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TOP RANK REVIEW ACADEMY, INC. Page 1 | 7 RECALLS EXAMINATION 1 NURSING PRACTICE V CARE OF HEALTHY / AT RISK MOTHER CHILD NOV 2024 Philippine Nurse Licensure Examination Review 1.A nurse is establishing a therapeutic relationship with a client diagnosed with depression. The nurse demonstrates empathy by: A. Sharing personal experiences of overcoming depression. B. Showing concern and compassion for the client's feelings. C. Providing solutions and advice for managing depressive symptoms. D. Encouraging the client to focus on positive aspects of life. 2. A nursing student is learning about the components of a therapeutic relationship. Which of the following factors promotes communication and enhances relationships in all aspects of the nurse's life? A. Trust B. Empathy C. Genuine interest D. Self-awareness 3.A nurse is assessing a client's level of trust in the therapeutic relationship. Which of the following behaviors by the nurse can help build trust? A. Making verbal commitments and not following through on them. B. Exhibiting inconsistent verbal and nonverbal communication. C. Demonstrating consistency, honesty, and keeping promises. D. Avoiding active listening and dismissing the client's concerns. 4.A nursing student is learning about the importance of self- awareness in the nurse-client relationship. Which of the following statements is true regarding self-awareness? A. Self-awareness is not necessary for effective therapeutic communication. B. Self-awareness allows nurses to recognize their own biases and prejudices. C. Self-awareness is only important in psychiatric nursing practice. D. Self-awareness is solely focused on understanding the client's experiences. 5.A nurse is working with a client who is resistant to receiving care. Which therapeutic role of the nurse would be most beneficial in this situation? A. Teacher B. Caregiver C. Advocate D. Parent surrogate 6.A nurse is working with a client who is expressing suicidal thoughts. What is the appropriate next step in managing this situation? A. Encouraging the client to talk openly about their feelings. B. Assuring the client that everything will be fine and they have support. C. Contacting the client's family members to inform them of the situation. D. Initiating a suicide risk assessment and implementing appropriate safety measures. 7.A nurse is caring for a client with a history of substance abuse who is at risk for relapse. Which nursing intervention is most appropriate in promoting relapse prevention? A. Encouraging the client to attend support group meetings. B. Allowing the client to have occasional controlled substance use. C. Minimizing discussions about the client's substance abuse history. D. Providing the client with unlimited access to prescription medications. 8. A nurse is caring for a client diagnosed with schizophrenia who is experiencing auditory hallucinations. Which nursing intervention is most appropriate in managing the client's hallucinations? A. Encouraging the client to ignore the hallucinations. B. Engaging the client in reality-based activities. C. Providing constant reassurance that the hallucinations are not real. D. Administering antipsychotic medication as prescribed. 9.A nurse is providing care for a client with a history of depression who is experiencing suicidal ideation. Which nursing intervention is most appropriate in managing the client's suicidal ideation? A. Encouraging the client to isolate themselves from others. B. Monitoring the client closely for any signs of worsening symptoms. C. Minimizing discussions about the client's feelings and emotions. D. Collaborating with the client to develop a safety plan. 10.A nurse is caring for a client with a diagnosis of hypertension. Which lifestyle modification is most effective in managing hypertension? A. Reducing sodium intake. B. Increasing caffeine consumption. C. Decreasing physical activity. D. Consuming high-fat foods. 11. A nurse is establishing a therapeutic relationship with a client diagnosed with depression. The nurse demonstrates genuine interest and empathy towards the client. Which component of the nurse-client relationship is the nurse exhibiting? A. Trust B. Genuine Interest C. Empathy D. Acceptance 12. A nurse is working with a client who has schizophrenia. The nurse consistently follows through on commitments made to the client. Which behavior is the nurse exhibiting to enhance trust in the nurse-client relationship? A. Caring B. Consistency C. Understanding D. Respect 13. A nurse is caring for a client with anxiety disorder. The nurse listens actively and attentively to the client's concerns and experiences. Which therapeutic communication technique is the nurse using? A. Reflection B. Restatement C. Clarification D. Active listening 14. A nurse is working with a client who has a history of substance abuse. The nurse avoids making judgments about the client's behavior and accepts the client as a worthy individual. Which component of the nurse-client relationship is the nurse demonstrating? A. Trust B. Genuine Interest C. Empathy D. Acceptance 15. A nurse is working with a client who has bipolar disorder. The nurse consistently exhibits openness and objectivity in their interactions with the client. Which behavior is the nurse demonstrating in the nurse-client relationship?

