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TOP RANK REVIEW ACADEMY, INC. Page 1 | COMPREHENSIVE PHASE WORKBOOK PSYCHIATRIC NURSING NOV 2025 Philippine Nurse Licensure Examination Review Situation: The psychiatric nurse should be well versed in the legal issues commonly encountered in the psych unit. 1. Which of the following rights can be suspended with a good cause? A. Choice of providers B. Confidentiality C. Treatment D. Non discrimination 2. The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor says to the nurse, “How is Carol doing? She is my best friend and is seen at your clinic every week.” Which is the most appropriate nursing response? A. “I cannot discuss any client situation with you.” B. “If you want to know about Carol, you need to ask her yourself.” C. “Only because you’re worried about a friend, I’ll tell you that she is improving. D. “Being her friend, you know she is having a difficult time and deserves her privacy.” 3. A voluntary client in a facility decides to leave the unit before treatment is complete. To detain the client, you refuse to return the client's personal effects. Nurse Mark will tell you that you are committing? A. False imprisonment B. Limit setting C. Slander D. Violation of confidentiality Situation – No single, universal definition of mental health exists. Generally a person’s behavior can provide clues to his or her mental health. Because each person can have a different view or interpretation of behavior (depending on his or her values and beliefs), the determination of mental health may be difficult. As such, the psychiatric nurse must be knowledgeable about mental health and the scope of this specialty field. 4. A major environmental factor that may influence the development of mental illness is: A. Having 3 nurse siblings B. poverty C. political confusion D. heredity 5. Ysabelle, a newly registered nurse, is pursuing her career as a psychiatric nurse. In which of the following settings would she expect to work with people with psychiatric needs? A. Special education centers B. DSWD shelters C. Half-way houses D. All of these 6. While caring for the client with a mental illness, which action by the psychiatric–mental health nurse best indicates the use of Hildegard Peplau’s nursing theory? A. Assessing client’s interactions with their environment B. Intervening to enhance the client’s abilities to perform self-care C. Establishing a therapeutic nurse-client relationship D. Evaluating the effectiveness of the client’s coping and adaptation skills 7. Brad has been diagnosed to have Major Depression. He is now being discriminated by the community and is labeled as “Baliw” because of his illness. This is an example of ? A. Defined burden B. Undefined burden C. Hidden burden D. Future burden Situation - The mechanism for establishing, maintaining, and improving human contacts is interpersonal communication. Communication is a very special process and the most significant of human behaviors. Moreover, it is the main method for implementing the nursing process. As a psychiatric–mental health nurses, we help clients tell their stories, explore the circumstances of their lives, and move in a more satisfying and mentally healthier direction. 8. The use of facial expressions and gestures communicates: A. Personality traits. B. Interest in, and attraction to, another person. C. Emotions. D. Rejection. 9. A client in group therapy is restless. His face is flushed and he makes sarcastic remarks to group members. The nurse responds by saying, "You look angry." The nurse is using which of the following techniques? A. A broad opening statement B. Reassurance C. Clarifying D. Making observations 10. A client asks the nurse, "Do you think I should leave my husband?" The nurse responds, "You aren't sure if you should leave your husband?" The nurse is using which therapeutic technique? A. Restating B. Reframing C. Reflecting D. Offering a general lead Situation - The therapeutic nurse–client relationship, also called the one–to–one relationship, is one in which the nurse use theoretical understandings, personal attributes, and appropriate clinical techniques to provide the opportunity for a corrective emotional experience for clients. 11. Which of the following client statements does NOT reflect a characteristic of the functional one to-one relationship? A. “We agreed to meet twice monthly for a year in her office at the clinic.” B. “My nurse wants to focus on anger management techniques, and I want to examine my early childhood.” C. “When I move in December, our relationship will end. My nurse plans to refer me to a clinic near my new home. I will miss her, because I will not see her again.” D. “The nurse and I decided to address physical safety issues first, and then focus on sources of social support.” 12. The nurse who encourages her client to express her feelings and concerns performs one of the following tasks: A. Parent surrogate B. Counselor C. Socializing agent D. Ward Manager * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH


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