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

dramatically insists on being seen right away, claiming to be in extreme psychological distress. Based on these behaviors, which personality disorder is most likely? A. Borderline B. Narcissistic C. Histrionic D. Antisocial 29. A patient is acting out hostile and aggressive by shouting towards the nurse and fellow patients. The most effective way to deal with the patient initially is to: A. Redirect the patient and lock them in their room. B. Administer PRN tranquilizer C. Set limits on the behavior by verbal commands D. Apply restraints and place the patient in the isolation room. 30. Shiela was diagnosed with major depressive disorder; upon observation, she is not eating the meal provided by the nurse. When the nurse encourages her to eat, she remains silent and appears withdrawn. As the nurse, you know that the best nursing action is to: A. Leave the patient alone and return after a few hours. B. Sit with the patient and offer supportive presence without forcing her to eat. C. Tell the patient that she has to finish the food or you will report her to the psychiatrist. D. Set limits on the behavior by verbal commands Situation: You are a newly licensed nurse assigned to the psychiatric ward. You see different patients with various psychiatric conditions. 31. You are a nurse assigned to the psychiatric ward, you noticed that the patient would follow every move he would make. When he moves his hand, the patient would also move his hand. This is called: A. Waxy Flexibility B. Echolalia C. Circumstantiality D. Echopraxia 32. The patient’s relative would like to visit her cousin at the psychiatric ward. An inspection was done before she entered the mental health facility. Which of the following items is not allowed inside the mental health facility? A. Rosary bracelet B. Running shoes C. Biscuits D. Cake 33. While making rounds, you noticed that one of your patients says the following line “I have money, I want to study, my sugar daddy, I have an auntie.” This is an example of? A. Clang association B. Word salad C. Flight of ideas D. Neologism 34. A patient grabs and about to throw the chair. The nurse best response by saying: A. “Don’t be silly!” B. “Stop! Put that chair down.” C. “Stop! The security will be here in a minute.” D. “Calm down or I will kick you.” 35. A patient approaches you requesting a “camel break,” referring to a cigarette break. When you deny the request, the patient becomes agitated and claims that another nurse allows it, then begins calling you names. As a therapeutic and professional nurse, what is the most appropriate response? A. Explain the unit policy calmly and consistently enforce the rule. B. Ignore the patient and walk away to avoid conflict. C. Allow the break and go with the patient just this once to prevent escalation. D. Argue with the patient and defend your decision assertively. 36. The superego is a part of the self that says: A. I want what I want B. I want it that way C. I want it I got it D. I should not want that 37. Resolution of the Oedipal complex takes place when the child overcomes the castration complex and: A. Rejects the parent of the same sex B. Identifies with the parent of the same sex C. Imitates the behavior of the opposite-sex parent D. Suppresses all feelings toward both parents 38. A toddler develops a residual of the anal phase of Freud’s psychosexual development. The nurse recognizes that an anal-retentive personality would most likely exhibit which of the following characteristics? A. Antisocial Personality B. Dirty and disorganized C. Histrionic personality D. Meticulous and perfectionist 39. During preschool, the nurse would expect a female child may develop all of the following except: A. Electra Complex B. Oedipal Complex C. Penis Envy D. Attachment to the parent of opposite sex 40. According to Sigmund Freud, if an infant frequently cries and is ignored, the child is more likely to develop into: A. Narcissistic B. Paranoid C. Secure D. Obsessive-Compulsive Situation: A patient from Sitio Barongbarong, a small community nestled at the foot of a mountain, has been admitted to the psychiatric facility for the treatment of depression and schizophrenia. As the nurse assigned to provide holistic care, it is essential to remain guided by the key principles of managing individuals with major depressive disorder and schizophrenia. 41. You are a nurse doing a care plan for your patient with depression and schizophrenia. Your patient believes in “kulam” and uses treatment by an “albularyo.” As a nurse, you should do which of the following? A. Tell the patient to avoid believing in “albularyo” because it has no scientific basis. B. Explain to the patient that there is no such thing as “kulam” and should be disregarded. C. Avoid discussing the patient’s belief in the albularyo to prevent reinforcing delusions. D. Involve the “albularyo” in a consultation with the patient, primary healthcare provider, and nurse. 42. The patient is not responding to the tricyclic antidepressant ordered by his psychiatrist. He is then switched to monoamine oxidase inhibitors. Which statement by the patient needs further teaching? A. “I must refrain from eating aged cheese or yeast products.” B. “All cheese is considered aged except cottage cheese, cream cheese, ricotta cheese, and processed cheese slices.” C. “Good thing I can still eat adobo from my favorite restaurant.” D. “I understand that I should avoid tyramine-rich food to prevent drug reactions.” 43. While conducting your rounds, a patient says, “The voices are telling me that I am evil and that I’m going to be punished.” Which of the following would be the most therapeutic response by the nurse? A. “Why do you think they are saying that you are evil? .” B. “The voices are not real, so don’t worry about it.” C. “Can you tell me more about what the voices are saying to you?” D. “I do not hear the voices, but the words must be frightening for you.” 44. Which of the following patients is/are the priority for admission to an acute care facility as evaluated by the nurse? 1. Patients who are not sleeping 2. Patients who are not compliant with medication 3. Patients who are dangerous to self and others 4. Patients who live alone 5. Patients who are acutely psychotic A. 2,3,5 B. 3,4,5 C. 3,5 3 | Page
