Tiêu đề RECALLS 9 - NP5 - SC ✅

RECALLS 9 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: You are a mental health nurse dealing with patients currently experiencing a crisis. You use your knowledge on crisis management to help these patients. The following questions apply. 1. In the rape crisis center, a woman is being seen a few days after she was raped. She reports that she has not had any appetite, she is experiencing anxiety and depression, and that she has been having nightmares. You as the nurse make an assessment on the woman to determine if it is appropriate for her to be admitted to the hospital. Which of the following priority questions should the nurse ask the woman? A. The client’s reaction to the event, including any suicidal thoughts. B. The client’s perceptions of her current skills for coping with the event. C. The availability of the client’s personal support systems. D. The effect of the event on other aspects of the client’s life. 2. An anxious, sobbing 19 year old is brought to the crisis shelter for an interview. She says, “I think I am pregnant but I don’t know what to do!” Which of the following nursing interventions is most appropriate for her situation at this time? A. Ask the client about the type of things that she had thought of doing. B. Give the client some ideas about what to expect to happen next. C. Recommend a pregnancy test after acknowledging the client’s distress. D. Question the client about her feelings and possible parental reactions. 3. You’re the nurse on duty when you saw an anxious 41-year-old client say that she would “rather die than be pregnant.” Which of the following responses by the nurse is most helpful? A. “Try not to worry until after the pregnancy test.” B. “You know, pregnancy is a normal event.” C. “You’re only 40 years old and not too old to have a baby.” D. “I see you’re upset. Take some deep breaths to relax a little.” 4. You were doing some charts when a client comes to the crisis center in a very distressed state. He tells you that he just cannot get over being fired from his job last week. He says that he already asked for help and talked to friends. He says, “I’ve tried everything to get through this, but nothing is working. Please, help me!” Which of the following should you, as the nurse, use as the initial crisis intervention strategy? A. Referral for counseling. B. Support system assessment. C. Emotion management. D. Unemployment assistance. 5. Getting the client’s significant others involved in helping with the immediate crisis as soon as possible is one of the major roles in crisis intervention. You as the nurse determine that the support persons are prepared to help when they verbalize which of the following? A. The name and phone number of the client’s physician. B. Emergency resources and when to use them. C. The coping strategies they are using. D. Long-term solutions they plan to tell the client to use. SITUATION: You are a nurse tasked to work with patients coping with their illnesses. 6. A client was diagnosed with an acute cardiac illness. The nurse should determine that the client lacks understanding of her illness and her ability to make changes in her lifestyle when they verbalize which of the following statements? A. “I already have my airline ticket, so I won’t miss my meeting tomorrow.” B. “These relaxation tapes sound okay; I’ll see if they help me.” C. “No more working 10 hours a day for me unless it’s an emergency.” D. “I talked with my husband yesterday about working on a new budget together.” 7. You just admitted a 19-year-old client who was recently diagnosed with leukemia. What is the most appropriate short term goal for the nurse and the client to establish? A. Accepting his death as imminent. B. Expressing his angry feelings to the nurse. C. Decreasing interaction with peers to conserve energy. D. Gaining an intellectual understanding of the illness. 8. The client hospitalized for diagnosis and treatment of atrial fibrillation states to the nurse, “Please hand me the telephone. I need to check on my stocks and bonds.” Which of the following responses by the nurse is most therapeutic? A. “You will get more upset if you make that call.” B. “You have atrial fi brillations. Let’s talk about what that means.” C. “You really don’t care about the fact that you’re sick, do you?” D. “Do you realize you have a life-threatening condition?” 9. The colostomy club made arrangements to meet with a client who will undergo a bowel surgery. Which of the following is accomplished when a representative of the colostomy club visits the client preoperatively? A. Letting the client know that he has resources in the community to help him. B. Providing support for the physician’s plan of therapy for the client. C. Providing the client with support and realistic information on the colostomy. D. Convincing the client that he will not be disfigured and can lead a full life. 10. One of your patients in the ward directs profanities at you, the nurse, then abruptly hangs his head and pleads to you, “Please forgive me. Something came over me. Ugh, why do I say those things?” As a knowledgeable nurse, you interpret this as which of the following? 1 | Page

