…of her assignment in a psychiatric unit.
1.) She recalls that a near accurate definition of mental health is:
a.) absence of mental illness
b.) presence of mental organization
c.) absence of negative ways of dealing with problems
d.) presence of mental stability
2.) Psychiatric nursing pertains to:
a.) assessment of behavior, planning and evaluation of care for individuals with mental disorders
b.) promotion of optimal mental health for individuals, through early diagnosis, treatment rehabilitation
c.) use of interaction between the nurse and the individuals, as a therapeutic tool of nursing
d.) independent, interdependent and dependent function of the nurse which are employed to assist patient regain mental health
3.) Earlier, Linda participated in a seminar on self-awareness. An advantage of having self-awareness when attending to a mentally disturbed patient is that she can:
a.) arrive at a better decision appropriate to patient’s needs rather than her own needs
b.) prevent personal feelings of patient from affecting her
c.) decide properly for the patient
d.) discuss nursing care more knowledgeably with her nursing superior
4.) Linda is mildly anxious as she takes an unscheduled quiz. Her anxiety level is characterized by:
a.) increased tension and reduce ability to perceive
b.) increased energy and alertness
c.) increased physical and emotional discomfort
d.) increased perception and elaboration of details
5.) If an individual is experiencing anxiety with decreased perception and there is selective inattention, he is said to be:
a.) moderately anxious
b.) in a state of severe anxiety
c.) mildly anxious
d.) In a state of panic
6.) Linda almost fails in the written test. She complains to her friend that instructor’s questions did not include those that were taken up in the classroom. What is this defense mechanism:
a.) Rationalization
b.) Denial
c.) Projection
d.) displacement
7.) Ludy is a middle-aged college professor whose husband is philandering. Instead of worrying and becoming sad, she devotes her energy and time to improving her teaching skills. This defense mechanism is:
a.) Displacement
b.) Sublimation
c.) Repression
d.) Compensation
8.) A political who is himself immoral keeps accusing a rival politician of graft and corruption. This is:
a.) Repression
b.) Conversion
c.) Projection
d.) Rationalization
9.) Displacement is seen in one of the following instances:
a.) a little boy patterns his own behavior to the person he is afraid of
b.) Josie has an unconscious dislike for her superior but covers this up by being extremely polite
c.) David’s work was criticized by his supervisor. At home he start shouting at his wife and children
d.) a young man begins to talk and act like his father who just died
10.) Linda is secretly is aversed to one of the staff nurses in the unit, but she tries hard to be likeable to her. This is a defense mechanism called:
a.) Suppression
b.) Projection
c.) Denial
d.) Repression
11.) The use of defense mechanism:
a.) protects the personality by controlling anxiety and reducing emotional pressure
b.) prepares individuals to respond to tensed situation
c.) serves as substitute for gratification of needs
d.) provides socially acceptable reasons for behavior
Please see the 1st comment for the ANSWER KEY.
Linda reviews her notes in Psychiatric nursing before the first day…
Mang Tomas, 47 years consulted at the OPD for occipital headache light headedness, and
... visual disturbances. His blood pressure registered 160/95. He was given Clonidine Hydrochloride ( Catapres). His diagnosis: Hypertension.
1.) During assessment, which portion of the nursing history would you include a complete inventory of Mang Tomas major body organs:
a) history of the present illness
b) past medical history
c) physical examination
d) review of system
2.) Which of the following hormones regulate arterial pressure:
1. ADH
2. prostaglandin
3. renin
4. norepinephrine
a.) 1, 3, 4
b.) 1, 2, 3, 4
c.) 2, 3, 4
d.) 1, 2, 3
3.) When determining arterial pressure, all BUT one of the following are observed:
a.) release cuff pressure at 2-3 mm. Hg. per second.
b.) place the patient's arm at heart level.
c.) slowly inflate BP cuff.
d.) use BP cuff with 5-7 width.
4.) Which of the following are subjective complaints of Mang Tomas:
1. BP 160/95
2. light headedness
3. occipital headache
4. visual disturbance
a.) 1, 4
b.) 1, 2
c.) 2, 3, 4
d.) 1, 2, 3
5.) Mang Tomas will most likely exhibit which of the following side effects of Clonidine Hydrocholoride:
1. loss of appetite
2. drowsiness
3. dry mouth
4. severe depression
a.) 1, 3
b.) 1, 4
c.) 1, 2, 3
d.) 2, 3, 4
6.) Nursing interventions for Mang Tomas include the following, EXCEPT:
a.) reassurance and emotional support.
b.) education to prevent progression of the disease.
c.) monitoring of vital signs while in both upright and recumbent positions.
d.) encourage normal diet and activity without restrictions.
7.) You would expect Mang Tomas to:
a.) take his medications as prescribed
b.) maintain his BP within acceptable range
c.) modify his life style
d.) all of those
Please see the 1st comment for the ANSWER KEY.
Susan, a nurse whose husband is with the US Navy, delivers her first baby...
...She plans to be guided by her knowledge of normal growth and development in the care of her child.
1. It is important that the needs of Susan's infant are properly met because this will help:
a. lay the foundation for the development of trust.
b. spare the infant from frustration.
c. establish bonding between the mother and child.
d. stabilize the self-identity of the infant
2. According to Erickson the toddler stage of development corresponds to the stage of:
a. Trust
b. Autonomy
c. Initiative
d. Identity
3. Frued stresses that this part of personality is concerned with control of physical needs and instincts of a person:
a. Id
b. Ego
c. Superego
d. Conscience
4. During the phallic stage, what significant development will Susan expect of her child:
a. sexual gratification in urination and defecation
b. sexual disinterest in the opposite sex
c. sexual and body awareness
d. sexual identification and maturity
5. Susan aware of the effects of absence of a father figure in the normal process of gender identification . What period is critical to the development of difficulties in sexual identity:
a. between 1-3 years old
b. at 6 years old
c. between 1-5 years old
d. adolescence
6. If Susan's child is not provided with a significant father figure, her child might fail to resolve the oedipal conflict. This conflict represents:
a. a strong feeling of closeness of a boy to the mother
b. a strong feeling of closeness of a girl to the father
c. a strong feeling of closeness of a boy to the father
d. a strong feeling of closeness of a girl to the mother
7. Parents who cater to the unrealistic demands and request of a child can cause the development of one of the following sets of behavior of the child:
a. over confidence, conceit, and disrespect for authority
b. nail-biting, thumb-sucking, and other infantile behavior
c. defeatist attitude, insecurity, tantrums
d. impatience, non-competitiveness, felling of inferiority
8. Failure to negotiate the period of puberty and adolescence can result in:
a. failure to be productive and creative in later life
b. serious maladjustment in vocation and sexual aspect of married life
c. crisis in sexual identity
d. constant trouble with authority
9. Primary prevention of mental disorders is concerned with:
a. reducing the prevalence of mental disease through early case finding
b. preventing the occurrence of mental disorders
c. promoting mental health and reducing new cases of diseases
d. reducing disability associated with mental disease
10. Tertiary prevention in Psychiatric nursing includes one of the following:
a. preparation of client and families for the client discharge from the hospital
b. therapy counseling and discharge planning conferences
c. family counseling referrals to appropriate health services
d. brief services to families made vulnerable by situational crisis
11. Susan herself is 24 years old, All of the following developmental tasks correspond to her age, EXCEPT:
a. achieve economic independence
b. develop leisure time activities
c. establish an intimate relationship
d. accept new role as parent or mate
Please see the 1st comment for the ANSWER KEY.