D. 2,4 45. A client states to the nurse, “I see headless people walking down the hall at night.” Which nursing response is appropriate? A. “What makes you think there are headless people here? ” B. “Are you kidding me? A headless person would not be able to walk down the hall.” C. “It must be frightening. I realize this is real to you, but there are no headless people here.” D. “Yes, I know and I can see them too. Let us walk around the hallway to divert your attention.” Situation: Mood disorders are mental health conditions characterized by disturbances in a person’s emotional state, such as prolonged sadness, extreme elation, or mood swings, which can impair daily functioning. 46. A provocatively dressed client diagnosed with bipolar I disorder is observed laughing loudly with peers in the milieu. Which nursing action is a priority in this situation? A. Join the milieu to assess the appropriateness of the laughter. B. Redirect clients in the milieu to structured social activities, such as cards. C. Privately discuss with the client the inappropriateness of provocative dress during hospitalization. D. Administer PRN antianxiety medication to calm the client. 47. A client notifies a staff member of current suicidal ideations. Which intervention by the nurse would take priority? A. Place the client on a one-to-one observation. B. Determine if the client has a specific plan to commit suicide. C. Assess for past history of suicide attempts. D. Notify all staff members and place the client on suicide precautions. 48. A client newly admitted to an in-patient psychiatric unit who is experiencing a manic episode. The client’s nursing diagnosis is imbalanced nutrition, less than body requirements. Which meal is most appropriate for this client? A. Caesar salad and fruit shake B. Cheeseburger and milkshake C. Baked talaba and sprite D. Crackers and coffee 49. A depressed patient says to you, “You are my favorite nurse. This is a 24k 50-gram bracelet that I inherited from my great-grandfather. I want to give it to you so that you won’t forget me.” What is the most appropriate nursing response? A. “I appreciate your gift to me. I promise to take care of this forever.” B. “Are you planning to kill yourself? ” C. “This is such a wonderful gift. Is this pawnable? ” D. “Why are you giving such a precious thing to me? ” 50. Which statement describes a major difference between a client diagnosed with major depressive disorder and a client diagnosed with dysthymic disorder? A. A client diagnosed with dysthymic disorder is at higher risk for suicide. B. A client diagnosed with dysthymic disorder may experience psychotic features. C. A client diagnosed with dysthymic disorder experiences excessive guilt. D. A client diagnosed with dysthymic disorder has symptoms for at least 2 years. Situation: Clients with eating disorders are often preoccupied with food, body image, and weight. They may have distorted perceptions of their body, experience anxiety or guilt around eating, and use unhealthy behaviors like restriction, purging, or excessive exercise to cope with emotional distress. 51. A patient with the diagnosis of anorexia nervosa, who is in a state of starvation, is in a two-bed bedroom. A newly admitted patient will be assigned to this patient’s room. Which patient would be the best choice as a roommate for the patient with anorexia nervosa? A. A patient with pneumonia B. A patient undergoing diagnostic test C. A patient with severe depression and suicidal ideation D. A patient with dementia 52. A client is being admitted to the in-patient psychiatric unit with a diagnosis of anorexia nervosa. Which of the following is at highest risk for developing this disorder? A. A 2-year-old toddler whose parents are separated. B. A 69-year-old post-Vietnam War veteran. C. A 15-year-old female artistic gymnast. D. A 40-year-old mother grieving the loss of her son to cancer. 53. After a routine examination on an adolescent, the nurse suspects bulimia nervosa and reports this to the parents. Which of the following assessment findings would support this suspicion? 1. Chipmunk’s sign (sialadenosis) 4. Amenorrhea 2. Russell’s sign 5. Extreme weight loss. 3. Yellow discoloration of teeth A. 1, 2, 4 B. 1,2,3 C. 2,3,4,5 D. 2,3,5 54. After teaching a group of student nurses, the nurse judges that no further education is needed when the student nurse states which of the following? A. "Both anorexia and bulimia are eating disorders and have no differences at all." B. “A patient with an eating disorder may be treated with cognitive-behavioral therapy and antipsychotic medications but not antidepressants.” C. “Anorexia nervosa involves cycles of binge eating followed by purging, while bulimia nervosa is characterized by restriction of food intake and fear of weight gain." D. “Anorexia nervosa involves restriction of food intake and fear of weight gain, while bulimia nervosa is characterized by cycles of binge eating followed by purging." 55. Which of the following emotional elements is commonly found in clients with bulimia nervosa but is not typically associated with anorexia nervosa? A. Fear of gaining weight B. Body image distortion C. Guilt after eating D. Food restriction Situation: A fundamental component of psychiatric nursing is to understand the legal framework used to regulate the care and treatment of clients with mental illness. Nurses must be familiar with concepts such as voluntary and involuntary admission, informed consent, confidentiality, legal competence, and the rights of individuals undergoing psychiatric treatment. 56. Which statement reflects the ethical principle of utilitarianism? A. “The end justifies the means.” B. “If you mean well you will be justified.” C. “Do unto others as you would have them do unto you.” D. “What is right is what is best for me.” 57. You are the nurse on duty. While reviewing the patient’s chart, you note that another nurse documented having given the wrong medication to the patient. The patient has shown no signs of harm. Which action should you take? A. Keep the information confidential to avoid harm to others. B. Inform the nurse supervisor, and document the situation. C. Tell only the patient about the incident because the decision about actions would be determined only by the patient. D. Because the client was not harmed, the incident would not need to be reported. 58. A patient diagnosed with Generalized Anxiety Disorder (GAD) voluntarily admitted himself to a mental health facility. On the third day of admission, he approaches the nurse on duty and states, “I’m feeling better now. I want to go home.” What is the most appropriate nursing action? 4 | Page