Title RECALLS 11 - NP5 - SC ✅

1 | Page RECALLS 11 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: Lexie, 52 years of age, was brought to the ED due to numbness on her left face and a confused mental state. The physician’s initial diagnosis is ischemic stroke. 1. The following are true regarding brain attack except: A. It can be caused by thrombosis or embolism B. The use of oral contraceptive increases the risk of having a brain attack C. Cerebral anoxia lasting longer than 20 minutes causes irreversible damage. D. Airway patency is always a priority. 2. Lexie’s father, Thatcher, asks the nurse if his daughter’s initial diagnosis is different from “hemorrhagic stroke” which his late grandfather experienced years ago. The nurse answers correctly if she answers: A. Yes, ischemic stroke patients may experience severe headaches, while hemorrhagic patients may not. B. Yes, ischemic stroke is more common and occurs when a blood vessel is blocked by a clot or thrombosis; while hemorrhagic stroke occurs when a blood vessel bursts and bleeds into the brain causing hemorrhage. C. No, they are generally the same. D. No, because manifestations of different types of stroke are similar. 3. The nurse is aware that the following should be implemented during the acute phase of stroke except: A. Maintaining a quiet environment B. Placing antiembolism stockings C. Administering oxygen D. Inserting a urinary catheter 4. Visual-perceptual disturbances can occur in stroke. The nurse should encourage the client to: A. Provide eye care for visual deficits B. Approach from the affected side C. Approach from the unaffected side D. Turn the head to scan the complete range of vision 5. What is the most ideal position of Lexie when eating? A. Sitting in a chair or up in bed, with the head and neck positioned slightly forward and flexed. B. Sitting in a chair or up in bed, with the head positioned slightly forward and flexed. C. Sitting in a chair or up in bed, with the neck positioned slightly forward and flexed. D. High-fowler Situation: Nurses have an important role in establishing an environment that satisfies the biological, psychosocial, and spiritual needs of clients. They are often challenged with issues and problems in creating therapeutic environment for clients. 6. In structuring a therapeutic environment, it is MOST important for the nurse to: A. Safeguard physical safety and psychological security. B. Keep an effective social order that recognizes authority. C. Keep a restrictive environment to prevent patient assaultiveness. D. Maintain a closed-door policy to instill order and disciple. 7. Environment as referred to in ‘milieu therapy’ refers to the: A. Building and grounds where patients interact. B. People with different personalities who relate with one another. C. Physical environment and relationships of people within. D. Immediate physical surroundings that create an ambience for the patients 8. Attitude therapy safeguards the therapeutic application of attitudes toward patients. Rico, seeks attention from the staff by repeatedly deviating and not participating in structured activities. It is BEST for the nurse to: A. Respond: “it is okay for as long as you don't bother anyone” B. Have a patient watcher monitor him closely. C. Ignore the behavior. D. Respond: “we have agreed on a schedule. I expect you to follow.” 9. The nurse is aware that these patients are likely to be exploited in a group setting. These are the patients who are: A. Suspicious B. Sociable C. Withdrawn D. Hostile 10. A therapeutic community aims to: A. Have team leaders to check physical presence and attendance of patients in ward activities. B. Constantly monitor implementation of ward policies and rules. C. Encourage patient interactions, group problem solving and decision making. D. Encourage patients to police themselves and impose sanctions on ward violations. Situation: A nurse researcher in the Psychiatric unit is undertaking a study on the relationship between depressive symptoms and motivation to lose weight among high school overweight teens in selected schools at the National Capital Region. 11. The study design to be used by the researcher is: A. Experimental B. Predictive correlational C. Non-experimental D. Descriptive correlational 12. Which of the following is true about the study design being used by the researchers? A. There is no researcher intervention. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page B. It is safe to infer causal relationships in this study design C. It proves causation. D. Effective means of collecting data 13. Which of the following inclusion criteria should be observed by the researcher in selecting the subjects? A. Current diagnosis of major depression. B. High school students with body mass index of 25 or greater. C. Enrolled in high school in NCR. D. High school students with aged limit of 16 – 20 years. 