Tiêu đề EVAL EXAM - NORMAL PSYCH (KEY) ✅

REFRESHER PHASE EVALUATIVE EXAMINATION PSYCHIATRIC NURSING ( NORMAL) NOVEMBER 2024 Philippine Nurse Licensure Examination Review Situation 1: Micalyn, a new psychologist assigned in the psychiatric unit is ever conscious of the ethico-moral concerns that affect the performance of her duties in the said unit. 1. The principle of beneficence in ethical decision making is best reflected in which of the following statements? A. Be honest and open and tell the truth at all costs. B. Be faithful to promises and obligations. C. Treat people fairly and distribute resources equitably. D. Promote good, do no harm, and prevent harm. 2. A psychologist is explaining the Bill of Rights of psychiatric patients to a client who has voluntarily sought admission to an inpatient psychiatric facility. The following rights should be included in the discussion except: A. right to select health care team and psychiatric members B. right to refuse treatment C. right to a written treatment plan D. right to confidentiality 3. Joe is very restless and is pacing a lot. The psychologist says to Joe, “If you don’t sit down in the chair and be still, I’m going to put you in restraints!” The GP may be charge of: A. assault B. battery C. defamation of character D. false imprisonment 4. When scenario best typifies a client with somatoform disorder? A. A client describes multiple gastrointestinal complaints without organic pathology. B. A client exhibits a morbid preoccupation with the fear of cancer. C. A client has recurrent episodes of intense anxiety that keep her from activities. D. A client recognizes an overwhelming and uncontrollable fear of episodes. 5. The primary gain from a conversion symptom is best represented by which of the following? A. Feelings of being important to family, caregivers, and others B. Attention from the caregivers at home, friends, or health care staff C. Getting out of negative, undesired, or stress-producing responsibilities D. Reduction of anxiety by resolution of an unconscious psychological conflict 6. A client with recurrent headaches has been told by the physician that the cause is likely psychosomatic. The client reports this conversation to the GP and says, “That just can’t be true! My head hurts so bad sometimes that it makes me sick to my stomach.” The GP’s best response is: A. “To give the client some privacy and time to calm down.” B. “To say nothing and sit quietly with the client.” C. “The pain in your head is very real.” D. “Well, that’s not what your doctor thinks.” 7. In the space of 5 minutes, the client has been laughing and euphoric, then angry, then crying for no reason that is apparent to the GP. This behavior would be best described as: A. Flight of ideas B. Lack of insight C. Labile mood D. Tangential thinking Situation 2: Human being use various defense mechanism to ensure the integrity of the ego. 8. A person trying to lose weight decides to take a 15 – minute walk every time the temptation to snack between meals occurs. This demonstrates which of the following defense mechanisms? A. Displacement B. Projection C. Rationalization D. Sublimation 9. Ariel, a student, went to watch a movie with a friend the night prior to the unit exam. The next morning, he received a low score on the exam. After seeing the score, Ariel slammed the book on the table and says to his classmate, "Our research is taking up much of our time and I don't have time to study! Anyway, I would not have mattered anyway because my teacher is unreasonable." Which of the following defense mechanisms is Ariel using? A. compensation, rationalization, denial B. reaction formation, conversation, projection C. rationalization, displacement, projection D. displacement, regression, intellectualization 10. The relative confirmed that ever since his father died, he began talking, dressing up, and acting like his father. This is: A. Introjection B. Sublimation C. Reaction Formation D. Projection 11. Your client, prior to admission at the Remotivation Ward disclosed that he was troubled by homosexual urges and initiated a campaign in the Senate campaigning not to grant homosexuals rights to petition and assembly. Based on your previous lectures, you learned that this is: A. Sublimation B. Reaction Formation C. Denial D. Undoing 12. A psychiatric mental health professional who predominantly uses the intervention mode of group and family therapies has the goal of: A. changing the dynamics of the client’s behavior B. improving the quality of the individual’s interpersonal interactions C. developing insight D. managing the symptoms 13. If a client were experiencing negative symptoms of schizophrenia, the GP would expect to see: A. Flat affect and little speech B. Rigid posture C. Excessive purposeless movements D. Inappropriate laughter 14. Which defense mechanism is being used by a paranoid client who blames others for problems he is experiencing? A. projection B. displacement C. rationalization D. intellectualization TOP RANK REVIEW ACADEMY, INC. Page 1 | 4
15. The psychologic response that best addresses his needs when he tells the GP about his delusion would be: A. “How is it that you are so important that terrorists want to kill you?” B. “Your thinking is distorted because your brain chemicals are out of balance.” C. “Your story is so fantastic that I cannot believe it’s true.” D. “It must be frightening to think you are being targeted.” Situation 3: Gary, a 35-year old, has been an alcoholic for 5 years. He recently lost his job due to his frequent tardiness and has spent up all his savings. Despite this, he doesn’t admit that he has a problem, so his wife brought him to the Rehabilitation Center. 16. Gary states, “I don’t think my drinking has anything to do with why I am here in the hospital. I think I have problems with depression.” Which statement by the psychologist is the most therapeutic response? A. “I think you really need to look at the amount you are drinking and consider the effect on your family.” B. “That’s wrong. I disagree with that. Your admission is because of your alcohol abuse and not for any other reason.” C “I’m sure you don’t mean that. You have realized that alcohol is the root of you problems.” D. “I find it hard to believe that alcohol is not a problem because you have recently lost your job and your driver’s license.” 