Title DIAGNOSTIC EXAM - NP5 (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | REFRESHER PHASE DIAGNOSTIC EXAMINATION NURSING PRACTICE V FEB 2026 Philippine Nurse Licensure Examination Review Situation 1 - The nurse is often challenged with issues and problems in creating a therapeutic environment for clients. 1. Environment as referred to in milieu therapy refers to: A. Both people and physical environment. B. The buildings and grounds. C. The people who relate with one another. D. The immediate physical surroundings. 2. It is a priority for the nurse to: A. Keep an effective social order. B. Safeguard physical safety and security. C. Keep a restrictive environment. D. Maintain a closed door policy. 3. Hercules constantly manipulates and asks for excuse from not participating in ward activities. A therapeutic approach of the nurse is to: A. Have someone monitor him closely. B. Respond, “Do as you please. Just don’t bother anyone!” C. Respond, “We have agreed on a schedule. I expect you to follow.” D. Ignore the behavior. 4. The nurse is aware that these patients are likely to be exploited in a group setting. These are the patients who are: A. Hostile. B. Sociable. C. Suspicious. D. Withdrawn. 5. A therapeutic community aims to: A. Keep policies and rules to be followed. B. Encourage group problem solving and decision making. C. Have a physical accountability of all patients. D. Encourage patients to police themselves. Situation 2 – Communication is the means for demonstrating compassion and care. It is essential to the nurse-client interaction as it serves as a vehicle in establishing a therapeutic relationship. The following situations require the deliberate planning for effective therapeutic relationship. 6. Zeus is waiting for the result of the magnetic resonance imaging that will describe the extent of the disease in the brain. He says to the nurse, “I think it’s taking a long time to get the results. Something must be wrong.” Which of the following should be the appropriate response of the nurse? A. “Perhaps you would like to talk about it.” B. “Oh, don’t worry, everything’s going to be just fine!” C. “What do you think would be helpful?” D. “Sounds like you are worried about how the procedure turns out.” 7. Artemis, 15 years old, is being treated in the emergency room for treatment of minor injuries from a motor vehicle accident. She is anxious and hysterical. She tells the nurse, “I can’t go home. My father will surely kill me. It’s my fault.” In this situation, the nurse’s appropriate action is to: A. Tell her to calm down and say, “Your mother is coming to take you home.” B. Hold her hands and say, “Slow down. Take a deep breath.” C. “Stop worrying. Your father loves you and understands that it was an accident.” D. Reassure her and say, “It’s not your fault.” 8. Virgil, a young successful businessman, sustained spinal cord injury leaving him paralyzed from the waist down. While the nurse is giving morning care, she notices him to be staring blankly. He states, “I think I am better off dead.” The BEST response of the nurse is: A. “Have you thought about committing suicide?” B. “I don’t think you are serious about these feelings.” C. “When did these feelings start?” D. “There is still hope for you to recover.” 9. Aphrodite, a budding young artist, was confined to the hospital and was diagnosed with multiple sclerosis. The nurse enters the client’s room and found her crying. Which of the following is the MOST appropriate response of the nurse? A. “Do you want me to call your mother?” B. “Tell me what is bothering you?” C. “It’s ok. You will be fine.” D. “Here is a tissue paper. I’ll stay with you for a while.” 10. The nurse is teaching the mother of a 10 month old infant in hip spica. She judges that the mother understands how to feed the infant when she states which of the following? A. “I’ll position my baby flat on bed and will feed her the formula.” B. “I’ll elevate the head of the bed to prevent regurgitation of the milk.” C. “I’ll look for a modified high chair or a special feeding table to use.” D. “I’ll ask somebody to assist me in feeding my baby.” Situation 3 – Galatea, a 27 year old woman, was admitted to an adult inpatient psychiatric unit with symptoms of excessive hand washing and showering. She believed numerous stimuli like door knobs, toilets, and “unclean” individuals were contaminated with chemicals and toxins that could contribute to her development of brain tumor. These resulted in inability to work, crying daily, not eating well and staying in bed a lot. 11. Galatea’s condition indicate a symptomatology of: A. Agoraphobia disorder. B. Personality disorder. C. Obsessive-Compulsive disorder. D. Panic Anxiety disorder. 12. Galatea’s hospitalization lasted for 2 weeks during which she was started on Fluoxetine which is a/an: A. Antidyskinetic. B. Mood stabilizer. C. Neuroleptic. D. Anti-depressant. 13. The nurse interprets Galatea’s hand washing rituals as attempts to reduce her: A. Mania. B. Immobility. C. Isolation. D. Anxiety. 14. The nursing staff in the unit supported interventions for cognitive therapy which include the following EXCEPT: A. Restructuring inaccurate thoughts. B. Refraining from engaging in rituals. C. Recognizing deep seated unconscious conflicts. D. Thought stoppage. 15. Cognitive therapy is a treatment based on principles of: A. Learning theory. B. Phenomenological theory. C. Psychoneuroimmunology. D. Psychodynamic theory. * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH