NURSING PRACTICE V – CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL
ALTERATIONS – PART B
Situation 1: 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. Behavior
d. Group
2. 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 behavior
c. A living learning or working environment
d. A behavioral approach to changing behavior
3. A nurse is caring to 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 a relaxed state. The
nurse understands that this form of behavior modification can be best described as:
a. Systemic desensitization
b. Aversion therapy
c. Self control therapy
d. Operant conditioning
4. A client with major depression is considering cognitive therapy. The client said to the
nurse, “how does this treatment work?” 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 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.”
5. A client stated, “I get down on myself when I make mistakes.” Using cognitive theory
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
6. 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
7. An 18 year old client is admitted with the diagnosis of anorexia nervosa. A cognitive
behavioral 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 client who withdraw
c. Provide a supportive environment and a therapeutic community
d. Examine intra-psychic conflicts and past events in life
8. 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 and demonstrates normal cognition
9. 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. Classical conditioning
c. Analysis of free association
d. Examination of negative though patters
10. Which of the following therapies has been strongly advocated for the treatment of post
traumatic stress disorders?
a. ECT
b. Group therapy
c. Hypnotherapy
d. Psychoanalysis
11. The nurse knows that in group therapy, the maximum number of members to include is
a. 4
b. 8
c. 10
d. 16
12. 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. Aversion therapy
c. Operant conditioning
d. Gestalt therapy
, 13. A biological or medical approach in treating psychiatric patient is:
a. Million therapy
b. Somatic therapy
c. Behavior therapy
d. Psychotherapy
14. 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
15. 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 one matter to the police
Situation 2: 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 client is:
a. Suppression
b. Rationalization
c. Denial
d. Displacement
17. 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
18. The therapy most effective for clients with phobia is
a. Hypnotherapy
b. Group therapy
c. Cognitive therapy
d. Behavior therapy
19. 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
20. Based on the presence of symptom, the appropriate nursing diagnosis is
ALTERATIONS – PART B
Situation 1: 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. Behavior
d. Group
2. 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 behavior
c. A living learning or working environment
d. A behavioral approach to changing behavior
3. A nurse is caring to 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 a relaxed state. The
nurse understands that this form of behavior modification can be best described as:
a. Systemic desensitization
b. Aversion therapy
c. Self control therapy
d. Operant conditioning
4. A client with major depression is considering cognitive therapy. The client said to the
nurse, “how does this treatment work?” 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 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.”
5. A client stated, “I get down on myself when I make mistakes.” Using cognitive theory
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
6. 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
7. An 18 year old client is admitted with the diagnosis of anorexia nervosa. A cognitive
behavioral 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 client who withdraw
c. Provide a supportive environment and a therapeutic community
d. Examine intra-psychic conflicts and past events in life
8. 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 and demonstrates normal cognition
9. 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. Classical conditioning
c. Analysis of free association
d. Examination of negative though patters
10. Which of the following therapies has been strongly advocated for the treatment of post
traumatic stress disorders?
a. ECT
b. Group therapy
c. Hypnotherapy
d. Psychoanalysis
11. The nurse knows that in group therapy, the maximum number of members to include is
a. 4
b. 8
c. 10
d. 16
12. 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. Aversion therapy
c. Operant conditioning
d. Gestalt therapy
, 13. A biological or medical approach in treating psychiatric patient is:
a. Million therapy
b. Somatic therapy
c. Behavior therapy
d. Psychotherapy
14. 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
15. 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 one matter to the police
Situation 2: 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 client is:
a. Suppression
b. Rationalization
c. Denial
d. Displacement
17. 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
18. The therapy most effective for clients with phobia is
a. Hypnotherapy
b. Group therapy
c. Cognitive therapy
d. Behavior therapy
19. 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
20. Based on the presence of symptom, the appropriate nursing diagnosis is
