Tiêu đề WORKBOOK - PSYCH (SC) ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | COMPREHENSIVE PHASE WORKBOOK PSYCHIATRIC NURSING NOV 2025 Philippine Nurse Licensure Examination Review Situation: The psychiatric nurse should be well versed in the legal issues commonly encountered in the psych unit. 1. Which of the following rights can be suspended with a good cause? A. Choice of providers B. Confidentiality C. Treatment D. Non discrimination 2. The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor says to the nurse, “How is Carol doing? She is my best friend and is seen at your clinic every week.” Which is the most appropriate nursing response? A. “I cannot discuss any client situation with you.” B. “If you want to know about Carol, you need to ask her yourself.” C. “Only because you’re worried about a friend, I’ll tell you that she is improving. D. “Being her friend, you know she is having a difficult time and deserves her privacy.” 3. A voluntary client in a facility decides to leave the unit before treatment is complete. To detain the client, you refuse to return the client's personal effects. Nurse Mark will tell you that you are committing? A. False imprisonment B. Limit setting C. Slander D. Violation of confidentiality Situation – No single, universal definition of mental health exists. Generally a person’s behavior can provide clues to his or her mental health. Because each person can have a different view or interpretation of behavior (depending on his or her values and beliefs), the determination of mental health may be difficult. As such, the psychiatric nurse must be knowledgeable about mental health and the scope of this specialty field. 4. A major environmental factor that may influence the development of mental illness is: A. Having 3 nurse siblings B. poverty C. political confusion D. heredity 5. Ysabelle, a newly registered nurse, is pursuing her career as a psychiatric nurse. In which of the following settings would she expect to work with people with psychiatric needs? A. Special education centers B. DSWD shelters C. Half-way houses D. All of these 6. While caring for the client with a mental illness, which action by the psychiatric–mental health nurse best indicates the use of Hildegard Peplau’s nursing theory? A. Assessing client’s interactions with their environment B. Intervening to enhance the client’s abilities to perform self-care C. Establishing a therapeutic nurse-client relationship D. Evaluating the effectiveness of the client’s coping and adaptation skills 7. Brad has been diagnosed to have Major Depression. He is now being discriminated by the community and is labeled as “Baliw” because of his illness. This is an example of ? A. Defined burden B. Undefined burden C. Hidden burden D. Future burden Situation - The mechanism for establishing, maintaining, and improving human contacts is interpersonal communication. Communication is a very special process and the most significant of human behaviors. Moreover, it is the main method for implementing the nursing process. As a psychiatric–mental health nurses, we help clients tell their stories, explore the circumstances of their lives, and move in a more satisfying and mentally healthier direction. 8. The use of facial expressions and gestures communicates: A. Personality traits. B. Interest in, and attraction to, another person. C. Emotions. D. Rejection. 9. A client in group therapy is restless. His face is flushed and he makes sarcastic remarks to group members. The nurse responds by saying, "You look angry." The nurse is using which of the following techniques? A. A broad opening statement B. Reassurance C. Clarifying D. Making observations 10. A client asks the nurse, "Do you think I should leave my husband?" The nurse responds, "You aren't sure if you should leave your husband?" The nurse is using which therapeutic technique? A. Restating B. Reframing C. Reflecting D. Offering a general lead Situation - The therapeutic nurse–client relationship, also called the one–to–one relationship, is one in which the nurse use theoretical understandings, personal attributes, and appropriate clinical techniques to provide the opportunity for a corrective emotional experience for clients. 11. Which of the following client statements does NOT reflect a characteristic of the functional one to-one relationship? A. “We agreed to meet twice monthly for a year in her office at the clinic.” B. “My nurse wants to focus on anger management techniques, and I want to examine my early childhood.” C. “When I move in December, our relationship will end. My nurse plans to refer me to a clinic near my new home. I will miss her, because I will not see her again.” D. “The nurse and I decided to address physical safety issues first, and then focus on sources of social support.” 12. The nurse who encourages her client to express her feelings and concerns performs one of the following tasks: A. Parent surrogate B. Counselor C. Socializing agent D. Ward Manager 13. Psychiatric nurses are well aware that a therapeutic relationship is only possible and effective after: A. Professional identification of own emotional difficulties B. There is mutual trust between the nurse and the patient * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH
TOP RANK REVIEW ACADEMY, INC. Page 2 | C. Patient’s self-esteem needs are satisfied D. Patient is diagnosed a wellness diagnosis 14. The primary task of the nurse in the resolution phase of the nurse-patient relationship is: A. Assist patient to review what he has learned B. Planning therapeutic interventions C. Nursing diagnosis formulation D. Assisting the client in expression of thoughts and feelings 15. A productive therapeutic relationship between a nurse and a client begins with the nurse’s: A. Passion to help clients who cannot cope B. Unconditional positive regard for others C. Self-awareness and understanding D. Psychiatric nursing expertise Situation – Nurse Linda is a young promising nurse who chose to start a professional career as a mental health psychiatric nurse. Part of her orientation and training as a beginning professional nurse is enhancing facilitative personal characteristics. 16. The nurse should introduce information about the end of the nurse-patient relationship: A. As the goals of the realtionship are reached B. During the orientation phase C. At least one or two sessions before the last meeting D. When the patient states that he is ready 17. Establishing a therapeutic contract is the goal of which phase of the nurse-patient relationship? A. Orientation phase B. Working phase C. Pre-orientation phase D. Middle phase Situation - Clinicians are often said to be eclectic, that is, they choose one or a combination of nursing and human behavior sciences. 18. The nurse knows that Erikson identified the developmental tasks of the school-age child from 6 to 12 years as: A. Initiative vs guilt B. Breaking away vs staying at home C. Industry vs inferiority D. Psychosexual impulses vs psychosexual development 19. Under the psychoanalytic model of Freud, the ego functions includes all of the following except: A. Store up experiences in memory B. Operate on the pleasure principle to reduce tension or discomfort C. Control and regulate instinctual drives D. Use defense mechanism to protect self 20. The negative attitude of parents towards infantile masturbation like threatening a boy with the loss of his penis may lead to: A. Electra complex B. Inferiority complex C. Oedipal complex D. Castration complex 21. A defense mechanism used by patient with borderline personality disorder is reaction formation which is described in one of the following statements: A. Blaming someone else for one’s difficulties B. A conscious behavior that is the exact opposite of an unconscious feeling C. Doing something to counteract or make up for a wrong doing in the past D. Unconscious and involuntary forgetting of painful ideas, events and conflicts Situation - In psychiatric and mental health nursing, psychosocial assessment is conducted to construct a picture of the client’s current emotional state, mental capacity, and behavioral function. This assessment serves as the basis for developing a plan of care to meet the client’s needs. 22. Lola Basyang is your 70-year old retired librarian who was brought to the hospital by her children with the diagnosis of Dementia. In order to test her ability to think abstractly, you would ask which of the following? A. “Can you repeat the following numbers: 8, 2, 4, 6, 10” B. “How are a radio and television alike?” C. “What would you do if you fell and hurt yourself?” D. “Can you give me today’s complete date?” 23. The nurse must assess a client's judgment to determine mental status. To best accomplish this, the nurse should have the client: A. interpret proverbs. B. spell words backward. C. count by serial sevens. D. discuss hypothetical situations. 24. During the mental status examination, a client may be asked to explain such proverbs as "Birds of the same feather flock together." The purpose is to evaluate the client's ability to think: A. rationally. B. concretely. C. abstractly. D. tangentially. Situation - As a nurse you will encounter clients with anxiety disorders in every clinical practice setting including primary care and general hospital settings, not just mental health facilities, but also in your own community. You must be ready to apply your knowledge on anxiety disorders to any area in which you choose to work. 25. During client assessment, the nurse finds that the client is experiencing tunnel vision on his crisis The nurse should conclude that this client is experiencing which level of anxiety? A. Mild B. Moderate C. Severe D. Panic 26. When assessing an apparently anxious client, the nurse ensures that questions related to the client’s anxiety are: A. Abstract and nonthreatening B. Avoided until the anxiety disappears C. Avoided until the client brings up the subject D. Specific and direct 27. A physician has just told a client that surgery will be required to treat a health problem. After the physician leaves, the clients reports feeling angry, tense and shaky. The nurse notes that the client’s palms are sweaty and the pupils are dilated. The nurse interprets this to mean that the client is experiencing symptoms consistent with which level of the general adaptation syndrome (GAS)? A. Alarm B. Exhaustion C. Generalized anxiety D. Resistance 28. A client states, “I am always late for everything because I can’t leave my room without checking every drawer and door to make sure they are locked. If I don’t do that, I get so worried that I have to go back. I can’t seem to stop my behavior.” The nurse should take which action at this time? A. Allow the client adequate time to carry out the ritual B. Explore childhood experiences that may have led to the behavior C. Encourage the client to remain in the room until the urge to recheck has decreased D. Remind the client that the staff will not allow others to enter the room. 29. The nurse is caring for a client who was serving in the military during a bombing of an american embassy. Which finding can suggest PTSD? A. Seizures, headache, hypertension B. Goosebumps, memory loss of the trauma, flashbacks C. Anger, depression, flashbacks D. Unexplained paralysis, sweating, elation 30. PTSD and ASD have many similarities. Which of the following characteristics differentiates the two disorders? A. ASD has a longer duration than PTSD. B. The interval from trauma to symptoms is of shorter duration for ASD. C. The client with ASD has at least one dissociated manifestation. D. The ASD client with the dissociative symptoms does have problems coping.