Tiêu đề RECALLS 8 - NP5 - SC ✅

RECALLS 8 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: Anxiety is a vague feeling of dread or apprehension; it is a response to external or internal stimuli that can have behavioral, emotional, cognitive, and physical symptoms. 1. Which of the following nursing interventions can help if the client is experiencing a severe level of anxiety? A. Teaching the client deep breathing technique B. Speaking in short, simple, easy-to-understand sentence C. Redirecting the client back to the topic if the client goes off in a tangent D. Walking with the client while talking 2. Peplau outlined the four levels of anxiety and psychological and physiological response to each level. According to her, when there is selective inattention, the person is at which anxiety level? A. Mild B. moderate C. severe D. panic 3. Which primary neurotransmitter is primarily involved with anxiety and anxiety disorders? A. glutamate B. acetylcholine C. GABA D. Norepinephrine 4. A client with a history of generalized anxiety disorder enters the emergency department complaining of restlessness, irritability, and exhaustion. Vital signs are blood pressure 140/90 mm Hg, pulse 96, and respirations 20. Based on this assessed information, which assumption would be correct? A. The client is exhibiting signs and symptoms of an exacerbation of generalized anxiety disorder. B. The client’s signs and symptoms are due to an underlying medical condition. C. A physical examination is needed to determine the etiology of the client’s problem. D. The client’s anxiolytic dosage needs to be increased. 5. During an intake assessment, a client diagnosed with generalized anxiety disorder rates mood at 3/10, rates anxiety at 8/10, and states, “I’m thinking about suicide.” Which nursing intervention takes priority? A. Teach the client relaxation techniques. B. Ask the client, “Do you have a plan to commit suicide?” C. Call the physician to obtain a PRN order for an anxiolytic medication. D. Encourage the client to participate in group activities. Situation: Substance use disorders and related disorders are a national health problem. This problem could spiral out of control unless great strides can be made through programs for prevention, early detection, and effective treatment. 6. A patient taking opioid over a long period of time complains that she does not get relief from pain after taking the same medication so she requested the doctor to have her dose increase. She is experiencing: A. dependence B. tolerance C. addiction D. increased pain perception 7. A patient experiencing alchohol intoxication may exhibiting which of the following symptoms? 1. lack of coordination 5. aggressiveness 2. impaired attention 6. Increased BP 3. Seizures 7. Inappropriate sexual behavior 4. Impaired judgement 8. Anxiety A. 1,3,5,7 B. 1,2,4,5,7 C. 1,2,4,5,6,7, D. 1,2,3,4,5,6,7 8. For patients undergoing aversion therapy, the nurse should prepare: A. Naloxone B. Disulfiram C. Chlordiazepoxide D. NGT 9. For intoxication to cannabis sativa or marijuana, bloodshot eyes(conjunctival injection) have been a significant finding. On the other hand what is considered the clinically significant withdrawal assessment? A. Muscle aches B. Sweating C. Anxiety D. None 10. Opioids are popular drugs of abuse because they desensitize the user to both physiological and psychological pain and induce a sense of euphoria and well-being. For a patient with opioid overdose, the nurse should prepare: A. Naloxone B. Hydromorphone C. Sodium Bicarbonate D. Benzodiazepine 11. The friend of a 24-year-old patient brought to the emergency department states, “I guess he had some heroin today.” The patient is drowsy and verbally nonresponsive. Which of the following assessment finding is of immediate concern to the Nurse? A. Urinary retention B. RRof 9 bpm C. reduced pupil size D. hypotension 12. The patient is brought to the emergency department by a friend who states, “He was using a lot of bad junk until he ran out of money about 2 days ago.” The nurse suspects the client to be in opioid withdrawal if he exhibits which of the following? 1. Rhinorrhea 4. Synesthesia 2. Diaphoresis 5. Formication 3. Piloerection 1 | Page