PNLE PSYCHIA QUESTIONS 1 WITH COMPLETE
SOLUTIONS
16. Situation: A nurse may encounter children with mental
disorders. Her knowledge of these various disorders is vital.
When planning school interventions for a child with a diagnosis
of attention deficit hyperactivity disorder, a guide to remember
is to:
A. provide as much structure as possible for the child
B. ignore the child's overactivity.
C. encourage the child to engage in any play activity to dissipate
energy
D. remove the child from the classroom when disruptive
behavior occurs Correct Answer Answer: (A) provide as
much structure as possible for the child
Decrease stimuli for behavior control thru an environment that is
free of distractions, a calm non -confrontational approach and
setting limit to time allotted for activities. B. The child will not
benefit from a lenient approach. C. Dissipate energy through
safe activities. D. This indicates that the classroom environment
lacks structure.
50. Unlike psychophysiologic disorder Linda may be best
managed with:
A. medical regimen
B. milieu therapy
C. stress management techniques
D. psychotherapy Correct Answer Answer: (C) stress
management techniques
,Stree management techniques is the best management of
somatoform disorder because the disorder is related to stress and
it does not have a medical basis. A. This disorder is not
supported by organic pathology so no medical regimen is
required. B and D. Milieu therapy and psychotherapy may be
used a therapeutic modalities but these are not the best.
A 10 year old child has very limited vocabulary and interaction
skills. She has an I.Q. of 45. She is diagnosed to have Mental
retardation of this classification:
A. Profound
B. Mild
C. Moderate
D. Severe Correct Answer Answer: (C) Moderate
The child with moderate mental retardation has an I.Q. of 35-50
Profound Mental retardation has an I.Q. of below 20; Mild
mental retardation 50-70 and Severe mental retardation has an
I.Q. of 20-35.
A 5 year old boy is diagnosed to have autistic disorder.
Which of the following manifestations may be noted in a client
with autistic disorder?
A. argumentativeness, disobedience, angry outburst
B. intolerance to change, disturbed relatedness, stereotypes
C. distractibility, impulsiveness and overactivity
D. aggression, truancy, stealing, lying Correct Answer
Answer: (B) intolerance to change, disturbed relatedness,
stereotypes
These are manifestations of autistic disorder. A. These
manifestations are noted in Oppositional Defiant Disorder, a
disruptive disorder among children. C. These are manifestations
, of Attention Deficit Disorder D. These are the manifestations of
Conduct Disorder
A client is admitted with needle tracts on his arm, stuporous and
with pin point pupil will likely be managed with:
A. Naltrexone (Revia)
B. Narcan (Naloxone)
C. Disulfiram (Antabuse)
D. Methadone (Dolophine) Correct Answer Answer: (B)
Narcan (Naloxone)
Narcan is a narcotic antagonist used to manage the CNS
depression due to overdose with heroin. A. This is an opiate
receptor blocker used to relieve the craving for heroine C.
Disulfiram is used as a deterrent in the use of alcohol. D.
Methadone is used as a substitute in the withdrawal from
heroine
A nursing diagnosis for bulimia nervosa is powerlessness related
to feeling not in control of eating habits. The goal for this
problem is:
A. Patient will learn problem solving skills
B. Patient will have decreased symptoms of anxiety.
C. Patient will perform self care activities daily.
D. Patient will verbalize how to set limits on others. Correct
Answer Answer: (A) Patient will learn problem solving skills
if the client learns problem solving skills she will gain a sense of
control over her life. (B) Anxiety is caused by powerlessness.
(C) Performing self care activities will not decrease ones
powerlessness (D) Setting limits to control imposed by others is
a necessary skill but problem solving skill is the priority.
SOLUTIONS
16. Situation: A nurse may encounter children with mental
disorders. Her knowledge of these various disorders is vital.
When planning school interventions for a child with a diagnosis
of attention deficit hyperactivity disorder, a guide to remember
is to:
A. provide as much structure as possible for the child
B. ignore the child's overactivity.
C. encourage the child to engage in any play activity to dissipate
energy
D. remove the child from the classroom when disruptive
behavior occurs Correct Answer Answer: (A) provide as
much structure as possible for the child
Decrease stimuli for behavior control thru an environment that is
free of distractions, a calm non -confrontational approach and
setting limit to time allotted for activities. B. The child will not
benefit from a lenient approach. C. Dissipate energy through
safe activities. D. This indicates that the classroom environment
lacks structure.
50. Unlike psychophysiologic disorder Linda may be best
managed with:
A. medical regimen
B. milieu therapy
C. stress management techniques
D. psychotherapy Correct Answer Answer: (C) stress
management techniques
,Stree management techniques is the best management of
somatoform disorder because the disorder is related to stress and
it does not have a medical basis. A. This disorder is not
supported by organic pathology so no medical regimen is
required. B and D. Milieu therapy and psychotherapy may be
used a therapeutic modalities but these are not the best.
A 10 year old child has very limited vocabulary and interaction
skills. She has an I.Q. of 45. She is diagnosed to have Mental
retardation of this classification:
A. Profound
B. Mild
C. Moderate
D. Severe Correct Answer Answer: (C) Moderate
The child with moderate mental retardation has an I.Q. of 35-50
Profound Mental retardation has an I.Q. of below 20; Mild
mental retardation 50-70 and Severe mental retardation has an
I.Q. of 20-35.
A 5 year old boy is diagnosed to have autistic disorder.
Which of the following manifestations may be noted in a client
with autistic disorder?
A. argumentativeness, disobedience, angry outburst
B. intolerance to change, disturbed relatedness, stereotypes
C. distractibility, impulsiveness and overactivity
D. aggression, truancy, stealing, lying Correct Answer
Answer: (B) intolerance to change, disturbed relatedness,
stereotypes
These are manifestations of autistic disorder. A. These
manifestations are noted in Oppositional Defiant Disorder, a
disruptive disorder among children. C. These are manifestations
, of Attention Deficit Disorder D. These are the manifestations of
Conduct Disorder
A client is admitted with needle tracts on his arm, stuporous and
with pin point pupil will likely be managed with:
A. Naltrexone (Revia)
B. Narcan (Naloxone)
C. Disulfiram (Antabuse)
D. Methadone (Dolophine) Correct Answer Answer: (B)
Narcan (Naloxone)
Narcan is a narcotic antagonist used to manage the CNS
depression due to overdose with heroin. A. This is an opiate
receptor blocker used to relieve the craving for heroine C.
Disulfiram is used as a deterrent in the use of alcohol. D.
Methadone is used as a substitute in the withdrawal from
heroine
A nursing diagnosis for bulimia nervosa is powerlessness related
to feeling not in control of eating habits. The goal for this
problem is:
A. Patient will learn problem solving skills
B. Patient will have decreased symptoms of anxiety.
C. Patient will perform self care activities daily.
D. Patient will verbalize how to set limits on others. Correct
Answer Answer: (A) Patient will learn problem solving skills
if the client learns problem solving skills she will gain a sense of
control over her life. (B) Anxiety is caused by powerlessness.
(C) Performing self care activities will not decrease ones
powerlessness (D) Setting limits to control imposed by others is
a necessary skill but problem solving skill is the priority.