TOP RANK REVIEW ACADEMY, INC. Page 3 | 7 B. The expectations of care based on cultural and religious beliefs. C. The legal requirements for providing care in psychiatric settings. D. The expected level of care provided by healthcare professionals in a specific situation. 34.A client with schizophrenia is involved in a legal case where they are accused of causing harm to another person during a psychotic episode. The client's defense lawyer argues that the client should not be held responsible for their actions due to their mental illness. Which of the following types of torts is relevant to this situation? A. Negligence B. Invasion of privacy C. Assault and battery D. Intentional infliction of emotional distress 35.A nurse is providing care to a client with a history of substance abuse who has been court-ordered to participate in outpatient treatment after being discharged from the hospital. The nurse explains to the client the concept of mandatory outpatient treatment. What does mandatory outpatient treatment entail? A. The requirement for clients to continue participating in treatment on an involuntary basis after discharge. B. The use of physical force to restrict a person's freedom of movement during treatment. C. The commitment of a client to a facility for psychiatric care against their will. D. The requirement for clients to participate in treatment voluntarily and without legal involvement. 36. A nurse is conducting a mental health assessment on a client who presents with symptoms of depression. Which of the following statements made by the client would indicate a potential risk for self-harm? A. "I've been feeling sad and unmotivated lately." B. "I don't enjoy doing the things I used to love." C. "Sometimes I think about ending it all." D. "I've been having trouble sleeping." 37. A nurse is caring for a client diagnosed with bipolar disorder who is currently experiencing a manic episode. Which of the following interventions should the nurse prioritize? A. Ensuring a quiet and calm environment for the client. B. Encouraging the client to engage in physical activity. C. Administering a sedative medication to promote relaxation. D. Providing opportunities for social interaction with peers. 38.A nurse is caring for a client diagnosed with schizophrenia who is experiencing auditory hallucinations. Which of the following interventions would be most appropriate for managing the hallucinations? A. Encouraging the client to interact with the hallucinations. B. Providing a quiet and calm environment for the client. C. Administering antipsychotic medication as prescribed. D. Engaging the client in reality-testing exercises. 39. A nurse is assessing a client with a history of alcohol use disorder who presents with symptoms of withdrawal. Which of the following findings would the nurse expect to observe in this client? A. Elevated blood pressure and heart rate. B. Increased appetite and weight gain. C. Excessive sleepiness and sedation. D. Elevated mood and increased energy. 40. A nurse is providing education to a client with generalized anxiety disorder (GAD) who is prescribed medication therapy. The client asks the nurse about the expected timeframe for the medication to take effect. What is the nurse's best response? A. "The medication will start working immediately after the first dose." B. "It may take a few weeks for the medication to reach its full effectiveness." C. "You will need to take the medication for a few months before noticing any changes." D. "The medication will start working within 24 hours of taking it." 41.Mary, a 42-year-old woman, recently lost her husband in a car accident. She is experiencing intense sadness and difficulty accepting her loss. She constantly thinks about her husband and has trouble sleeping. She isolates herself from friends and family and has lost interest in activities she used to enjoy. Which term best describes Mary's current condition? A. Grief B. Mourning C. Denial D. Depression 42.John, a 28-year-old man, recently lost his job due to company downsizing. He is experiencing feelings of worthlessness, hopelessness, and guilt. He has lost interest in activities he used to enjoy and has trouble concentrating. He has thoughts of suicide but denies any plans or intent to act on them. Which term best describes John's current condition? A. Grief B. Bereavement C. Adjustment disorder D. Major depressive disorder 43.Sarah, a 65-year-old woman, recently lost her husband after a long battle with cancer. She is experiencing intense sadness and has difficulty accepting her husband's death. She frequently visits his grave and talks to him as if he is still alive. She states that she can still feel