Title EVAL EXAM - AB PSYCH (KEY) ✅

REFRESHER PHASE EVALUATIVE EXAMINATION PSYCHIATRIC NURSING ( ABNORMAL) NOVEMBER 2024 Philippine Nurse Licensure Examination Review 1. What type of hallucination is most likely to be experienced by a chronic alcoholic patient who has suddenly stopped drinking? A. Claims that they keep feeling something B. Claims that they keep hearing something C. Claims that they keep seeing something D. Claims that they keep tasting something 2. During the early stages of the previous patient’s illness, they claim that his family has been supporting him faithfully which calms him. However, his family has given up on him this time and refuses to believe that something is wrong with the patient. This caused an exacerbation of the patient’s symptoms. Such is an example of: A. The loss of secondary gain as a relief of anxiety B. Evidence of how loss of family support can impact a patient’s illness C. The importance of including the caregivers to the care in order to avoid caregiver burden D. The history is unrelated to the patient’s chief complaint 3. Which food is appropriate to serve to a patient with bipolar personality disorder in the manic phase? A. Chopsuey B. Chicken popcorn C. Baked mac D. Carrot sticks 4. Which of the following is the initial intervention for a patient who is panicking? A. Administer PRN IM anxiolytics B. Redirect the patient’s attention to the environment around them C. Take the patient in a small, quiet, non-stimulating environment D. Stay with the patient and ensure that their environment is safe 5. Which of the following patients are considered to be demonstrating a soft symptom of schizophrenia? A. The patient who can speak but chooses not to B. The patient who is talking to the wall C. The patient who is trying to build a fire using sticks D. The patient who is using new words that only they can understand 6. Who among the following patients have insight about their disorder? A. Patient with schizophrenia B. Patient with anorexia nervosa C. Patient with bipolar disorder D. Patient with obsessive-compulsive disorder 7. What delusion is a patient experiencing when they claim that their Kpop crush loves them and is their partner? A. Sexual delusion B. Erotomanic delusion C. Grandiose delusion D. Affectionate delusion 8. Which of the following activity characteristics is most appropriate for a patient with bipolar disorder in the depressive phase? A. Competitive, solitary B. Noncompetitive, group C. Competitive, group D. Noncompetitive, solitary 9. A patient with agoraphobia was suddenly brought to a mall, as part of their therapy. What behavioral therapy supports this intervention? A. This is an example of systematic desensitization B. This intervention may or may not work and requires extensive consideration before doing such. C. This is an example of cognitive behavioral therapy D. This is an example of flooding 10. Which of the following is not included in the criteria for diagnosing posttraumatic stress disorder? A. Increased arousal B. Extreme attachment to support people C. Flashbacks of the traumatic event D. Irritability 11. What physical symptom is most likely to be felt by a patient with mild anxiety? A. GI butterflies B. GI upset C. Nausea, vomiting, and diarrhea D. GI paralysis 12. You are assigned to a patient who claims that he has been feeling abdominal pains with a score of 6/10 for the past 5 years. Upon assessment, you discover that this patient has already consulted 5 hospitals and 3 clinics. You suspect this patient to have which disorder? A. Functional neurologic deficit disorder B. Disease phobia C. Somatic symptom disorder D. Disease conviction 13. What psychotherapy is indicated when activities such as art, music, or dance serve as outlets of the emotions (especially anxiety, anger, and depressive feelings) of a patient with PTSD? A. Defusing B. Debriefing C. Free association D. Catharsis 14. What action by a nurse indicates that they are applying grounding techniques for patients who are panicking or flashbacks in post-traumatic stress disorder? A. The nurse states: “I want you to tell me what you are seeing and feeling right now.” B. The nurse touches the client to let them know that they are there for the patient C. The nurse asks the client to reflect on how they got through similar situations before D. The nurse commands the client to look around the room, feel the bed, and identify sounds they are hearing. 15. A patient with depression was observed by the nurse to seat at a table with two other clients. What is the best feedback the nurse could give? A. “It makes me happy to see you talking to other patients.” B. “You must be feeling better now compared to when we first met” C. “Tell me more about what you feel” D. “I saw that you sat with the others at lunch earlier” 16. Your patient with somatic symptom illness disorder mentioned that their abdominal pain is back which is why they TOPRANK REVIEW ACADEMY, INC. Page 1 | 3
