Title RECALLS 9 - NP5 - SC ✅

RECALLS 9 EXAMINATION NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) NOVEMBER 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 mental health nurse dealing with patients currently experiencing a crisis. You use your knowledge on crisis management to help these patients. The following questions apply. 1. In the rape crisis center, a woman is being seen a few days after she was raped. She reports that she has not had any appetite, she is experiencing anxiety and depression, and that she has been having nightmares. You as the nurse make an assessment on the woman to determine if it is appropriate for her to be admitted to the hospital. Which of the following priority questions should the nurse ask the woman? A. The client’s reaction to the event, including any suicidal thoughts. B. The client’s perceptions of her current skills for coping with the event. C. The availability of the client’s personal support systems. D. The effect of the event on other aspects of the client’s life. 2. An anxious, sobbing 19 year old is brought to the crisis shelter for an interview. She says, “I think I am pregnant but I don’t know what to do!” Which of the following nursing interventions is most appropriate for her situation at this time? A. Ask the client about the type of things that she had thought of doing. B. Give the client some ideas about what to expect to happen next. C. Recommend a pregnancy test after acknowledging the client’s distress. D. Question the client about her feelings and possible parental reactions. 3. You’re the nurse on duty when you saw an anxious 41-year-old client say that she would “rather die than be pregnant.” Which of the following responses by the nurse is most helpful? A. “Try not to worry until after the pregnancy test.” B. “You know, pregnancy is a normal event.” C. “You’re only 40 years old and not too old to have a baby.” D. “I see you’re upset. Take some deep breaths to relax a little.” 4. You were doing some charts when a client comes to the crisis center in a very distressed state. He tells you that he just cannot get over being fired from his job last week. He says that he already asked for help and talked to friends. He says, “I’ve tried everything to get through this, but nothing is working. Please, help me!” Which of the following should you, as the nurse, use as the initial crisis intervention strategy? A. Referral for counseling. B. Support system assessment. C. Emotion management. D. Unemployment assistance. 5. Getting the client’s significant others involved in helping with the immediate crisis as soon as possible is one of the major roles in crisis intervention. You as the nurse determine that the support persons are prepared to help when they verbalize which of the following? A. The name and phone number of the client’s physician. B. Emergency resources and when to use them. C. The coping strategies they are using. D. Long-term solutions they plan to tell the client to use. SITUATION: You are a nurse tasked to work with patients coping with their illnesses. 6. 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.” 7. 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. 8. 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?” 9. 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. 10. 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? 1 | Page
A. Neologism B. Confabulation C. Flight of ideas D. Emotional lability SITUATION: You are a nurse tasked to care for patients experiencing stress and anxiety. You are to apply the nursing concepts you’ve learned about this topic to effectively care for these patients. 11. You notice that Nami, a young adult about to undergo a surgery is experiencing moderate anxiety regarding her upcoming procedure. As a competent nurse, you help to reduce the patient’s anxiety by: A. Telling her to distract himself with games and television B. Reassure her that she will come through the surgery without incident C. Explaining to her what happens before and after surgery D. Asking the surgeon to refer her to a psychiatrist who can work with her to diminish her anxiety 12. You are discussing the concept of anxiety to the student nurses in your unit. You explain that anxiety occurs in degrees, from a level that stimulates productive problem solving to a level that is severely debilitating. The students respond correctly when you ask that at a mild, productive level of anxiety, one will expect to see which of the following cognitive characteristics of mild anxiety? A. Slight muscle tension. B. Occasional irritability. C. Accurate perceptions. D. Loss of contact with reality 13. You followed up a question to the student nurses. They answered you correctly when they stated that as a client’s anxiety level increases to a debilitating degree, they would expect which of the following psychomotor behavior indicating the panic level of anxiety: A. Suicide attempts or violence. B. Desperation and rage. C. Disorganized reasoning. D. Loss of contact with reality. 14. You admitted a patient dealing with personal issues and painful feelings. Which of the following is a crucial goal of therapeutic communication when helping this client? A. Communicating empathy through gentle touch B. Conveying client respect and acceptance even if not all of the client’s behaviors are tolerated C. Mutual sharing of information, spontaneity, emotions, and intimacy D. Guaranteeing total confidentiality and anonymity for the client 15. You are doing a follow up visit to the home of a client diagnosed with Alzheimer’s disease. You are assessing the stress level of the patient’s spouse, the primary caregiver. Which of the following questions is most appropriate for assessing the spouse’s level of stress? A. “So, what is a typical day like for you?” B. “What do you do to relieve stress for yourself?” C. “May I arrange for some part-time help for you?” D. “Being a full-time caregiver must be very stressful, isn’t it?” 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. 16. 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.” 17. 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.” 18. 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. 19. 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. 20. 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.” What is the most accurate nursing appraisal of the mother’s statement? A. The mother’s expectations of her son are realistic. B. The mother’s concern is reasonable. C. The mother should request a medication adjustment. D. The mother requires further education regarding the client’s diagnosis. SITUATION: You are tasked to care for Zoro, a patient newly diagnosed with obsessive compulsive disorder. You use your knowledge to effectively and safely care for the patient. 21. Zoro is utilizing a defense mechanism commonly used by patients with obsessive compulsive disorder. Which of the following defense mechanisms is this? A. Suppression. B. Repression. C. Undoing. D. Denial. 22. You start your assessment on Zoro. Which behavioral symptom would you expect to assess in this patient? A. The client uses excessive hand washing to relieve anxiety. B. The client rates anxiety at 8/10. C. The client uses breathing techniques to decrease anxiety. D. The client exhibits diaphoresis and tachycardia. 23. Which cognitive symptom would you expect to assess in Zoro who has obsessive compulsive disorder? A. Compulsive behaviors that occupy more than 4 hours per day. B. Excessive worrying about germs and illness. C. Comorbid abuse of alcohol to decrease anxiety. D. Excessive sweating and an increase in blood pressure and pulse. 24. Zoro is leaving his home for the first time in a year. He arrived in the unit wearing a surgical mask and white gloves. He states, “The germs in here are going to kill me”. Which correctly written nursing diagnosis addresses Zoro’s problem? A. Social isolation R/T fear of germs AEB continually refusing to leave the home. B. Fear of germs R/T obsessive-compulsive disorder. 2 | Page