1. Which is the following is the most appropriate during the orientation phase?

* A. patient's perception on the reason of her hospitalization
* B. identification of more effective ways of coping
* C. exploration of inadequate coping skills
* D. establishment of regular meeting of schedules

D. establishment of regular meeting of schedules

2. The nurse shows a patient advocate role when?

* A. defend the patients right
* B. refer patient for other services she needs
* C. work with significant others
* D. intercedes in behalf of the patient.

A. defend the patients right

3. As a manager, the nurse should?

* A. Initiates nursing action with co-workers.
* B. Plans nursing care with the patient.
* C. Speaks in behalf of the patient
* D. Works together with the team

D. Works together with the team

4. As a care provider, the nurse should do first?

* A. Provide direct nursing care.
* B. Participate with the team in performing nursing intervention.
* C. Therapeutic use of self
* D. Early recognition of the client's needs

D. Early recognition of the client's needs

6. A female client undergoes yearly mammography. What level of prevention is this?

* A. primary
* B. secondary
* C. tertiary
* D. None of the Above

B. secondary

8. Preparing the client for the termination phase begins?

* A. pre orientation
* B. orientation
* C. working
* D. termination

C. working

9. A helping relationship is a process characterized by-

* A. recovery promoting
* B. mutual interaction
* C. growth facilitating
* D. health enhancing

C. growth facilitating

10. During the nurse patient interaction, the nurse assesses the ff: to determine the patients coping strategy:

* A. How are you feeling right now?
* B. Do you have anyone to take you home?
* C. What do you think will help you right now?
* D. How does your problem affect your life?

D. How does your problem affect your life?

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11. As a counselor, a nurse should perform which of the ff task-

* A. Encourage client to express feelings and concerns
* B. Helps client to learn a dance or song to enable her to participate in activities
* C. Help the client prepare in-group activities
* D. Assist the client in setting limits on her behavior

A. Encourage client to express feelings and concerns

12. A 16-year-old child is hospitalized, according to Erik Eriksson, what is an appropriate intervention?

* A. tell the friends to visit the child
* B. encourage patient to help child learn lessons missed
* C. call the priest to intervene
* D. tells the child's girlfriend to visit the child.

A. tell the friends to visit the child

13. Neuroleptic malignant syndrome (NMS) is characterized by-

* A. hypertension, hyperthermia, flushed and dry skin
* B. Hypotension, hypothermia, flushed and dry skin
* C. Hypertension, hyperthermia, diaphoresis
* D. Hypertension, hypothermia, diaphoresis

C. Hypertension, hyperthermia, diaphoresis

14. Which of the following drugs needs a WBC level checked regularly?

* A. Lithane
* B. Clozaril
* C. Tofranil
* D. Diazepam

B. Clozaril

16. Which of the ff: is not a characteristic of PD?

* A. disregard rights of others
* B. loss of cognitive functioning
* C. fails to conform to social norms
* D. not capable of experiencing guild or remorse for their behavior

B. loss of cognitive functioning

17. The most effective treatment modality for persons if anti social PD is

* A. hypnotherapy
* B. gestalt therapy
* C. behavior therapy
* D. crisis intervention

C. behavior therapy

18. Which of the following is not an example of alteration of perception?

* A. ideas of reference
* B. flight of ideas
* C. illusion
* D. hallucination

B. flight of ideas

19. The type of anxiety that leads to personality disorganization is:

* A. Mild
* B. Moderate
* C. Severe
* D. Panic

D. Panic

20. A client is admitted to the hospital. Twelve hours later the nurse observes hand tremors, hyperexicitability, tachycardia, diaphoresis, and hypertension. The nurse suspects alcohol withdrawal. The nurse should ask the client:

* A. At what time was your last drink taken?
* B. Why you have not told us you are a drinker?
* C. Do you drink beer or hard liquor?
* D. How long have you been drinking?

A. At what time was your last drink taken?

21. Client with a history of schizophrenia has been admitted for suicidal ideation. The client states "God is telling me to kill myself right now." The nurses best response is:

* A. I understand that god's voice is real to you, but I do not hear anything. I will stay with you.
* B. The voices are part of your illness; it will stop if you take medication
* C. the voices are all in your imagination, think of something else and till go away
* D. Do not think of anything right now, just go, and relax.

A. I understand that god's voice is real to you, but I do not hear anything. I will stay with you.

22. In assessing a clients suicide potential, which statement by the client would give the nurse the highest cause for concern?

* A. My thoughts of hurting my self are scary to me
* B. I would like to go to sleep and not wake up
* C. I have thought about taking pills and alcohol until I pass out
* D. I would like to be free from all these worries

C. I have thought about taking pills and alcohol until I pass out

23. A client with paranoid schizophrenia has persecutory delusions and auditory hallucinations and is extremely agitated. He has been given a PRN dose of Thorazine IM. Which of the following would indicate to the nurse that the medication is having the desired effect?

* A. Complains of dry mouth
* B. State he feels restless in his body
* C. Stops pacing and sits with the nurse
* D. Exhibits increase activity and speech

C. Stops pacing and sits with the nurse

25. A decision is made to discharge a client with obsessive-compulsive disorder. Of the following abilities the client has demonstrated, the one that probably most influenced the decision not to hospitalize him is his ability to:

* a. Hold a job.
* b. Relate to his peers.
* c. Perform activities of daily living.
* d. Behave in an outwardly normal

c. Perform activities of daily living.