C. Ineffective coping AEB dysfunctional isolation R/T unrealistic fear of germs. D. Anxiety R/T the inability to leave home, resulting in dysfunctional fear of germs. 25. Zoro has been in your care in the psychiatric unit for 4 days now for the treatment of their OCD. Which outcome takes priority for the patient at this time? A. The client will use a thought-stopping technique to eliminate obsessive and/or compulsive behaviors. B. The client will stop obsessive and/or compulsive behaviors in order to focus on activities of daily living. C. The client will seek assistance from the staff to decrease obsessive and/or compulsive behaviors. D. The client will use one relaxation technique to decrease obsessive and/or compulsive behaviors. SITUATION: You apply your knowledge on concepts of psychosocial health to patients assigned to you in the ward. 26. You are attending a seminar regarding coping skills. You were asked about the beneficial effects of humor. You respond to the question appropriately based on which of the following documented beneficial effects of humor? A. Lessened depression B. Increased relaxation C. Reduced aggression D. Improved sleep 27. As a knowledgeable nurse, you know that body image is the subjective view an individual has about his or her physical appearance including body shape, size, weight, and proportions. Which of the following conditions would put a patient at risk for disturbed body image? A. Urinary tract infection B. Hyperlipidemia C. Rheumatoid arthritis D. High blood pressure 28. You are a preoperative nurse preparing a client for an upcoming surgery. While you’re preparing this patient, you inform them of what they can expect after surgery and how their pain will be controlled postoperatively. Which of the following stress management techniques is being utilized in this scenario? A. Relaxation B. Guided imagery C. Progressive muscle relaxation D. Anticipatory guidance 29. An elderly patient you’re caring for is about to be discharged. Which of the following statements, if made by the patient, would indicate that they lack a support system at home? A. “My sister and her husband are taking me home today.” B. “My church members have been sending cards and letters while I have been in the hospital.” C. “I am not sure how I am going to get to the grocery store after I get home.” D. “My neighbor is retired. We visit and have our meals together every day.” 30. You are to assess a newly admitted patient regarding their health care practices. As a culturally competent nurse, which of the following factors would you include in your assessment? I. Health-seeking behaviors II. Responsibility for health care III. Folklore practices IV. Barriers to health care A. I B. III C. I, II, IV D. I, II, III, IV SITUATION: You are caring for various patients with substance abuse disorder of methamphetamines. You utilize your knowledge to help care for these patients. 31. You are assessing a patient diagnosed with substance abuse disorder. They stated, “My wife causes me to abuse methamphetamines. She uses methamphetamine and she also expects me to.” As a knowledgeable nurse, you know that the patient is using which of the following defense mechanisms? A. Rationalization. B. Denial. C. Minimization. D. Projection. 32. The mother of one of your patients who are newly admitted to the mental health unit expresses her concern that his son may be using methamphetamine. Which physical examination findings are consistent with methamphetamine abuse by the client? A. Hypotension and bradycardia B. Bruises and scrapes on the extremities C. Constricted pupils and fatigue D. Anorexia and recent weight loss 33. One of the patients you’re caring for in the unit is in methamphetamine withdrawal. When caring for this patient, the most appropriate intervention by the nurse should be to? A. Administer sedatives routinely to prevent seizures. B. Allow the client to sleep and eat as desired. C. Administer antipsychotic medications to manage hallucinations. D. Encourage involvement in the treatment milieu. 34. You are assessing one of the patients in your unit who abuses methamphetamine. The patient appears not to be willing to give up the usage of the drug, as evidenced by their statement, “I do not plan to quit meth. I can work for days when I am high.” Which of the following is your best response to the patient’s statement? A. “You’ll exhaust yourself doing that.” B. “You can’t see the real problem yet because you are in denial.” C. “You think using drugs helps you?” D. “Good point. You probably work long hours while you are on meth.” 35. One of your patients regularly uses projection to protect themselves against the negative realities resulting from their methamphetamine use. Which of the following statements will the nurse most likely document when the patient uses projection as a coping mechanism? A. “My dad and I don’t get along because he thinks that I’m a failure.” B. “I can’t go back to work. I’d be so embarrassed for anyone to find out I’ve been in treatment.” C. “I’m not giving up alcohol, just the methamphetamine. I never had a problem with alcohol.” D. “Everything will be all right again if I can just stop using drugs.” SITUATION: You are caring for Robin, a patient diagnosed with Multiple Sclerosis. The following questions apply. 36. Robin is scheduled for a magnetic resonance imaging (MRI) scan of the head. Which of the following information should you relay to Robin about the test? A. The client will have wires attached to the scalp and lights will flash off and on. B. The machine will be loud and the client must not move the head during the test. C. The client will drink a contrast medium 30 minutes to one (1) hour before the test. D. The test will be repeated at intervals during a five (5)- to six (6)-hour period. 37. Robin stated her frustration regarding her recent diagnosis of MS. She states, “I do not understand how I got this disease. Is it genetic?” On which statement should you base your response? A. Genetics may play a role in susceptibility to MS, but the disease may be caused by a virus. B. There is no evidence suggesting there is any chromosomal involvement in developing MS. C. Multiple sclerosis is caused by a recessive gene, so both parents had to have the gene for the client to get MS. D. Multiple sclerosis is caused by an autosomal dominant gene on the Y chromosome, so only fathers can pass it on. 38. Which of the following issues presented by Robin is of most importance to you at this time as her primary nurse? A. She refuses to have a gastrostomy feeding. B. She wants to discuss if she should tell her fiancé. C. She tells the nurse life is not worth living anymore. D. She needs the flu and pneumonia vaccines. 3 | Page