NP 5 Flashcards
Situation: Understanding different models of care is a
necessary part of the nurse patient relationship.
1. The focus of this therapy is to have a positive
environmental manipulation, physical and social
to effect a positive change.
A. Milieu
B. Psychotherapy
C. Behaviour
D. Group
A. Milieu
- The client asks the nurse about Milieu therapy.
The nurse responds knowing that the primary
focus of milieu therapy can be best described by
which of the following?
A. A form of behavior modification therapy
B. A cognitive approach of changing the
behaviour
C. A living, learning or working
environment
D. A behavioural approach to changing
behaviour
C. A living, learning or working
environment
- A nurse is caring for a client with phobia who is
being treated for the condition. The client is
introduced to short periods of exposure to the
phobic object while in relaxed state. The nurse
understands that this form of behaviour
modification can be best described as:
A. Systematic desensitization
B. Self-control therapy
C. Aversion Therapy
D. Operant conditioning
A. Systematic desensitization
- A client with major depression is considering
cognitive therapy. The client say to the nurse,
“How does this treatment works?” The nurse
responds by telling the client that:
A. “This type of treatment helps you
examine how your thoughts and
feelings contribute to your difficulties”
B. “This type of treatment helps you
examine how your past life has
contributed to your problems.”
C. “This type of treatment helps you to
confront your fears by exposing you to
the feared object abruptly.
D. “This type of treatment will help you
relax and develop new coping skills.
A. “This type of treatment helps you
examine how your thoughts and
feelings contribute to your difficulties”
- A Client state, “I get down on myself when I
make mistake.” Using Cognitive therapy
approach, the nurse should:
A. Teach the client relaxation exercise to
diminish stress
B. Provide the client with Mastery
experience to boost self esteem
C. Explore the client’s past experiences that
causes the illness
D. Help client modify the belief that
anything less than perfect is horrible
D. Help client modify the belief that
anything less than perfect is horrible
- The most advantageous therapy for a preschool
age child with a history of physical and sexual
abuse would be:
A. Play
B. Psychoanalysis
C. Group
D. Family
A. Play
- An 18 year old client is admitted with the
diagnosis of anorexia nervosa. A cognitive
behavioural approach is used as part of her
treatment plan. The nurse understands that the
purpose of this approach is to:
A. Help the client identify and examine
dysfunctional thoughts and beliefs
B. Emphasize social interaction with clients
who withdraw
C. Provide a supportive environment and a
therapeutic community
D. Examine intrapsychic conflicts and past
events in life
A. Help the client identify and examine
dysfunctional thoughts and beliefs
- The nurse is preparing to provide reminiscence
therapy for a group of clients. Which of the
following clients will the nurse select for this
group?
A. A client who experiences profound
depression with moderate cognitive
impairment
B. A catatonic, immobile client with
moderate cognitive impairment
C. An undifferentiated schizophrenic client
with moderate cognitive impairment
D. A client with mild depression who
exhibits who demonstrates normal
cognition
D. A client with mild depression who
exhibits who demonstrates normal
cognition
- Which intervention would be typical of a nurse
using cognitive-behavioral approach to a client
experiencing low self-esteem?
A. Use of unconditional positive regard
B. Analysis of free association
C. Classical conditioning
D. Examination of negative thought
patterns
D. Examination of negative thought
patterns
- Which of the following therapies has been
strongly advocated for the treatment of posttraumatic
stress disorders?
A. ECT
B. Group Therapy
C. Hypnotherapy
D. Psychoanalysis
B. Group Therapy
- The nurse knows that in group therapy, the
maximum number of members to include is:
A. 4
B. 8
C. 10
D. 16
C. 10
- The nurse is providing information to a client
with the use of disulfiram (antabuse) for the
treatment of alcohol abuse. The nurse
understands that this form of therapy works on
what principle?
A. Negative Reinforcement
B. Operant Conditioning
C. Aversion Therapy
D. Gestalt therapy
C. Aversion Therapy
- A biological or medical approach in treating
psychiatric patient is:
A. Million therapy
B. Behavioral therapy
C. Somatic therapy
D. Psychotherapy
C. Somatic therapy
- Which of these nursing actions belong to the
secondary level of preventive intervention?
A. Providing mental health consultation to
health care providers
B. Providing emergency psychiatric
services
C. Being politically active in relation to
mental health issues
D. Providing mental health education to
members of the community
B. Providing emergency psychiatric
services
- When the nurse identifies a client who has
attempted to commit suicide the nurse should:
A. call a priest
B. counsel the client
C. refer the client to the psychiatrist
D. refer the matter to the police
C. refer the client to the psychiatrist
Situation: Rose seeks psychiatric consultation because of
intense fear of flying in an airplane which has greatly
affected her chances of success in her job.
16. The most common defense mechanism used by
phobic clients is:
A. Supression
B. Denial
C. Rationalization
D. Displacement
D. Displacement
- The goal of the therapy in phobia is:
A. Change her lifestyle
B. Ignore tension producing situation
C. Change her reaction towards anxiety
D. Eliminate fear producing situations
C. Change her reaction towards anxiety
- The therapy most effective for client’s with
phobia is:
A. Hypnotherapy
B. Cognitive therapy
C. Group therapy
D. Behavior therapy
D. Behavior therapy
- The fear and anxiety related to phobia is said to
be abruptly decreased when the patient is
exposed to what is feared through:
A. Guided Imagery
B. Systematic desensitization
C. Flooding
D. Hypotherapy
B. Systematic desensitization
- Based on the presence of symptom, the
appropriate nursing diagnosis is:
A. Self-esteem disturbance
B. Activity intolerance
C. Impaired adjustment
D. Ineffective individual coping
D. Ineffective individual coping
Situation: Mang Jose, 39 year old farmer, unmarried, had
been confined in the National center for mental health
for three years with a diagnosis of schizophrenia.