14. The independent variable for this study is: A. Weight loss B. Not applicable C. Depressive symptoms D. Motivation 15. One of the statistical approaches to be used by the researcher in analyzing whether a relationship exists between the number of depressive symptoms and motivation to lose weight is: A. Chi square test B. Analysis of covariance C. Pearson’s coefficient of correlation D. Product moment correlation Situation: Justine is 12 years old, looks like she is 9 and acts she is 4. She has lightning – quick hands and can grab things off the desk, out of the staff’s pockets and off food trays in the blink of an eye. She is cute and known for getting black eyes and bruises. Wherever she is, there is trouble, but according to her, it is always someone else’s fault. She loves to run away from the Child and Adolescent Unit of the hospital and being chased by young staff members. 16. From the behavior of Justine, the nurse infers that a fundamental issue is Justine’s: A. Difficulty developing stable relationships B. Inability to learn from past experiences C. Withdrawn attention D. Suspiciousness and mistrustful of others 17. With other children in the unit, Justine smiles with glee watching adult staff struggle to take time to fix the place and put things in order every time she and other children create chaos. This pattern of behavior is: A. Assaultive B. Demanding C. Hostile D. Manipulative 18. The psychodynamics of Justine’s behavior most likely would point to: A. Lack of social support for growing children from the local government. B. Lack of parenting, stressful and stormy family life. C. Failure of the school system to provide early education. D. Excessive media that portray sex and violence in TV programs. 19. In creating a therapeutic environment of Justine and kids of the same situation, it is foremost to: A. Develop a positive self-image. B. Give high calorie rich nutritional intake. C. Provide safety and security. D. Provide remedial education. 20. In the unit, it is not common to hear loud bangs and thuds with yelling, screaming, and cursing of these children with the company of Justine. A therapeutic activity that the staff can provide is: A. Leisurely and active gardening. B. Active ball games that are not competitive. C. Sports that foster cooperation and teamwork. D. Organizing book clubs for interaction. Situation: Nurses who are helping professionals and first responders in psychiatric emergencies and catastrophic situations often experience trauma and intense stress. Continuing education offered to nurses in this field aim to equip nurses’ knowledge and skills related to the important role in recognizing and responding to peers and colleagues struggling with maladaptive responses to trauma and stress. 21. Awareness of the varied responses of trauma and stress is a primary consideration in recognizing problems of helping professionals. Which of the following stress responses are cognitive in nature? A. Intrusive thoughts and reliving the incident, reduced ability to concentrate or mental confusion. B. Substance use, withdrawal from others, or acting out behaviors. C. Unfounded or unusual anger, depressive feelings, or anxiety reactions D. Fatigue, recurring headaches, or inability to sleep or eat. 22. Characteristic features of posttraumatic stress disorder include hyperarousal, i.e., exaggerated startle response, numbing effects and re-experiencing physiological and psychological reactions. The nurse notes that the duration of these symptoms MUST persist for at least: A. 2 days B. 1 month C. 2 weeks D. 3 days 23. Effects of compassion fatigue can be observed among emergency mental health professionals. This easily leads to: A. Somatic reactions B. Burnout C. Psychoses D. Neuroses 24. The idea of self – medication to cope with stress and trauma is common in helping professionals and first responders. This practice if it becomes pervasive has potential for: A. Substance use and abuse B. Behavioral changes and abuse C. Malpractice D. Avoidance behavior 25. A group strategy that allows processing of emotional effects of traumatic exposure is: A. Alcoholic anonymous B. Milieu therapy C. Psychodrama D. Avoidance behavior Situation: Nina, an adolescent, participating in a behavior therapy group cried while relating her experience of “cutting” on her skin, “the pain is so bad, this is the only way to get it out”. Nina is a survivor of sexual abuse perpetuated by her own father. She has history of repeated admission at Psychiatric Emergency Unit with repeated history of self – mutilation. She was diagnosed as Borderline Personality Disorder. 26. Nina verbalized the intensity of her emotional pain and anger, desperation and anxiety that escalate to a feeling of mounting tension. With this overwhelming anxiety, she may resort to dissociation which is characterized by: A. Feelings of emptiness and numbness and experience of depersonalization B. Retreat to an earlier developmental stage C. Use of excessive reasoning rather that reacting or changing D. Blame of others for one’s own feelings and thoughts 27. Nurses may perceive clients like Nina with strong countertransference reactions and feelings of frustration, betrayal, anger, and disgust. To work therapeutic with clients who self -mutilate, it is MOST important for nurses to: A. Do - self disclosure and solicit understanding from clients B. Acknowledge and overcome strong emotions C. Suppress reactions to maintain professionalism D. Engage in constructive activities to dissipate strong emotions. 28. Nina has a pattern of “cutting ” as a self – mutilating act. All of the following are therapeutic interventions EXCEPT: A. Offer sympathy, and additional attention to the behavior while cleaning the wound