50 Item Psychiatric Nursing Exam by Marc
PSYCHIATRIC NURSING
By Marc
1. 60 year old post CVA patient is taking TPA for his disease, the nurse understands that this is an example of what level
of prevention?
a. primary
b. secondary
c. tertiary
d. nota
C. Tertiary : The client already had stroke, TPA stands for TRANSPLASMINOGEN ACTIVATOR which are thrombolytics,
dissolving clots formed in the vessels of the brain. We are just preventing COMPLICATIONS here.
2. A female client undergoes yearly mammography. This is a type of what level of prevention?
a. primary
b. secondary
c. tertiary
d. nota
b. secondary : The client is never sick of anything but we are detecting the POSSIBILITY by giving yearly
mammography. Remember that all kinds of tests, case findings and treatment belongs to the secondary level of
prevention.
3. A Diabetic patient was amputated following an unexpected necrosis on the right leg, he sustained and undergone BKA.
He then underwent therapy on how to use his new prosthetic leg. this is a type of what level of prevention?
a. primary
b. secondary
c. tertiary
d. nota
c. tertiary : Tertiary prevention involves rehabilitation. Client is now being assisted to perform ADLs at his optimum
functioning. Remember that all kinds of rehabilitatory and palliative management is included in tertiary prevention.
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. : we are talking about what should the nurse do first. ASSESSMENT involves
early recognition of clients needs. A,B,C are all involve in the intervention phase of the nursing process.
, 5. 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. : As a nurse manager, you should be able to work with the team. A,B,C are not
specific of a nurse manager. They can be done by an ordinary R.N.
6. 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 : An advocate role is shown when the nurse defends the rights of the client. Interceding in
behalf of the patient should not be done by a nurse. Counter transference can develop in that case and we should avoid
that. Only the family and the health attorney of the patient can intercede or speak for the patient.
7. which is the following is the most appropriate during the orientation phase ?
a. patients 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 : Orientation phase is synonymous with CONTRACT
ESTABLISHMENT. Here, the nurse will establish regular meeting of schedule, agreements and giving the client
information that there is a TERMINATION. Letter A and B assesses the client’s coping skills, which is in the working
phase and so is letter B. In working phase, The nurse assesses the coping skills of the client and formulate plans and
intervention to correct deficiencies. Although assessment is also made in the orientation phase, COPING SKILLS are
assessed in the working phase.
8. preparing the client for the termination phase begins :
a. pre orientation
b. orientation
c. working
d. termination
c. working : Telling the client that there is a TERMINATION PHASE should be in the ORIENTATION PHASE, however,
in preparing the client for the TERMINATION, it should be done in the working phase. The nurse will start to lessen the
number of meetings to prevent development of transference or counter transference.
9. a helping relationship is a process characterized by :
PSYCHIATRIC NURSING
By Marc
1. 60 year old post CVA patient is taking TPA for his disease, the nurse understands that this is an example of what level
of prevention?
a. primary
b. secondary
c. tertiary
d. nota
C. Tertiary : The client already had stroke, TPA stands for TRANSPLASMINOGEN ACTIVATOR which are thrombolytics,
dissolving clots formed in the vessels of the brain. We are just preventing COMPLICATIONS here.
2. A female client undergoes yearly mammography. This is a type of what level of prevention?
a. primary
b. secondary
c. tertiary
d. nota
b. secondary : The client is never sick of anything but we are detecting the POSSIBILITY by giving yearly
mammography. Remember that all kinds of tests, case findings and treatment belongs to the secondary level of
prevention.
3. A Diabetic patient was amputated following an unexpected necrosis on the right leg, he sustained and undergone BKA.
He then underwent therapy on how to use his new prosthetic leg. this is a type of what level of prevention?
a. primary
b. secondary
c. tertiary
d. nota
c. tertiary : Tertiary prevention involves rehabilitation. Client is now being assisted to perform ADLs at his optimum
functioning. Remember that all kinds of rehabilitatory and palliative management is included in tertiary prevention.
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. : we are talking about what should the nurse do first. ASSESSMENT involves
early recognition of clients needs. A,B,C are all involve in the intervention phase of the nursing process.
, 5. 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. : As a nurse manager, you should be able to work with the team. A,B,C are not
specific of a nurse manager. They can be done by an ordinary R.N.
6. 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 : An advocate role is shown when the nurse defends the rights of the client. Interceding in
behalf of the patient should not be done by a nurse. Counter transference can develop in that case and we should avoid
that. Only the family and the health attorney of the patient can intercede or speak for the patient.
7. which is the following is the most appropriate during the orientation phase ?
a. patients 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 : Orientation phase is synonymous with CONTRACT
ESTABLISHMENT. Here, the nurse will establish regular meeting of schedule, agreements and giving the client
information that there is a TERMINATION. Letter A and B assesses the client’s coping skills, which is in the working
phase and so is letter B. In working phase, The nurse assesses the coping skills of the client and formulate plans and
intervention to correct deficiencies. Although assessment is also made in the orientation phase, COPING SKILLS are
assessed in the working phase.
8. preparing the client for the termination phase begins :
a. pre orientation
b. orientation
c. working
d. termination
c. working : Telling the client that there is a TERMINATION PHASE should be in the ORIENTATION PHASE, however,
in preparing the client for the TERMINATION, it should be done in the working phase. The nurse will start to lessen the
number of meetings to prevent development of transference or counter transference.
9. a helping relationship is a process characterized by :
