Title RECALLS 8 - NP5 - SC ✅

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 When the nurse encourages her to eat, she remains silent and appears withdrawn.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