Nursing Questions & Answers with
Rationale for Exam Success
,1. Mental health is defined as: j j j j
A. The ability to distinguish what is real from what is not.
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B. Astate of well-being where a person can realize his own abilities can cope with normal stresses of life
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and work productively.
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C. Is the promotion of mental health, prevention of mental disorders, nursing care of patients during
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illness and rehabilitation j j
D. Absence of mental illness j j j
Answer: (B)Astate of well-being where a person can realize his own abilities can cope with normal stresses
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of life and work productively.
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Mental health is a state of emotional and psychosocial well being. Amentally healthy individual is self
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aware and self directive, has the ability to solve problems, can cope with crisis without assistance beyond
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the support of family and friends fulfill the capacity to love and work and sets goals and realistic limits. A.
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This describes the ego function reality testing. C. This is the definition of Mental Health and Psychiatric
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Nursing. D. Mental health is not just the absence of mental illness. j j j j j j j j j j j
2. Which of the following describes the role of a technician? j j j j j j j j j
A. Administers medications to aschizophrenic patient. j j j j j
B. The nurse feeds and bathes a catatonic client j j j j j j j
C. Coordinates diverse aspects of care rendered to the patient j j j j j j j j
D. Disseminates information about alcohol and its effects. j j j j j j
Answer: (A)Administers medications to a schizophrenic patient. j j j j j j j
Administration of medications and treatments, assessment, documentation are the activities of the nurse j j j j j j j j j j j j j
as a technician. B.Activities as a parent surrogate. C. Refers to the ward manager role. D. Role as a teacher.
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3. Liza says, “Give me 10 minutes to recall the name of our college professor who failed many
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students in our anatomy class.” She is operating on her: j j j j j j j j j
A. Subconscious
B. Conscious
C. Unconscious
D. Ego
Answer: (A) Subconscious j j
Subconscious refers to the materials that are partly remembered partly forgotten but these can be recalled j j j j j j j j j j j j j j j j
spontaneously and voluntarily. B. This functions when one is awake. One is aware of his thoughts, j j j j j j j j j j j j j j j j
feelings actions and what is going on in the environment. C.The largest potion of the mind that contains the
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memories of one’s past particularly the unpleasant. It is difficult to recall the unconscious content. D. The
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conscious self that deals and tests reality. j j j j j j
4. The superego is that part of the psyche that:
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A. Uses defensive function for protection. j j j j
B. Is impulsive and without morals.
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C. Determines the circumstances before making decisions. j j j j j
D. The censoring portion of the mind. j j j j j
Answer: (D) The censoring portion of the mind. j j j j j j j
The critical censoring portion of one’s personality; the conscience. A. This refers to the ego function that
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protects itself from anything that threatens it.. B. The Id is composed of the untamed, primitive drives and
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impulses. C. This refers to the ego that acts as the moderator of the struggle between the id and the superego.
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5. Primary level of prevention is exemplified by: j j j j j j
A. Helping the client resume self care. j j j j j
B. Ensuring the safety of a suicidal client in the institution. j j j j j j j j j
C. Teaching the client stressmanagement techniques j j j j j
D. Case finding and surveillance in the community j j j j j j
Answer: (C)Teaching the client stress management techniques j j j j j j j
Primary level of prevention refers to the promotion of mental health and prevention of mental illness. This
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can be achieved by rendering health teachings such as modifying ones responses to stress. A. This is
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tertiary level of prevention that deals with rehabilitation. B and D. Secondary level of prevention which
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involves reduction of actual illness through early detection and treatment of illness.
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,6. Situation: In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse. j j j j j j j j j j j j j j j j j j j j
Which of the following is the most appropriate for the nurse to ask?
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A. “Are you being threatened or hurt by your partner? j j j j j j j j
B. “Are you frightened of you partner” j j j j j
C. “Is something bothering you?”
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D. “What happens when you and your partner argue?” j j j j j j j
Answer: (A) “Are you being threatened or hurt by your partner? j j j j j j j j j j
The nurse validates her observation byasking simple, direct question. This also shows empathy. B, C, and D
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are indirect questions which may not lead to the discussion of abuse.
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7. The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This
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sexual disorder is: j j
A. Sexual desire disorder j j
B. Sexual arousal Disorder j j
C. Orgasm Disorder j
D. Sexual Pain Disorder j j
Answer: (A) Sexual desire disorder j j j j
Has little or no sexual desire or has distaste for sex. B. Failure to maintain the physiologic requirements
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for sexual intercourse. C. Persistent and recurrent inability to achieve an orgasm. D. Also called
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dyspareunia. Individuals with this disorder suffer genital pain before, during and after sexual intercourse. j j j j j j j j j j j j j
8. What would be the best approach for a wife who is still living with her abusive husband?
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A. “Here’sthe number of a crisis center that you can call for help .” j j j j j j j j j j j j j
B. “Its best to leave your husband.”
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C. “Did you discuss this with your family?” j j j j j j
D. “ Why do you allow yourself to be treated this way”
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Answer: (A) “Here’sthe number of a crisis center that you can call for help .”
