Nội dung text RECALLS 10 - NP5 - SC
1 | Page RECALLS 10 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: Nurse Nikki is caring for patients with cognitive disorders. The following questions apply. 1. Kimpamparu has been admitted to the psychiatric ward and tends to isolate herself, avoiding social interaction. She frequently expresses, “I am the goddess of all goddesses”. The patient is exhibiting manifestations of what? A. Schizoid Personality B. Schizotypal Personality C. Histrionic Personality D. Paranoid Personality 2. Sarah exhibits Bleuer’s 4A’s of schizophrenia. You know that the following behavior corresponds to the 4A’s of schizophrenia except: A. Repeatedly checks her reflection in the window, adjusting her clothes and hair, and speaks only about her own thoughts and feelings without acknowledging others in the room during a group therapy session B. During a conversation, Sarah starts talking about buying groceries, then suddenly switches to a dream and quickly shifts to her childhood pet. C. Sarah smiles and giggles while discussing a tragic event. D. Sarah stays in bed all day, refusing to eat or interact with anyone 3. Charles is admitted to Grey Sloan Psychiatric Hospital due to his bizarre behavior. During the history taking, you have known that Charles went missing for 1 week and suddenly returned home afterwards. His mother was worried as he continuously said that he does not remember leaving home and cannot recall what happened to him. Additionally, Charles’ mother informed you that this already happened eight times in a month. You are aware that the client may be exhibiting manifestations of what condition? A. Multiple Personality B. Dissociative Identity Disorder C. Dissociative Amnesia D. Dissociative Fugue 4. After being involved in a car accident, Tom is surprisingly calm and nonchalant, stating, "It’s fine, no big deal," despite having visible injuries. What condition or behavior is Tom displaying? A. Lou Gehrig B. La Belle C. Munchausen D. Somatization 5. A client who has been avoiding social situations due to a fear of embarrassment is in therapy. During the session, the therapist asks, “What is the worst thing that could happen if you attend a party, and someone doesn’t talk to you?”. What therapy is being used in the scenario? A. Assertiveness training B. Decatastrophizing C. Positive Reframing D. Negative Reframing 6. You care for a patient diagnosed with dementia and is aware that your client has an altered thought process. Which of the following interventions would be prioritized? A. Use identification bracelets and electronic surveillance B. Place a calendar and clock in a visible place C. Use pantomime gestures if the client is unable to understand spoken words D. Provide close supervision PSYCHIATRIC NURSING – ANXIETY DISORDERS, TRAUMA DISORDERS Situation: Nurse Grace has been assigned to work in the psychiatric ward, where her primary responsibility is to care for patients suffering from anxiety disorders and trauma-related conditions. Throughout her shift, Nurse Grace provides compassionate care, offering emotional support and helping the patient navigate their symptoms while fostering a sense of trust and safety in the psychiatric setting. The following questions apply. 7. Sarah, a young woman in her mid-twenties, has been struggling with an overwhelming fear of being perceived as unattractive. She avoids social situations, refuses to look in mirrors, and spends excessive amounts of time worrying about her appearance. Despite reassurances from friends and family, Sarah's fear continues to intensify, leading her to seek therapy. After a thorough assessment, her therapist diagnosed her with a condition related to an intense fear of ugliness, which significantly impacts her daily functioning and emotional well- being. A. Cacophobia B. Mysophobia C. Nyctophobia D. Xenophobia 8. Ralph, a sergeant returning from deployment, has been experiencing flashbacks, nightmares, and heightened anxiety. These symptoms are significantly affecting his ability to function both on and off the base. In response, the military has recommended a short-term, intensive therapy program specifically designed for service members with PTSD. What is a specialized CBT approach developed by the military to offer an intense, specific, short-term therapy for active-duty military personnel with PTSD? A. Exposure therapy B. Adaptive disclosure C. Cognitive processing D. Combination therapy 9. The client diagnosed with anxiety is currently diaphoretic, with muscle tension, increased use of automatisms, and has a faster rate of speech. What level of anxiety does the client exhibit? A. +4 B. +3 C. +2 * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *