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Philippine NLE Board Exam | Psychiatric Nursing Questions & Answers with Rationale for Exam Success

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This focused question-and-answer resource is specifically designed to help nursing candidates excel in the psychiatric nursing section of the Philippine Nurse Licensure Examination (NLE). Featuring a comprehensive collection of exam-style questions paired with detailed rationales, it reinforces critical psychiatric nursing concepts and clinical applications essential for licensure success. The material covers key topics such as mental health disorders, therapeutic communication, psychiatric nursing interventions, and patient safety within the Philippine healthcare context. Ideal for targeted review and self-assessment, this guide supports nursing students and professionals in building confidence and achieving outstanding results on the Philippine NLE.

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Philippine NLE Board Exam | Psychiatric
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.
j j j j j j j j j j




B. Astate of well-being where a person can realize his own abilities can cope with normal stresses of life
j j j j j j j j j j j j j j j j j j j




and work productively.
j j




C. Is the promotion of mental health, prevention of mental disorders, nursing care of patients during
j j j j j j j j j j j j j j j




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
j j j j j j j j j j j j j j j j j j j




of life and work productively.
j j j j




Mental health is a state of emotional and psychosocial well being. Amentally healthy individual is self
j j j j j j j j j j j j j j j j j




aware and self directive, has the ability to solve problems, can cope with crisis without assistance beyond
j j j j j j j j j j j j j j j j j




the support of family and friends fulfill the capacity to love and work and sets goals and realistic limits. A.
j j j j j j j j j j j j j j j j j j j j




This describes the ego function reality testing. C. This is the definition of Mental Health and Psychiatric
j j j j j j j j j j j j j j j j j




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.
j j j j j j j j j j j j j j j j j j j j




3. Liza says, “Give me 10 minutes to recall the name of our college professor who failed many
j j j j j j j j j j j j j j j j j




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
j j j j j j j j j j j j j j j j j j j j




memories of one’s past particularly the unpleasant. It is difficult to recall the unconscious content. D. The
j j j j j j j j j j j j j j j j j




conscious self that deals and tests reality. j j j j j j




4. The superego is that part of the psyche that:
j j j j j j j j




A. Uses defensive function for protection. j j j j




B. Is impulsive and without morals.
j j j j




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
j j j j j j j j j j j j j j j j j




protects itself from anything that threatens it.. B. The Id is composed of the untamed, primitive drives and
j j j j j j j j j j j j j j j j j j




impulses. C. This refers to the ego that acts as the moderator of the struggle between the id and the superego.
j j j j j j j j j j j j j j j j j j j j




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
j j j j j j j j j j j j j j j j j




can be achieved by rendering health teachings such as modifying ones responses to stress. A. This is
j j j j j j j j j j j j j j j j j




tertiary level of prevention that deals with rehabilitation. B and D. Secondary level of prevention which
j j j j j j j j j j j j j j j j




involves reduction of actual illness through early detection and treatment of illness.
j j j j j j j j j j j

,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?
j j j j j j j j j j j j




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?”
j j j




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
j j j j j j j j j j j j j j j j j j




are indirect questions which may not lead to the discussion of abuse.
j j j j j j j j j j j




7. The wife admits that she is a victim of abuse and opens up about her persistent distaste for sex. This
j j j j j j j j j j j j j j j j j j j j




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
j j j j j j j j j j j j j j j j j j




for sexual intercourse. C. Persistent and recurrent inability to achieve an orgasm. D. Also called
j j j j j j j j j j j j j j j




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?
j j j j j j j j j j j j j j j j




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.”
j j j j j




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”
j j j j j j j j j j




Answer: (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 j j




Protection is a priority concern in abuse. Help the victim to develop a plan to ensure safety. B. Do not give
j j j j j j j j j j j j j j j j j j j j j




advice to leave the abuser. Making decisions for the victim further erodes her esteem. However discuss
j j j j j j j j j j j j j j j j




options available. C. The victim tends to isolate from friends and family. D. This is judgmental. Avoid in
j j j j j j j j j j j j j j j j j j




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?
j j j j j j j j j j j j j j j j




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.”
j j j j j j j j j j j j j




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
j j j j j j j j j j j j j j j j j j j




parents tend to have unrealistic expectations on the child.A,B and C are realistic expectations on a 3
j j j j j j j j j j j j j j j j j j




year old. j




10. The primary nursing intervention for a victim of child abuse is:
j j j j j j j j j j




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
j j j j j j j j j j j j j j j j j




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.
j j j j j j j




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.
j j j j j j j j j




The client has which somatoform disorder?
j j j j j




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
j j j j j j j j j j j j j j j j j




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.
j j j j j j j j j j j j j j




C. Characterized by alteration or loss in sensory or motor function resulting from a psychological conflict.
j j j j j j j j j j j j j j j




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
j j j j




D. Aconditioned response to stressors
j j j j




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
j j j j j j j j j j j j j j j j j




identified 2 types of needs, satisfaction and security. Failure to gratify these needs may result in anxiety.C.
j j j j j j j j j j j j j j j j j j




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:
j j j j j j j j j




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
j j j j j j j j j j j j j j j j j j j




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.
j j j j j j j j j j




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
j j j j j j j




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
j j j j j j j j j j j j j j j j j




occurs unconsciously. D. Medical treatment is not used because the disorder does not have a structural
j j j j j j j j j j j j j j j j




or organic basis.
j j




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.”
j j j j j j j j j




B. . “I think you’re exaggerating things a little bit.”
j j j j j j j j




C. “Tryto forget this feeling and have activities to take it off your mind”
j j j j j j j j j j j j j




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
j j j j j j j j j j j j j j j j




feelings. D. Giving undue attention to the physical symptom reinforces the complaint.
j j j j j j j j j j j




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,
j j j j j j j j j j j j j j j




a guide to remember is to:
j j j j j




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 –
j j j j j j j j j j j j j j j j j




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
j j j j j j j j j j j j j j




environment lacks structure. j j




17. The child with conduct disorder will likely demonstrate: j j j j j j j

Libro relacionado
 image
Margot R De Sevo Pediatric Nursing
Editorial: 2014 ISBN: 9780803643949 Edición: Desconocido

Información del documento

Subido en
7 de junio de 2025
Número de páginas
165
Escrito en
2024/2025
Tipo
Examen
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