Tiêu đề 3. FC PSYCH (Mr. Fajardo) - SC ✅

1 | Page FINAL COACHING PSYCHIATRIC NURSING Prepared by: Mr. Kevin Fajardo, MAN, PHRN, USRN November 2025 Philippine Nurse Licensure Examination Review NAME: DATE: SCORE: _____ “FIRST TAKER AKO, AT LAST TAKE KO NA ‘TO! Situation 1: A 35-year-old male employee was rushed to the psychiatric ward by his officemates after suddenly shouting in the office that his supervisor was “conspiring” to destroy his career. Upon arrival, he is observed to be agitated, restless, and tearful. During the admission interview, the nurse notices that the client’s speech is pressured, and he insists that his boss is plotting against him. The nurse begins the initial assessment and reflects on the ethical, personal, and professional issues that arise when providing psychiatric nursing care. 1. Ethical concerns in psychiatric diagnosis may arise primarily from which factor? A. Inadequate communication skills B. Lack of compassion C. Subjectivity D. Objectivity 2. During reflection, the nurse tells her mentor: “The client’s tone reminded me of my father’s anger, which made me anxious.” This statement demonstrates: A. Positive self-projection B. Self-awareness C. Assertiveness D. Self-mastery 3. A nurse says: “I’m not sure how I’ll react when faced with a violent client.” Which response from the nurse manager BEST enhances the staff nurse’s self- awareness? A. “How would you go about de-escalating a violent individual?” B. “Have you had a negative experience with a violent client before?” C. “Describe what you would do when the client becomes aggressive.” D. “Think about how you usually respond to angry or aggressive people.” 4. In psychiatric nursing, self-awareness, knowledge of human behavior, and communication skills combine to form the foundation of what core concept? A. Positive self-projection B. Therapeutic use of self C. Assertiveness D. Self-mastery Situation 2: A 28-year-old female with generalized anxiety was voluntarily admitted to the psychiatric unit after complaining that her excessive worrying was interfering with her work and sleep. During admission, she expresses fear of being “locked in,” but the nurse reassures her that she retains her rights because she entered voluntarily. The nurse continues to explain her rights and monitors her adjustment to admission. 5. When a client is voluntarily admitted to a psychiatric unit, the nurse should anticipate which behavior? A. Fearfulness regarding treatment measures B. Anger and aggressiveness toward staff C. Willingness to participate in planning her care D. Resistance to all forms of treatment 6. The nurse evaluates statements that may require warning third parties. Which situation clearly indicates a duty to warn? A. “I hate all the police.” B. “I will blow up Malacañang Palace.” C. “I’ll get them before they get me.” D. “If I can’t have my girlfriend, then no one can.” 7. During her stay, the client insists on leaving the hospital against medical advice (AMA). Which nursing action BEST respects her autonomy while fulfilling the nurse’s responsibility? A. Call security to block the client from leaving B. Restrain the client until the physician arrives C. Explain risks, ask client to sign AMA form, and allow discharge D. Tell the client she cannot return if she leaves Situation 3: A 22-year-old college student is admitted to the psychiatric unit after experiencing shortness of breath, palpitations, dizziness, and a feeling of impending doom during a class presentation. He reports that these episodes have occurred several times over the past month, causing him to avoid social and academic activities. He also describes himself as a “worrier” since high school, often lying awake at night with racing thoughts. The nurse is assigned to assess him and plan appropriate care. 8. During the assessment, the nurse observes the client pacing, wringing his hands, and stating, “I just need to keep moving.” Which nursing response is MOST therapeutic? A. “Are you feeling anxious?” B. “You need to sit down and relax.” C. “You must be experiencing a problem right now.” D. “Is something bothering you?” 9. The nurse classifies the client’s condition as panic anxiety when observing which behavior? A. The client is hallucinating and becomes dangerous to others B. The client remains calm but worries about the future C. The client can still follow directions with assistance D. The client is irritable but maintains logical thinking 10. The client with generalized anxiety disorder (GAD) says, “I know I worry too much, but I just can’t control it.” Which nursing goal is MOST appropriate? A. “The client will suppress all anxious thoughts.” B. “The client will report fewer episodes of anxiety interfering with daily life.” C. “The client will eliminate all anxiety through medications.” D. “The client will avoid stressful situations entirely.” 11. Before starting benzodiazepine therapy for anxiety, the nurse’s priority assessment should focus on: A. Client’s motivation for treatment B. Client’s coping strategies * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *