Tiêu đề RECALLS 8 - NP5 - SC ✅

RECALLS 8 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: Anxiety is a vague feeling of dread or apprehension; it is a response to external or internal stimuli that can have behavioral, emotional, cognitive, and physical symptoms. 1. Which of the following nursing interventions can help if the client is experiencing a severe level of anxiety? A. Teaching the client deep breathing technique B. Speaking in short, simple, easy-to-understand sentence C. Redirecting the client back to the topic if the client goes off in a tangent D. Walking with the client while talking 2. Peplau outlined the four levels of anxiety and psychological and physiological response to each level. According to her, when there is selective inattention, the person is at which anxiety level? A. Mild B. moderate C. severe D. panic 3. Which primary neurotransmitter is primarily involved with anxiety and anxiety disorders? A. glutamate B. acetylcholine C. GABA D. Norepinephrine 4. A client with a history of generalized anxiety disorder enters the emergency department complaining of restlessness, irritability, and exhaustion. Vital signs are blood pressure 140/90 mm Hg, pulse 96, and respirations 20. Based on this assessed information, which assumption would be correct? A. The client is exhibiting signs and symptoms of an exacerbation of generalized anxiety disorder. B. The client’s signs and symptoms are due to an underlying medical condition. C. A physical examination is needed to determine the etiology of the client’s problem. D. The client’s anxiolytic dosage needs to be increased. 5. During an intake assessment, a client diagnosed with generalized anxiety disorder rates mood at 3/10, rates anxiety at 8/10, and states, “I’m thinking about suicide.” Which nursing intervention takes priority? A. Teach the client relaxation techniques. B. Ask the client, “Do you have a plan to commit suicide?” C. Call the physician to obtain a PRN order for an anxiolytic medication. D. Encourage the client to participate in group activities. Situation: Substance use disorders and related disorders are a national health problem. This problem could spiral out of control unless great strides can be made through programs for prevention, early detection, and effective treatment. 6. A patient taking opioid over a long period of time complains that she does not get relief from pain after taking the same medication so she requested the doctor to have her dose increase. She is experiencing: A. dependence B. tolerance C. addiction D. increased pain perception 7. A patient experiencing alchohol intoxication may exhibiting which of the following symptoms? 1. lack of coordination 5. aggressiveness 2. impaired attention 6. Increased BP 3. Seizures 7. Inappropriate sexual behavior 4. Impaired judgement 8. Anxiety A. 1,3,5,7 B. 1,2,4,5,7 C. 1,2,4,5,6,7, D. 1,2,3,4,5,6,7 8. For patients undergoing aversion therapy, the nurse should prepare: A. Naloxone B. Disulfiram C. Chlordiazepoxide D. NGT 9. For intoxication to cannabis sativa or marijuana, bloodshot eyes(conjunctival injection) have been a significant finding. On the other hand what is considered the clinically significant withdrawal assessment? A. Muscle aches B. Sweating C. Anxiety D. None 10. Opioids are popular drugs of abuse because they desensitize the user to both physiological and psychological pain and induce a sense of euphoria and well-being. For a patient with opioid overdose, the nurse should prepare: A. Naloxone B. Hydromorphone C. Sodium Bicarbonate D. Benzodiazepine 11. The friend of a 24-year-old patient brought to the emergency department states, “I guess he had some heroin today.” The patient is drowsy and verbally nonresponsive. Which of the following assessment finding is of immediate concern to the Nurse? A. Urinary retention B. RRof 9 bpm C. reduced pupil size D. hypotension 12. The patient is brought to the emergency department by a friend who states, “He was using a lot of bad junk until he ran out of money about 2 days ago.” The nurse suspects the client to be in opioid withdrawal if he exhibits which of the following? 1. Rhinorrhea 4. Synesthesia 2. Diaphoresis 5. Formication 3. Piloerection 1 | Page
A. 1,2,3,4,5 B. 1,2,3 C. 1,3,4,5 D. 2,4,5 13. An unconscious patient was rushed to the ER and was given Naloxone (Narcan). Which of the following would indicate that the antidote is effective? 1. decreased pulse rate 4. increased respiration 2. pinpoint pupils 5. Consciousness 3. warm skin A. 1,3,5 B. 1,2,4 C. 4,5 D. 3,4,5 14. Which of the following should the nurse on duty expect to assess in a patient manifesting late signs of heroin withdrawal? A. Vomiting and diarrhea B. yawning and diaphoresis C. lacrimation and rhinorrhea D. restlessness and irritability 15. While you are on duty as a nurse in the ICU, you witness your coworker injecting what appears to be an opioid drug into their antecubital area. As a nurse, what should you do? A. Report the incident to the nursing supervisor immediately B. Lock the coworker and ask for an explanation privately C. Ignore the situation to avoid conflict D. Document the behavior anonymously without informing anyone Situation: A patient arrives at the Crisis Intervention Unit in a state of emotional distress, expressing confusion, anxiety, and an inability to cope. As a nurse, you recognize this as a situational crisis where the individual's usual coping mechanisms have failed. 16. A 14-year-old patient who may be pregnant shares that she has been hooking up with someone she describes as her "situationship." As the nurse, what should be your initial response? A. “You mean you have sexual intercourse with your situationship? ” B. “Describe what you mean by hooking up?” C. “Tell me more about what happened during your sexual intercourse. “ D. “Why did you assume that the boy liked you? “ 17. You are a nurse reviewing the chart of a patient admitted to the mental health unit. Upon review, you note that the patient is experiencing anxiety due to a situational crisis. As a nurse, you understand that this type of crisis is typically caused by? A. Witnessing a murder in the workplace. B. Death of the patient’s sister. C. Returning from combat as a post-war veteran. D. Being married to a long-term partner. 18. A nurse is creating a plan of care for a patient in a crisis state. When developing a care plan, the nurse should consider: A. Being in a crisis means the patient is suffering from a mental or emotional disorder. B. All patients show the same symptoms during a crisis situation. C. A patient’s response to a crisis in the same way, and what is a crisis for one person is also a crisis for another. D. A patient’s response to a crisis is individualized, and what one person considers a crisis may not be the same for someone else. 19. You are a nurse in a mental health unit speaking with a patient who is the sole survivor of a plane crash. Since the incident, the patient has been experiencing recurrent nightmares and difficulty sleeping. During the conversation, the patient says, “I don’t understand why they all had to die and I didn’t!” This statement suggests the patient is experiencing: A. Night terrors B. Suicidal ideation C. Survivor’s guilt D. Stress disorder 20. Based on the situation above, as a future topnotcher, you know that the most therapeutic response would be: A. “Why do you think that way? “ B. “That sounds really difficult. Can you tell me more about how you're feeling? ” C. “It’s okay to cry. I will always be here on your side.” D. “You should be thankful for the second life that God gave you.” Situation: Defense mechanisms are cognitive distortions that a person uses unconsciously to maintain a sense of being in control of a situation, to lessen discomfort, and to deal with stress. Because defense mechanisms arise from the unconscious, the person is unaware of using them. 21. A nurse reminds a patient that it is time for his bath. The patient yells in response, “You always tell me what to do! You're just like my evil stepmother! ” This behavior is an example of: A. Symbolism B. Transference C. Countertransference D. Reaction Formation 22. A patient argues with the nurse that smoking can’t be so bad because it keeps her calm and relaxed when she is stressed. The nurse is knowledgeable that the patient is using what type of defense mechanism; A. Sublimation B. Intellectualization C. Rationalization 23. A nursing board topnotcher was brought to the emergency room following an accident related to alcohol intoxication. Once stabilized and transferred to the ward, he repeatedly rings the call bell every 15 minutes to request assistance from the nurse on duty. The nurse recognizes that the patient is demonstrating which type of ego defense mechanism? A. Regression B. Repression C. Compensation D. Displacement 24. You are a nurse working in a mental health unit. One of your patients, who holds a corporate position, was recently observed being yelled at by his spouse. During your interview with him, the patient becomes hostile and begins shouting at you. As a nurse, you recognize that the patient is exhibiting which ego defense mechanism? A. Denial B. Projection C. Displacement D. Introjection 25. The nurse is assessing a patient suspected of being in the early stages of dementia. Which defense mechanism would the nurse most likely observe? A. Reaction Formation B. Substitution C. Confabulation D. Compensation Situation: A nurse is equipped with the appropriate knowledge and skills in dealing patients with Personality Disorder. The following questions apply. 26. While caring for a patient with a personality disorder, the nurse begins to feel irritated and frustrated due to the patient’s behavior. As a psychiatric nurse, what is the most appropriate action to take? A. Tolerance B. Self-control C. Self-awareness D. Responsibility 27. Which nursing diagnosis is the priority of care at a time of admission for a patient diagnosed with antisocial personality disorder: A. Social isolation B. Risk for Violence directed at others C. Personal identity disturbance D. Risk for fluid volume deficit 28. A patient arrives for a psychiatric appointment wearing an elaborate ballgown and heavy theatrical makeup. She 2 | Page