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


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