17. During a GP-client interaction, Gary shares with you that he hits his wife while intoxicated with alcohol. He asks the psychologist, “Mapapatawad pa ba niya ako?: Which of the following responses by the GP would be best in this situation? A. “Malalaman mo lang ang sagot sa tanong mo kung lalapitan mo siya.” B. “Maaari nating pag-usapan iyan sa ating family session.” C. “Depende sa kaniya kung mahal ka niya talaga.” D. Sa tingin ko may dinaramdam ka dahil nasaktan mo ang asawa mo.” 18. Maria has been in a comatose state for the past 8 months as a result of an automobile accident. Although doctors have told her husband, Reuben, that there is no brain function, Reuben insists that she is showing responses. Which of the following stages of grief is Reuben experiencing? A. Bargaining B. Anger C. Denial D. Depression 19. A client recently lost his spouse. Which behavior indicates that the client is going through normal stage of grieving? A. The client starts using chemicals B. The client becomes an overachiever C. The client shows signs of hyperactivity D. The client shows a loss of warmth when interacting with others 20. A female client, who has been told by her physician that she has untreatable metastatic carcinoma, tells the psychologist that she believes the physician has made an error, she does not have cancer, and she is not going to die. The psychologist evaluates that the client is experiencing the stage of death and dying known as: A. Anger B. Shock C. Bargaining D. Acceptance 21. When working with a patient who has dissociative amnesia, the psychologist should plan to begin by: A. taking measures to prevent identity diffusion. B. setting mutual goals for behavioral changes. C. helping the patient develop a realistic self-concept. D. identifying and supporting patient strengths 22. The GP would evaluate that a patient who has auditory hallucinations has improved when the patient can: A. tell the psychologist what the voices say. B. tell the voices to be quiet. C. validate what is real. D. do what the voices command. 23. An action the psychologist can advise a family to take in the home setting to enhance safety for the family member with Alzheimer’s disease is: A. placing throw rugs on tile or wooden floors. B. instructing patient on cooking safety. C. allowing patient to smoke unattended. D. having patient wear an identification bracelet with name, address, and telephone number. 24. An individual who recently celebrated his 65th birthday is planning to leave from the job he has held for the last 35 years. His place of employment is providing information on how to adjust to the change in lifestyle. The industrial psychologist leading the workshop is aware that if the individual does experience an adjustment disorder, it will likely be related to: A. loss of identity and purpose. B. concern about finances. C. boredom from having few interests. D. loneliness from having to spend time alone. 25. A young patient with schizophrenia is standing in his pajamas next to the shower. The GP observes that he seems dazed and indecisive. The most helpful intervention would be to say: A. “It’s time for you to take your shower.” B. “Take off your pajamas and step into the shower.” C. “Is something wrong?” D. “Why are you waiting to get into the shower?” Situation 4: Matet, a 44-year-old former government employee, had been in and out of the hospital due to his bipolar disorder. He is pacing constantly today while other clients are having a birthday party. There is music, noise and food. The client walks over to the table and starts grabbing handfuls of cake to eat as he paces up and down the halls. 26. Among the following, what is the best response of the GP to this behavior? A. Let him continue to pace and eat B. Medicate him with anxiety drug C. Restrain him in his room D. Invite him to go outside and take a walk with the psychologist 27. Clients experiencing a manic episode will most likely be noncompliant with treatment because: A. They do not realize they need treatment B. They are too busy C. They want to be liked by others D. They enjoy the “high” 28. The GP learns a client is a college sophomore who recently transferred to the local university from another school in his home state. He reports he has been feeling depressed since he arrived and tells the GP, “I can’t seem to get with it... I don’t know anyone here and can’t get interested in my classes.” Which of the following is an appropriate diagnosis? A. guilt related to failure to achieve his goals B. inability to cope related to loss or separation from loved ones C. feelings of hopelessness related to change of residence D. low self-esteem related to lack of trust 29. A male college student, age 19, is admitted to the psychiatric unit with complains of suicidal thoughts and plan to hang himself. Which of the following actions is not a priority for the GP? A. remove his clothing, have him put on a hospital gown, and admit him to a seclusion room until a complete assessment of suicide risk can be done B. contact a family member to ask if he has made any prior suicide attempts C. place the client on suicidal precautions D. encourage the client to discuss recent events which led him to feel so hopeless 30. Before she is discharged from the hospital, the client and her husband attend a client education class on the topic of depression. They learn about the behaviors that could indicate a recurrence of depression. These could include all of the following except: A. psychomotor retardation TOP RANK REVIEW ACADEMY, INC. Page 2 | 4

B. Neologism C. Ideas of reference D. Delusion 49. A client says, “I’m really angry.” How should the psychologist respond therapeutically? A. What are you angry about? B. Don’t worry. Everyone gets angry sometime. C. Why are you angry? D You’re really angry. 50. During assessment, the psychologist will find that the client who has a diagnosis of body dysmorphic disorder will have which of the following symptoms? A. Dissatisfaction with body shape and size B. Preoccupation with an imagined defect in appearance C. Fantasizing oneself as changed into an ideal appearance D. A history of eight or more plastic surgeries on various body parts TOP RANK REVIEW ACADEMY, INC. Page 4 | 4