his presence and believes he is watching over her. Which term best describes Sarah's current condition? A. Complicated grieving B. Disenfranchised grief C. Anticipatory grieving D. Adaptive denial 44.Mark, a 35-year-old man, recently lost his job and is struggling to find new employment. He constantly worries about his financial situation, feels restless and on edge, and has trouble sleeping. He experiences physical symptoms such as muscle tension and headaches. Which term best describes Mark's current condition? A. Grief B. Adjustment disorder C. Anxiety disorder D. Mourning 45.Rachel, a 50-year-old woman, recently lost her mother to a terminal illness. She experiences intense sadness and frequently cries. She has difficulty sleeping and has lost interest in activities she used to enjoy. She isolates herself from friends and family and has thoughts of joining her mother in death. Which term best describes Rachel's current condition? A. Grief B. Bereavement C. Complicated grieving D. Adjustment disorder 46.Sarah, a 32-year-old woman, recently lost her job and has been experiencing feelings of sadness, lack of motivation, and difficulty sleeping. She isolates herself from friends and family and has lost interest in activities she used to enjoy. Which term best describes Sarah's current condition? A. Grief B. Depression C. Adjustment disorder D. Bereavement 47.Josh, a 45-year-old man, recently lost his wife to a terminal illness. He is experiencing intense sadness, persistent thoughts of his wife, and difficulty accepting her death. He avoids places and activities that remind him of her and has trouble sleeping. Which term best describes Josh's current condition? A. Grief B. Complicated grief C. Mourning D. Anticipatory grief 48.Emma, a 60-year-old woman, recently lost her husband in a car accident. She experiences intense sadness, guilt, and anger. She constantly thinks about her husband and has difficulty concentrating. She has lost interest in activities she used to enjoy and has trouble sleeping. Which term best describes Emma's current condition? A. Depression B. Bereavement C. Complicated grieving D. Anticipatory grieving 49.Tom, a 28-year-old man, recently lost his job and is struggling with financial difficulties. He constantly worries about his future, experiences restlessness, and has trouble sleeping. He feels fatigued and has difficulty concentrating. Which term best describes Tom's current condition? A. Anxiety disorder B. Depression C. Adjustment disorder D. Bereavement 50.Linda, a 50-year-old woman, recently lost her father after a long illness. She experiences intense sadness, tearfulness, and difficulty accepting her loss. She frequently visits her father's grave and talks to him. She feels his presence and believes he is watching over her. Which term best describes Linda's current condition?
TOP RANK REVIEW ACADEMY, INC. Page 4 | 7 A. Bereavement B. Complicated grief C. Disenfranchised grief D. Anticipatory grief 51.Emily, a 25-year-old woman, has been experiencing persistent feelings of sadness, loss of interest in activities, changes in appetite, and difficulty concentrating. She has also been having thoughts of self-harm. Which condition is Emily most likely experiencing? A. Bipolar disorder B. Major depressive disorder C. Generalized anxiety disorder D. Schizophrenia 52. Jacob, a 40-year-old man, has been experiencing fluctuations in his mood. He has periods of elevated mood, increased energy, and decreased need for sleep. He engages in impulsive and risky behaviors during these episodes. Which condition is Jacob most likely experiencing? A. Bipolar disorder B. Major depressive disorder C. Generalized anxiety disorder D. Schizophrenia 53.Sarah, a 30-year-old woman, has been experiencing excessive worry and anxiety about various aspects of her life. She often feels restless, fatigued, and has difficulty concentrating. Which condition is Sarah most likely experiencing? A. Bipolar disorder B. Major depressive disorder C. Generalized anxiety disorder D. Schizophrenia 54.Mark, a 35-year-old man, has been experiencing auditory hallucinations, delusions, and disorganized thinking. He believes that he is being monitored by the government and that aliens are controlling his thoughts. Which condition is Mark most likely experiencing? A. Bipolar disorder B. Major depressive disorder C. Generalized anxiety disorder D. Schizophrenia 55.Rachel, a 28-year-old woman, has been experiencing a persistent feeling of sadness, loss of interest in activities, changes in appetite, and difficulty sleeping. She has been having thoughts of death and has lost a significant amount of weight recently. Which condition is Rachel most likely