Tiêu đề WORKBOOK - PSYCH (KEY) ✅

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

TOP RANK REVIEW ACADEMY, INC. Page 3 | A. ASD has a longer duration than PTSD. B. The interval from trauma to symptoms is of shorter duration for ASD. C. The client with ASD has at least one dissociated manifestation. D. The ASD client with the dissociative symptoms does have problems coping. Situation – To be able to design care plans to help those with personality disorders, the nurse must be familiar with the various types of PDs and the major characteristics of each. 31. A dependent personality is characterized by: A. Mistrust of the significant others B. Incessant demands for attention and support from others C. Inability to postpone gratification D. Lack of enthusiasm for the ordinary activities of life 32. The nurse caring for a client with antisocial personality disorder would place highest priority on which nursing diagnosis? A. Disturbed personal identity B. Fear C. Risk for violence directed at others D. Social isolation 33. A client arrives for her mental health appointment wearing a cocktail dress and theatrical makeup. She announces dramatically and flirtatiously that she needs to be seen immediately because she is experiencing overwhelming psychological distress. The nurse should recognize behaviors suggestive of which axis II diagnosis? A. Borderline personality disorder B. Narcissistic personality disorder C. Histrionic personality disorder D. Antisocial personality disorder 34. A client has been diagnosed with borderline personality disorder. The client is impulsive, shows labile affect, displays frequent angry outbursts and has difficulty tolerating angry feelings without self-injury. The nurse selects which of the following as the priority nursing diagnosis for this client? A. Anxiety B. Risk for self-mutilation C. Risk for violence toward others D. Ineffective coping 35. The mental health nurse is reviewing a 35 year old client’s history before conducting an interview. The client’s history indicates fear of criticism and rejection from others, having few friends and withholding information about thoughts and feelings in anticipation of rejection by others. Based on the data, the nurse suspects that the client may have which personality disorder? A. Schizotypal B. Paranoid C. Avoidant D. Schizoid 36. A patient is having difficulties in establishing and maintaining relationships with others; he does not exhibit psychotic symptoms. The psychiatrist is considering a diagnosis of personality disorder. Based on the above symptoms and her knowledge of the disorder, the nurse would suspect the patient to have what type of personality disorder? A. Schizoid B. Schizotypal C. Borderline D. Dependent SITUATION – Nurse Bob is taking care of different patients having dementia of varied types. She is concerned with the sequelae of the disorder to his patient’s physical, mental and social health. 37. On a 24-hour assessment, Nurse Bob documents that Lola Johana, a client diagnosed with Alzheimer’s disease presents with aphasia. Which client behavior supports this finding? A. Lola Johana is sad and has no ability to experience pleasure. B. Lola Johana is extremely emaciated and appears to be wasting away. C. Lola Johana is no longer able to speak. D. Lola Johana is having difficulty in forming words. 38. In planning her treatment plan, which intervention would be most important in managing Lola Johana’s condition? A. Avoid the use of touch B. Provide a stimulating environment C. Provide a safe environment D. Use restraints whenever necessary 39. The nurse suspects a client is experiencing delirium. A specific assessment information that would support this suspicion includes: A. Slow onset of confusion and agitation. B. Onset is insidious and relentless. C. Sudden onset of confusion. D. The symptoms last for 1 month or longer. 40. She is observed to be repeating the same word over and over again. This symptom is known as: A. Palilalia B. Confabulation C. Aphasia D. Apraxia 41. Discharge plan is being prepared. The family should be instructed to place highest priority to this need in caring for Aling Mrs. Cruz: A. Nutrition B. Safety C. Hygiene D. Comfort 42. Psychiatric nurses may describe a psychopathological condition as: A. a state of emotional balance B. a disturbance in the persons thoughts, feelings and behavior C. always hereditary D. not treatable SITUATION – Society and culture have a great deal of influence on eating behaviors and perceptions of ideal weight. Eating patterns are developed based on attempts to meet these societal norms. 43. The nurse is teaching a group of young adolescents about eating disorders. The nurse consider the sessions effective if the participants state that anorexia nervosa is best as an eating disorder that occurs: A. Only in young girls who are depressed B. Mainly in young girls who perceive themselves to be grossly overweight C. Primarily in young gays who live in chaotic families D. In young boys and girls alike 44. The nurse is conducting an in-service education session about the relationship between anxiety and bulimia nervosa. The nurse best describes the relationship by saying, “When the client has bulimia nervosa, an increase in the anxiety level will generally result in: A. Rigidly controlling what he or she eats. B. Binging and purging C. Overeating D. Consuming alcohol 45. A characteristic that would suggest to the nurse that an adolescent may have bulimia would be: A. Redness on knuckles B. A positive body image C. A previous history of gastritis D. Frequent regurgitation and re-swallowing of food 46. The following are the characteristics of anorexia nervosa, except: A. Preoccupied with weight loss B. Thinks she’s fat C. Afraid of gaining weight D. Aware of her eating problem 47. The nurse traces the history of the client to identify the probable cause of her condition. You know that families of anorexia nervosa clients: A. Tends to be chaotic and place high value on achievement B. Often have a history of substance abuse C. Are usually closed systems that discourage outside relationship D. Have an inability to collaborate with others 48. When taking care of a client diagnosed with bulimia nervosa, the least appropriate action of a nurse is: