Title RECALLS 3 (NP5) - STUDENT COPY ✅

RECALLS EXAMINATION 3 NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) MAY 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 nurse tasked to work with patients coping with their illnesses. 1. 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.” 2. 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. 3. 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?” 4. 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. 5. 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? A. Neologism B. Confabulation C. Flight of ideas D. Emotional lability SITUATION: You are a nurse tasked to care for patients with schizophrenia. You use your knowledge on this concept to effectively and safely care for your patients. 6. You are caring for a patient diagnosed with paranoid schizophrenia. The patient reports hearing a voice saying “Do not remove your cap or they will be able to read your mind.” Which of the following responses is the most therapeutic for this patient? A. “Who are ‘they’?” B. “Why would someone want to read your mind?” C. “I do not believe that anyone can read another’s mind.” D. “It must be very frightening to believe that someone can read your mind.” 7. A patient diagnosed with a history of paranoid schizophrenia and chronic alcohol abuse was admitted to your unit. The patient has been taking Olanzapine for 14 days and has not consumed alcohol in the last 5 days. They report shaky hands and trouble sleeping because of frequent nightmares. The patient verbalized their concern that olanzapine may be causing these problems. Which of the following is your most therapeutic response to this patient? A. “These are not typical side effects for that drug.” B. “Just ignore the symptoms. They will go away in just a few days.” C. “These symptoms are more likely a result of not drinking alcohol for 5 days.” D. “It is possible, since this medication is contraindicated in those who abuse alcohol.” 8. A patient with a history of violent command hallucinations was observed to be mumbling erratically while making threatening gestures directed toward a particular staff member. Which of the following interventions is most appropriate when caring for patients with violent command hallucinations? A. Ask the client to explain the cause of anger. B. Place the client in seclusion to help de-escalate anger. C. Inform the client of pending restraint if behavior does not subside. D. Observe the client for signs of escalating agitation. 9. A patient diagnosed with paranoid schizophrenia was admitted to your unit. You include the nursing diagnosis of Disturbed thought processes secondary to paranoia in the patient’s care plan. Which of the following approaches is most appropriate for this patient? A. Avoid laughing or whispering in front of the client. B. Begin to identify social support in the community. C. Encourage the client to interact with others on the unit. D. Have the client sign a written release of information form. 10. The mother of a client diagnosed with paranoid schizophrenia visiting her son 2 days after his admission to the psychiatric unit approaches a nurse and states, “He is still talking about how the government is controlling his thoughts.” 1 | Page