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Protection is a priority concern in abuse. Help the victim to develop a plan to ensure safety. B. Do not give
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advice to leave the abuser. Making decisions for the victim further erodes her esteem. However discuss
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options available. C. The victim tends to isolate from friends and family. D. This is judgmental. Avoid in
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anyway implying that she is at fault. j j j j j j
9. Which comment about a 3 year old child if made by the parent may indicate child abuse?
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A. “Once my child is toilet trained, I can still expect her to have some" j j j j j j j j j j j j j
B. “When I tell my child to do something once, I don’t expect to have to tell" j j j j j j j j j j j j j j j
C. “My child is expected to try to do things such as, dress and feed.”
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D. “My 3 year old loves to say NO.” j j j j j j j
Answer: (B) “When I tell my child to do something once, I don’t expect to have to tell" Abusive
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parents tend to have unrealistic expectations on the child.A,B and C are realistic expectations on a 3
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year old. j
10. The primary nursing intervention for a victim of child abuse is:
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A. Assess the scope of the problem j j j j j
B. Analyze the family dynamics j j j
C. Ensure the safety of the victim j j j j j
D. Teachthe victim coping skills j j j j
Answer: (C) Ensure the safety of the victim j j j j j j j
The priority consideration is the safety of the victim. Attend to the physical injuries to ensure the
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physiologic safety and integrity of the child. Reporting suspected case of abuse may deter recurrence of j j j j j j j j j j j j j j j j
abuse. A,B and D may be addressed later.
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11. Situation:A30 year old male employee frequently complains of low back pain that leads to j j j j j j j j j j j j j j j j
frequent absences from work. Consultation and tests reveal negative results.
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The client has which somatoform disorder?
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A. Somatization Disorder j
B. Hypochondriaisis
C. Conversion Disorder j
, This is characterized by severe and prolonged pain that causes significant distress. A. This is a chronic
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syndrome of somatic symptoms that cannot be explained medically and is associated with psychosocial j j j j j j j j j j j j j j
distress. B. This is an unrealistic preoccupation with a fear of having a serious illness.
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C. Characterized by alteration or loss in sensory or motor function resulting from a psychological conflict.
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12. Freud explains anxiety as: j j j
A. Strives to gratify the needs for satisfaction and security j j j j j j j j
B. Conflict between id and superego j j j j
C. Ahypothalamic-pituitary-adrenalreaction to stress
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D. Aconditioned response to stressors
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Answer: (B) Conflict between id and superego j j j j j j
Freud explains anxiety as due to opposing action drives between the id and the superego.A. Sullivan
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identified 2 types of needs, satisfaction and security. Failure to gratify these needs may result in anxiety.C.
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Biomedical perspective of anxiety.D. Explanation of anxietyusing the behavioral model. j j j j j j j j j j j
13. The following are appropriate nursing diagnosis for the client EXCEPT:
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A. Ineffectiveindividual coping j j
B. Alterationin comfort, pain j j j
C. Altered role performance j j
D. Impaired social interaction j j
Answer: (D) Impaired social interaction j j j j
The client may not have difficulty in social exchange. The cues do not support this diagnosis. A. The client
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maladaptively uses body symptoms to manage anxiety. B. The client will have discomfort due to pain. C. j j j j j j j j j j j j j j j j j
The client may fail to meet environmental expectations due to pain.
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14. The following statements describe somatoform disorders: j j j j j
A. Physical symptoms are explained by organic causes j j j j j j
B. It is a voluntary expression of psychological conflicts
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C. Expression of conflicts through bodily symptoms j j j j j
D. Management entails a specific medical treatment j j j j j
Answer: (C) Expression of conflicts through bodily symptoms j j j j j j j
Bodily symptoms are used to handle conflicts. A. Manifestations do not have an organic basis. B. This
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occurs unconsciously. D. Medical treatment is not used because the disorder does not have a structural
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or organic basis.
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15. What would be the best response to the client’srepeated complaints of pain: j j j j j j j j j j j j
A. “I know the feeling is real tests revealed negative results.”
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B. . “I think you’re exaggerating things a little bit.”
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C. “Tryto forget this feeling and have activities to take it off your mind”
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D. “So tell me more about the pain” j j j j j j
Answer: (A) “I know the feeling is real tests revealed negative results.” j j j j j j j j j j j
Shows empathy and offers information. B. This is a demeaning statement. C. This belittles the client’s
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feelings. D. Giving undue attention to the physical symptom reinforces the complaint.
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16. Situation:Anurse may encounter children with mental disorders. Her knowledge of these various j j j j j j j j j j j j j j
disorders is vital. j j
When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder,
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a guide to remember is to:
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A. provide as much structure as possible for the child j j j j j j j j
B. ignore the child’soveractivity. j j j
C. encourage the child to engage in any play activity to dissipate energy j j j j j j j j j j j
D. remove the child from the classroom when disruptive behavior occurs j j j j j j j j j
Answer: (A) provide as much structure as possible for the child j j j j j j j j j j
Decrease stimuli for behavior control thru an environment that is free of distractions, a calm non –
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confrontational approach and setting limit to time allotted for activities. B. The child will not benefit from a j j j j j j j j j j j j j j j j j j
lenient approach. C. Dissipate energy through safe activities. D. This indicates that the classroom
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environment lacks structure. j j
17. The child with conduct disorder will likely demonstrate: j j j j j j j