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NP5 Sample Test (with rationale)
Nursing Research (Xavier University - Ateneo de Cagayan)
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FREE NLE REVIEW QUESTIONS: NP 5
( Taken from sample questions posted on april & late march)
Psychoanalytical theory suggests that gender identity disorders possibly began with the struggle of
the oedipal conflict. This occurs during which psychosexual stage?
A. oral
B. latent
C. genital
D. phallic
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ANSWER: D
Freud proposed that the development of the Oedipus complex occurred during the phallic stage. He
described this as the child's unconscious desire to eliminate the parent of the same sex and to
possess the parent of the opposite sex for himself or herself.
According to Erik Erikson, developmental delays or partial mastery of the psychosocial
developmental stages can lead to problems in functioning. Failure to master Erikson's first
psychosocial stage of development can lead to:
A. ritualistic behavior
B. acting out behavior
C. paranoid behavior
D. regressive behavior
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ANSWER: C
Non-achievement of Erikson's first stage results in emotional dissatisfaction with the self and others,
suspiciousness, and difficulty with interpersonal relationships
According to Kubler-Ross's Five Stages of Grief, at which stage does the client seek new or
questionable treatment modalities?
A. bargaining
B. acceptance
C. depression
D. anger
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.
.
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.
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ANSWER: A
During the anger stage, client is demanding, nonadherent, argumentative, and critical of his or her
care and of others.
In the depression stage, client exhibits social withdrawal, agitation, imapired eating, sleep
disturbance, and altered concentration patterns.
During acceptance, client participates in care and verbalizes feelings; appetite, concentration, and
sleeping patterns improve.
Dementia first affects recent and immediate memory, then eventually impairs the ability to recognize
family members, even oneself.
In mild and moderate dementia, clients make up answers to fill in memory gaps. This is known as:
A. agnosia
B. rumination
C. palilalia
D.confabulation
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ANSWER: D. Confabulation.
Palilalia is repeating words or sounds over and over.
Agnosia is difficulty recognizing familiar objects.
Rumination which refers to negativistic thinking is common in depressed patients.
Which statement made by a client indicates to the nurse that he may have a thought disorder?
A) "I'm so angry about this. Wait until my partner hears about this."
B) "I'm a little confused. What time is it?"
C) "I can't find my 'mesmer' shoes. Have you seen them?"
D) "I'm fine. It's my daughter who has the problem."
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The correct answer is C: "I can''t find my ''mesmer'' shoes. Have you seen them?"A Neologism is a
new word self invented by a person and not readily understood by another that is often associated
with a thought disorder.
client who is a former actress enters the day room wearing a sheer nightgown, high heels,
numerous bracelets, bright red lipstick and heavily rouged cheeks. Which nursing action is the best
in response to the client’s attire?
A) Gently remind her that she is no longer on stage
B) Directly assist client to her room for appropriate apparel
C) Quietly point out to her the dress of other clients on the unit
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D) Tactfully explain appropriate clothing for the hospital
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
The correct answer is B: Directly assist client to her room for appropriate apparelAllows the client to
maintain self-esteem while modifying behavior.
Crisis intervention is a short term therapy focused on solving the immediate problem.This generally
lasts for how many weeks? A. 1-2 wks B. 2-4 wks C. 4-6 wks D. 6-8 wks
Anser is C .Rationale:4-6 wks the disorganization period of crisis is so distressing that it usually cannot be tolerated
emotionally or physically for more than 4 to 6 wks.If right kind of help is not available and the crisis is not successfully
resolved in that time period.The individual in crisis is likely to become exhausted and physically ill.Adopt disfunctional
coping patterns that manage the intense feelings without solving the problem (that is become emotionaly ill),become
violent,or attempt suicide to escape the pain.
A 16-year-old girl was diagnosed with anorexia. What would be the first assessment of the nurse?
A) What food she likes.
B) Her desired weight.
C) Her body image.
D) What causes her behavior
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Answer is A.
RATIONALE :
* Although all options may appear correct. A is the best because it focuses on a range of possible
positive reinforcers, a basis for an effective behavior modification program. It can lead to concrete,
specific nursing interventions right away and provides a therapeutic use of <control= for the 16-year-
old.
Nursing Practice 5
Which patient adaptations are unexpected in response to the General Adaptation Syndrome (GAS)?
A. Dilated pupils and bradycardia
B. Mental alertness and tachycardia
C. Increase blood glucose and tachycardia
D. Decreased blood glucose and bradycardia
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• Test Taking Technique: By carefully reading the stem, you should identify that the word
UNEXPECTED is a significant word in this question. You have just used the test-taking technique
identify key words in the stem that indicate NEGATIVE polarity.
what is General Adaptation Syndrome? http://goo.gl/7vvRv4
or you can watch this video lecture: http://goo.gl/SWKRlL
• Test Taking Strategies: If you know that tachycardia is associated with the GAS, you can eliminate
options B and C. This reasoning uses identify Duplicate facts among options. If you recognize that
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