do not want to get out of the bed. After determining that there are no other symptoms, what is a therapeutic response to this patient? A. “Tell me about what you feel and I’ll listen before we go to our walk” B. “We already talked about this before. You must be aware now that this is not real.” C. “I’ll give you your scheduled pain medications” D. “Getting up to walk will distract you from your pain” 17. When interviewing your patient, she states that she feels excited in a monotonous tone and while maintaining a blank, mask-like face. You document this affect as: A. Blunt affect B. Flat affect C. Restrictive affect D. Inappropriate affect 18. What therapy will a patient with paranoid personality disorder most benefit from? A. Acting out how to act in social situations B. Taking psychiatric medications on time C. Setting limits on inappropriate behavior D. Increasing self-esteem and self-worth 19. Which of the following behaviors of a nurse is non therapeutic for a patient who is paranoid? A. Maintaining a businesslike and formal attitude when interacting with the patient B. Two nurses who are planning about another patient’s care at the patient’s door C. Using simple, direct, and concise words D. Maintaining a friendly, yet passive attitude 20. Which of the following neurotransmitters are altered in patients with mood disorders? A. Norepinephrine and dopamine B. Dopamine and serotonin C. Norepinephrine and serotonin D. Dopamine and acetylcholine 21. In applying restraints, what is an action by the nurse that will indicate that you, as the head nurse, need to provide further education? A. The nurse monitors the client’s radial and dorsalis pedis pulse after applying restraints. B. The nurse ensures the restraints are tightly applied to the footboard. C. The nurse does not wait for the doctor’s orders when they applied restraints D. The nurse monitors the client every 15 minutes, or as needed. 22. You observe that your patient isolates herself from other patients in the ward. They are not participative and mentions “I do not care about anything.” What will you include in your plan of care for this patient? A. Implement a kind and firm approach during your interactions B. Offer your time with the client in a consistent and non-demanding manner C. Sign the client up for the community basketball league D. Ask other clients who are friends with the patient for guidance 23. Which sign or symptom indicates that your patient is experiencing panic? A. Suicidal behavior B. Sleeplessness C. High pitched voice D. Pounding heart and chest pain 24. Which of the following statements by a student nurse indicate that they do not need any additional teaching regarding patients who are suicidal? A. It is important to not talk about suicide to avoid encouraging the patient to think about it B. A patient who has acted on their suicidal ideation is at risk for suicide for two years C. If a person talks openly about suicide, it is less likely that they will hurt themselves D. Once a patient is at risk for suicide, they are always at risk for such 25. Which of the following patient data puts them at the highest intrinsic risk for major depressive disorder? A. The patient being born as a male B. The patient’s age being 18 years old C. The patient who just experienced the loss of a partner D. The patient whose father has been diagnosed with major depressive disorder 26. One of the complaints of your patient is that they feel like the newscaster on the TV is talking about him during a report of a victim of a man hunting incident. You know that this is called as: A. Ideas of reference B. Thought broadcasting C. Persecutory delusion D. None of the above 27. While talking to a patient experiencing psychosis, you noticed that they keep looking at the side and reacting to the wall. What is your appropriate response? A. “I would appreciate it if you focus on our discussion” B. “You seem distracted. Is something distracting you at your side?” C. “How often do you do that when talking to other people?” D. Ignore the behavior as it may go away. 28. What is an appropriate intervention for a client whose manic phase is triggered? A. Bring the client to the garden where it is quiet B. Allow the client to verbalize their feelings C. Sit with the client even if they do not recognize your presence D. Restrain the client. 29. In the emergency room, a patient entered complaining of a 10/10 headache and severe chest pain. Upon assessing the client’s history, you determined that they were admitted to the psychiatric ward for somatic symptom illnesses with the same chief complaint. What is your immediate nursing intervention? A. Assess the client’s symptoms further B. Bring the client to the psychiatric ward. C. Refer the client to the cardiologist D. Refer the client to the psychiatrist 30. Your patient states: “I feel great. Rate my pain. I feel sane. I want to drive in my lane.” As a psychiatric nurse, you are aware that this is a manifestation of: A. Verbigeration B. Stilted language C. Perseveration D. Clang association 31. Which of the following is true about schizophrenia? A. Schizophrenia is a chronic illness requiring long-term management B. A patient with schizophrenia may experience some involvement of their social integration to the community C. Medications for schizophrenia are called antipsychotics and is discontinued once symptoms of schizophrenia are cured D. A common and accredited tool and nursing care plan is available to be used for all patients with schizophrenia, regardless of severity. 32. What speech disturbance is characteristic of a patient during the acute phase of mania? A. Perseveration B. Word salad C. Looseness of association D. Flight of ideas 33. When reading your patient’s charts, they are characterized to have the following behavior: (1) wears seductive and colorful clothes, (2) acts close to all people even if they just met, and (3) is emotionally expressive and agrees with anyone to get attention. These are signs and symptoms of which personality disorder? A. Narcissistic personality disorder B. Obsessive-compulsive personality disorder C. Borderline personality disorder D. Histrionic personality disorder 34. A patient with schizophrenia is currently experiencing delusions of grandiosity. What is an initial response to their TOPRANK REVIEW ACADEMY, INC. Page 2 | 3
