Manipulative 18. The psychodynamics of Jelly’s behavior most likely would point to: A. Lack of social support for growing children from the local government. B. Lack of parenting, stressful and stormy family life. C. Failure of the school system to provide early education. D. Excessive media that portray sex and violence in TV programs. 19. In creating a therapeutic environment of Jelly and kids of the same situation, it is foremost to: A. Develop a positive self-image. B. Give high calorie rich nutritional intake. C. Provide safety and security. D. Provide remedial education. 20. In the unit, it is not common to hear loud bangs and thuds with yelling, screaming, and cursing of these children with the company of Jelly. A therapeutic activity that the staff can provide is: A. Leisurely and active gardening. B. Active ball games that are not competitive. C. Sports that foster cooperation and teamwork. D. Organizing book clubs for interaction. Situation: Nurses who are helping professionals and first responders in psychiatric emergencies and catastrophic situations often experience trauma and intense stress. Continuing education offered to nurses in this field aim to equip nurses’ knowledge and skills related to the important role in recognizing and responding to peers and colleagues struggling with maladaptive responses to trauma and stress. 21. Awareness of the varied responses of trauma and stress is a primary consideration in recognizing problems of helping professionals. Which of the following stress responses are cognitive in nature? A. Intrusive thoughts and reliving the incident, reduced ability to concentrate or mental confusion. B. Substance use, withdrawal from others, or acting out behaviors. C. Unfounded or unusual anger, depressive feelings, or anxiety reactions D. Fatigue, recurring headaches, or inability to sleep or eat. 22. Characteristic features of posttraumatic stress disorder include hyperarousal, i.e., exaggerated startle response, numbing effects and re-experiencing physiological and psychological reactions. The nurse notes that the duration of these symptoms MUST persist for at least: A. 2 days B. 1 month C. 2 weeks D. 3 days 23. Effects of compassion fatigue can be observed among emergency mental health professionals. This easily leads to: A. Somatic reactions B. Burnout C. Psychoses D. Neuroses 24. The idea of self – medication to cope with stress and trauma is common in helping professionals and first responders. This practice if it becomes pervasive has potential for: A. Substance use and abuse B. Behavioral changes and abuse C. Malpractice D. Avoidance behavior 25. A group strategy that allows processing of emotional effects of traumatic exposure is: A. Alcoholic anonymous B. Milieu therapy C. Psychodrama D. Avoidance behavior Situation: Kia, an adolescent, participating in a behavior therapy group cried while relating her experience of “cutting” on her skin, “the pain is so bad, this is the only way to get it out”. Kia is a survivor of sexual abuse perpetuated by her own father. She has history of repeated admission at Psychiatric Emergency Unit with repeated history of self – mutilation. She was diagnosed as Borderline Personality Disorder. 26. Kia verbalized the intensity of her emotional pain and anger, desperation and anxiety that escalate to a feeling of mounting tension. With this overwhelming anxiety, she may resort to dissociation which is characterized by: A. Feelings of emptiness and numbness and experience of depersonalization B. Retreat to an earlier developmental stage C. Use of excessive reasoning rather that reacting or changing D. Blame of others for one’s own feelings and thoughts 27. Nurses may perceive clients like Kia with strong countertransference reactions and feelings of frustration, betrayal, anger, and disgust. To work therapeutic with clients who self -mutilate, it is MOST important for nurses to: A. Do - self disclosure and solicit understanding from clients B. Acknowledge and overcome strong emotions C. Suppress reactions to maintain professionalism D. Engage in constructive activities to dissipate strong emotions. 28. Kia has a pattern of “cutting ” as a self – mutilating act. All of the following are therapeutic interventions EXCEPT: A. Offer sympathy, and additional attention to the behavior while cleaning the wound B. Care for the wounds in a matter-of-fact manner C. Allow the client to express angry feelings D. Problem-solve the situation with the client 29. Which of the following is a necessary initial step in determining interventions for Kia? 2 | Page