experiencing? A. Bipolar disorder B. Major depressive disorder C. Generalized anxiety disorder D. Schizophrenia 56.Sarah, a 35-year-old woman, has been admitted to the psychiatric unit with symptoms of paranoia, delusions, and disorganized behavior. She believes that her neighbors are plotting against her and that she is being followed by government agents. What is the most likely diagnosis for Sarah? A. Schizophrenia B. Bipolar disorder C. Major depressive disorder D. Generalized anxiety disorder 57.John, a 45-year-old man, has a history of multiple episodes of depression characterized by low mood, loss of interest, and feelings of worthlessness. He also experiences periods of increased energy, racing thoughts, and impulsive behavior. What is the most likely diagnosis for John? A. Schizophrenia B. Bipolar disorder C. Major depressive disorder D. Generalized anxiety disorder 58.Emma, a 28-year-old woman, has been experiencing persistent worry and anxiety about various aspects of her life, including work, relationships, and health. She often feels restless, fatigued, and has difficulty concentrating. What is the most likely diagnosis for Emma? A. Schizophrenia B. Bipolar disorder C. Major depressive disorder D. Generalized anxiety disorder 59.Josh, a 32-year-old man, has recently lost his job and has been feeling persistently sad, hopeless, and has lost interest in activities he used to enjoy. He also experiences changes in appetite and sleep patterns. What is the most likely diagnosis for Josh? A. Schizophrenia B. Bipolar disorder C. Major depressive disorder D. Generalized anxiety disorder 60.Sophie, a 25-year-old woman, has been experiencing intrusive thoughts and repetitive behaviors such as handwashing and checking locks. She feels distressed and spends a significant amount of time engaging in these rituals. What is the most likely diagnosis for Sophie? A. Schizophrenia B. Bipolar disorder C. Major depressive disorder D. Obsessive-compulsive disorder 61.Emily, a 28-year-old woman, has been recently diagnosed with major depressive disorder. She has been prescribed an antidepressant medication. Which of the following medications is commonly used as a first-line treatment for major depressive disorder? A. Fluoxetine B. Alprazolam C. Lithium D. Risperidone 62.Mark, a 40-year-old man, has been diagnosed with generalized anxiety disorder. He is experiencing persistent worry, restlessness, and muscle tension. Which class of medications is most commonly used as a first-line treatment for generalized anxiety disorder? A. Selective serotonin reuptake inhibitors (SSRIs) B. Benzodiazepines C. Mood stabilizers D. Antipsychotics 63.Sarah, a 25-year-old woman, is experiencing symptoms of a panic attack, including palpitations, chest pain, and a fear of dying. Which class of medications is commonly used for the acute management of panic attacks? A. Benzodiazepines B. Selective serotonin reuptake inhibitors (SSRIs) C. Mood stabilizers D. Antipsychotics 64.David, a 30-year-old man, has been diagnosed with attention- deficit/hyperactivity disorder (ADHD). He is experiencing symptoms of inattention, impulsivity, and hyperactivity. Which class of medications is commonly used as a first-line treatment for ADHD? A. Stimulants B. Antidepressants C. Mood stabilizers D. Antipsychotics 65.Emma, a 50-year-old woman, has been diagnosed with schizophrenia and is experiencing positive symptoms such as hallucinations and delusions. Which class of medications is commonly used as a first-line treatment for schizophrenia? A. Antipsychotics B. Benzodiazepines C. Mood stabilizers D. Antidepressants 66.A 35-year-old woman recently lost her husband in a car accident. She is experiencing intense sadness and has difficulty accepting the reality of his death. She often finds herself talking to him as if he is still alive. Which stage of grieving, according to Elisabeth Kübler-Ross, is this woman most likely experiencing? A. Denial B. Anger C. Bargaining D. Depression 67.A 52-year-old man recently lost his job and is struggling to find new employment. He feels worthless and doubts his abilities. He isolates himself from friends and family and has lost interest in activities he once enjoyed. Which stage of grieving, according to George Engel, is this man most likely experiencing? A. Shock and disbelief B. Developing awareness C. Restitution D. Resolution of the loss 68.A 28-year-old woman is diagnosed with terminal cancer. She becomes angry and resentful towards her religious beliefs, feeling that they have failed her. According to Elisabeth Kübler-Ross, which stage of grieving is this woman most likely experiencing? A. Denial B. Anger C. Bargaining D. Depression