21. The most common defense mechanism used by
a paranoid client is:
A. Displacement
B. Rationalization
C. Suppression
D. Projection
D. Projection
- When Mang Jose says to you: “The voices are
telling me bad things again!” The best response
is:
A. “Whose voices are those?”
B. “I doubt what the voices are telling you”
C. “I do not hear the voice you say you
hear”
D. “Are you sure you hear these voices?
C. “I do not hear the voice you say you
hear”
- A relevant nursing diagnosis for clients with
auditory hallucination is:
A. Sensory perceptual alteration
B. Altered thought process
C. Impaired social interaction
D. Impaired verbal communication
A. Sensory perceptual alteration
- During mealtime, Jose refused to eat telling that
the food was poisoned. The nurse should:
A. Ignore his remark
B. Offer him food in his own container
C. Show him how irrational his thinking is
D. Respect his refusal to eat
B. Offer him food in his own container
- When communicating with Jose, The nurse
considers the following except:
A. Be warm and enthusiastic
B. Refrain from touching Jose
C. Do not argue regarding his hallucination
and delusion
D. Use simple, clear language
A. Be warm and enthusiastic
Situation: Gringo seeks psychiatric counselling for his
ritualistic behavior of counting his money as many as 10
times before leaving home.
26. An initial appropriate nursing diagnosis is:
A. Impaired social interaction
B. Ineffective individual coping
C. Impaired adjustment
D. Anxiety Moderate
B. Ineffective individual coping
- Obsessive compulsive disorder is BEST described
by:
A. Uncontrollable impulse to perform an
act or ritual repeatedly
B. Persistent thoughts
C. Recurring unwanted and disturbing
thought alternating with a behavior
D. Pathological persistence of unwilled
thought, feeling or impulse
C. Recurring unwanted and disturbing
thought alternating with a behavior
- The defense mechanism used by persons with
obsessive compulsive disorder is undoing and it is best described in one of the following
statements:
A. Unacceptable feelings or behavior are
kept out of awareness by developing the
opposite behavior or emotion
B. Consciously unacceptable instinctual
drives are diverted into personally and
socially acceptable channels
C. Something unacceptable already done
is symbolically acted out in reverse
D. Transfer of emotions associated with a
particular person, object or situation to
another less threatening person, object
or situation
C. Something unacceptable already done
is symbolically acted out in reverse
- To be more effective, the nurse who cares for
persons with obsessive compulsive disorder
must possess one of the following qualities:
A. Compassion
B. Patience
C. Consistency
D. Friendliness
C. Consistency
- Persons with OCD usually manifest:
A. Fear
B. Apathy
C. Suspiciousness
D. Anxiety
D. Anxiety
Situation: The patient who is depressed will undergo
electroconvulsive therapy.
31. Studies on biological depression support
electroconvulsive therapy as a mode of
treatment. The rationale is:
A. ECT produces massive brain damage
which destroys the specific area
containing memories related to the
events surrounding the development of
psychotic condition
B. The treatment serves as a symbolic
punishment for the client who feels
guilty and worthless
C. ECT relieves depression psychologically
by increasing the norepinephrine level
D. ECT is seen as a life-threatening
experience and depressed patients
mobilize all their bodily defences to deal
with this attack.
C. ECT relieves depression psychologically
by increasing the norepinephrine level
- The preparation of a patient for ECT ideally is
MOST similar to preparation for a patient for:
A. electroencephalogram
B. general anesthesia
C. X-ray
D. electrocardiogram
B. general anesthesia
- Which of the following is a possible side effect
which you will discuss with the patient?
A. hemorrhage within the brain
B. encephalitis
C. robot-like body stiffness
D. confusion, disorientation and short
term memory loss
D. confusion, disorientation and short
term memory loss
- Informed consent is necessary for the treatment
for involuntary clients. When this cannot be
obtained, permission may be taken from the:
A. social worker
B. next of kin or guardian
C. doctor
D. chief nurse
B. next of kin or guardian
- After ECT, the nurse should do this action before
giving the client fluids, food or medication:
A. assess the gag reflex
B. next of kin or guardian
C. assess the sensorium
D. check O2 Sat with a pulse oximeter
A. assess the gag reflex
Situation: Mrs Ethel Agustin 50 y/o, teacher is afflicted
with myasthenia gravis.
36. Looking at Mrs Agustin, your assessment would
include the following except;
A. Nystagmus
B. Difficulty of hearing
C. Weakness of the levator palpebrae
D. Weakness of the ocular muscle
B. Difficulty of hearing
- In an effort to combat complications which
might occur relatives should he taught;
A. Checking cardiac rate
B. Taking blood pressure reading
C. Techniques of oxygen inhalation
D. Administration of oxygen inhalation
D. Administration of oxygen inhalation
- The drug of choice for her condition is;
A. Prostigmine
B. Morphine
C. Codeine
D. Prednisone
A. Prostigmine
- As her nurse, you have to be cautious about
administration of medication, if she is under
medicated this can cause;
A. Emotional crisis
B. Cholinergic crisis
C. Menopausal crisis
D. Myasthenia crisis
D. Myasthenia crisis
- If you are not extra careful and by chance you
give over medication, this would lead to;
A. Cholinergic crisis
B. Menopausal crisis
C. Emotional crisis
D. Myasthenia crisis
A. Cholinergic crisis