statement: “I need to go home. My attendants are waiting for me and my fans are expecting my return to showbusiness.” A. I see that you believe that you really have fans awaiting you. B. What makes you think that people are waiting for your return? C. Do you feel like you have something or someone important to attend to outside? D. No one is waiting outside for you. 35. What is true of obsessive-compulsive disorder? A. Obsessions are uncontrollable impulses B. Compulsions are uncontrollable thoughts C. Obsessions are uncontrollable thoughts D. None of the above 36. When asked about how the patient is feeling, they responded: “I feel forlorn for I have just been a witness of the demise of my dearly beloved offspring. It brings me absolute melancholy that I witness their burial way ahead of me.” This is an example of which speech disturbance? A. Schizophasia B. Stilted language C. Neologism D. Verbigeration 37. Your patient who is up for discharge teaching is showing signs and symptoms of mild anxiety. What intervention must be done by the nurse? A. Redirect the client to the teaching session B. Proceed with the planned health teaching session C. Assist the client to a quiet, non-stimulating room D. Stay with the client and address their symptoms 38. What intervention written by the nurse in the care plan indicates that they have a correct understanding in managing a patient who turns all lights in their house on and off for 25 times before leaving? A. Prohibits the client their behavior of turning the lights on and off. B. Allow the client to do the behavior for 25 times today, 10 times tomorrow, 15 times the day after. C. Provide the client a safe space to verbalize their feelings behind their behavior. D. Make sure to give scheduled antidepressants on time. 39. A patient who presents with sudden shifts of emotion from being ecstatic and joyful to sad and depressive in a short amount of time is presenting with what affect? A. Bipolar disorder B. Broad affect C. Labile affect D. Inappropriate affect 40. What is an important intervention for a patient with anorexia nervosa after meals? A. Stop them from performing ritualistic food behaviors B. Provide the client with supplemental food C. Write down in their journal their experience of eating D. Monitor the client closely 41. What is the thought disturbance that is the delusional belief that other people are taking the client’s thoughts away and the client is powerless to stop it? A. Thought blocking B. Thought broadcasting C. Thought insertion D. Thought withdrawal 42. What neurotransmitter levels are altered in schizophrenia? A. Dopamine and serotonin B. Norepinephrine and serotonin C. GABA and dopamine D. Acetylcholine and norepinephrine 43. When a patient responds to a question in full detail but is unable to answer the question at hand, the nurse documents this manifestation as: A. Flight of ideas B. Looseness of association C. Tangentiality D. Circumstantiality 3 44. What is the appropriate intervention of a nurse to a patient admitted who does not want to interact with other people, including their nurse-in-charge? A. “It’s okay if you do not want to talk. I will come back before my shift ends” B. “I will have to terminate my contract if you do not speak with me” C. “I will stay here for 15 minutes. You can choose to talk or not to talk to me” D. “Please answer. We need your input so that we can take care of you” 45. The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly and rapidly, and using elaborate hand gestures. The nurse concludes that the client is demonstrating which A. Aggression B. Anger C. Anxiety D. Psychomotor agitation 46. This is a schizophrenia-related disorder in which the patient manifests one or more psychotic behavior for at least month but less than 6 months, usually with no impairment to social or occupational functioning. A. Brief psychotic disorder B. Catatonic schizophrenia C. Schizophreniform D. Shared psychotic disorder 47. Which of the following interventions for a patient with bulimia nervosa should change in their care plan? A. Encourage the patient to eat meals with other people such as friends or family B. Ensure that food stored at the kitchen, room, and their car are all nutritious C. Identify food eaten during binge episodes and avoid buying them D. Plan with the patient a nutritious food plan 48. What is the ego defense mechanism that is expected to be used by a patient with OCD? A. Acting upon negative feelings regarding a threatening object to a less threatening object B. Performing acceptable behaviors in response to negative behaviors C. Acting the opposite of what one thinks or feels D. Blaming oneself 49. What is an appropriate intervention for a client who is experiencing GI upset, muscle tension, frequent urination, and cannot seem to concentrate unless directed? A. Acknowledge the client’s experience and promote verbalization B. Refocus the client to the current situation and promote use of relaxation techniques C. Use a soothing, calm voice and provide intramuscular anxiolytics D. Take control of the client and assist them to a private room 50. Which of the following patients, upon your assessment, will you document as the least likely to commit suicide? A. A patient who has a list of people who they want to say sorry to at the bedside B. A patient who is offering to the nurse the only award they received from their school C. A patient whose affect has improved to smiling and joyful as compared to being depressive during admission D. A patient who is persistently alone and does not want to talk to anyone since admission TOPRANK REVIEW ACADEMY, INC. Page 3 | 3