Tiêu đề RECALLS 2 (NP5) SC ✅

RECALLS EXAMINATION 2 NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) MAY 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: The ICU nurse assigned to a 60-year old acutely ill client with Parkinson’s disease who was hospitalized frequently. The initial confinement was due to electrolyte imbalance. The following confinement was due to injury sustained from fall, he became to have incontinent of stools that further lead to development of skin irritation and breakdown. Currently he was admitted due to respiratory infection. 1. The review of literature does not only include published research studies but also theory. In this case which theory is least related to the study? A. Neuman’s system model B. Lazarus’ theory of stress and coping C. Nightingale’s environmental theory D. Roy’s theory of adaptation 2. Related literature included case situations similar to the case of the client. The nurse is interested in gaining further knowledge that can help the client at risk for fecal incontinence. The nurse should use which of the following methods to strengthen this report? A. Historical research method B. Qualitative research method C. Experimental research method D. Quantitative research method 3. The patient also reports multiple lumbar muscle strains, thus is also looking at using alternative therapies to reduce the pain. The client seeks advice from the nurse as to what type of alternative therapy would provide the best pain relief. How should the nurse respond? A. "I have seen many individuals with your type of pain be relieved of pain through the use of acupuncture." B. "These types of therapies are more than just therapies; they are really a mind over matter type of event or game." C. "Some of my other clients swear by magnet therapy to reduce pain as it is very small and very easy to use." D. "You need to choose the alternative therapy that is right for you based on research that supports the intervention." 4. While the nurse was able to identify the cases that were studied, it is important to understand the phenomenological experience of the client. This approach includes the following except: A. Exploring the idea expressed by the person B. Getting the whole picture of fecal incontinence and its associated factors C. Focusing interview on fecal incontinence D. Interviewing and using of questionnaire on client’s responses to his situation 5. Which of the following can the nurse use in protecting the safety of the subjects undergoing the research study? i. Code for Nurses ii. Nightingale’s pledge iii. Patient’s Bill of Rights iv. Human Rights Guidelines A. 1, 2, 3, 4 B. 1, 3 C. 1, 2 D. 3 only Situation: The diverse Neurologic disorders present unique challenges of nursing care. The Nurse must have a clear understanding of the pathologic processes for appropriate nursing management. Nurse Jeremy is attending to clients in the ward with Multiple Sclerosis. 6. A recently hospitalized client with Multiple Sclerosis is concerned about generalized weakness and a fluctuating physical status. What is the priority nursing intervention for this client? A. encourage bed rest B. space activities throughout the day C. teach the limitations imposed by the disease D. have one of the client’s relatives stay at the bedside 7. Which clinical indicator does Nurse Jeremy identify when assessing a client with hemiplegia? A. paresis of both lower extremities B. paralysis of one side of the body C. paralysis of both lower extremities D. paresis of upper and lower extremities 8. Which statement by a client with Multiple Sclerosis indicates to Nurse Jeremy that the client needs further teaching? A. “I use a straw to drink liquids.” B. “I will take a hot bath to help relax my muscles.” C. “I plan to use an incontinence pad when I go out.” D. “I may be having a rough time now, but I hope tomorrow will be better.” 9. Mr. Dela Cruz a 48 year old client carpenter admitted after a spinal cord injury and the Physician indicates that a client is a Paraplegic. The family asks Nurse Jeremy what this means. What explanation should the nurse give to the family? A. upper extremities are paralyzed B. lower extremities are paralyzed C. one side of the body is paralyzed D. both lower and upper extremities are paralyzed 10. Jeremy is excited to be assigned to a Neuro –Ward after his extensive training. He is preparing to conduct a Neurologic examination. What nursing intervention is anticipated for a client in the plateau phase of Guillain-Barre syndrome? A. providing a straw to stimulate the facial muscles B. inserting an indwelling catheter to monitor urinary output C. encouraging aerobic exercises to avoid muscle atrophy D. administering antibiotic medication to prevent pneumonia Situation: In a Nursing Practice you are directly involved in conducting a comprehensive physical assessment especially to older clients with sensory limitations. 1 | Page