PRELIM client keeps interjecting sentences that have

nothing to do with the main thoughts being

1. A nurse employed in a mental health care expressed. The client asks whether the nurse
facility is meeting the client for the first time. understands. The nurse should reply: - I'd like
Which nursing statement is best to initiate the to understand what you are saying but I 'm
conversation? - what would you like to talk having difficulty following you
about?
8. The client diagnosed with hypochondriasis
2. The patient states to the nurse "I cannot stand is angry and yells at the nurse, "No one
myself and the way I look.” Which of the believes I am sick! Not my family, and not
following response is not therapeutic? - all the you." which statement is the nurse's best
patients here feel the same as you do. response?- I can see you are upset. sit
down and let's talk
3. Good afternoon, Mr. Hollick, My name is John
and I am a student nurse of University of Cebu, 9. Which of the following statements about
College of Nursing, Banilad Campus. I will be mental illness are true? Select al that apply.
your nurse today from 3 to 10:30 p.m. this - mental illness can cause significant
statement is made for the purpose of: (select all distress, impaired functioning, or both.
that apply) - giving information/ placing event in
time 10. The nurse overhears Miguel, exhibiting
mania, to be flirtatious and attempts to be
4. A client with a bipolar mood disorder in the sexually inappropriate with other clients by
manic phase had been hyperactive and talking about sexual exploit to the group of
sarcastic to Nurse Michelle and other clients seated at a table. Which of
clients. This behavior has been decreasing the following would the nurse do next? - tell
and the client tells Nurse Michelle, the client others may not want to hear about
"My husband and I have problems getting sex, and invite him to play a game of ping-
along sometimes. We see things pong
differently.” The response by Nurse Michelle
that would be LEAST therapeutic is:- not 11. Which of the following statements indicates
getting along with one's spouse can be "active listening"? - Mr. Jones, it sounds like
upsetting you are depressed because of your recent job
loss
5. While waiting for the physician, the parent of a
preschool-age child tells Nurse Trisha that the 12. While helping client’s brought to a crisis
child is hyperactive and something needs to be center during a severe flood, Nurse
done. Which of the following responses by Hannah interviews a client whose
Nurse Trisha would be most appropriate? - pregnant wife is missing and whose home
what makes you think your child is hyperactive? has been destroyed. The client keeps talking
rapidly about his experience and says "I
6. The patient told the student nurse "I'm here on can't see how I can ever rebuild my life."
a secret mission for the government. Don't blow which of the following responses by Nurse
my cover." Which response by the student Hannah would be most appropriate? - this
nurse would be most therapeutic? - you have has been a terrible experience. Tell me more
lost touch with reality, which is a symptom of about how you feel
your illness".
13. A 12-year-old client says, "Give my pajamas.
I'm not putting your silly gown on." An
appropriate response by Nurse Shaira
should be: - you're upset because you feel
awkward and embarrassed in these gowns

14. After identifying possible causes why a

7. When talking to a client diagnosed with patient had a sudden outburst, the nurse
schizophrenia, the nurse observes that the explores what she can do to help the patient
 feel better. Whatever the cause is, whether your parents have been supportive and will
the patient's personality of the environment continue to be even if you live apart
or the staff's actions, the nurse aims to
remove the trigger to alleviate the 22. A depressed patient has not responded to
patient's negative feelings and support his nurse Stephany when spoken to several
well-being. This is situation is an example times. What would be the appropriate
of: - therapeutic use of self
response by nurse Stephany? - I'll sit with
you for awhile
15. The nurse and the client are about to part ways
after talking for a few minutes. Which
23. A male, manic patient is asking his student
therapeutic communication technique would be
nurse to go out on a date when he gets
best to be utilized by the nurse? -
discharged. Which of the following would be
summarization
the student nurse's best action?- remind the
patient of the boundaries of the nurse-
16. During a clinic visit for a postpartum patient relationship
examination, the mother of a 2-week-old
infant tearfully says nurse Genmary she
feels very tired and thinks she is not a good
24. During the psychotherapy, the nurse was
mother to her baby. Which statement by seated with crossed legs and arms folded
nurse Genmary would be best? - I'm across the chest for the patient, this gesture
concerned about what you are experiencing. may mean: - unacceptance
Tell me more about what you are thinking
and feeling. 25. The client says to Nurse Aimee, "I have
special powers because I am the mother of
17. If nurse Casey states, "I'm here to get help" god. I can heal everyone in the hospital."
but has a rigid posture, clenched fists and Nurse Aimee's best response would be: -
an agitated facial expression. Her facial Really? It would be unusual for anyone to
expression will be documented as: - ambot have that kind of power
unsa ni – the message is incongruent
26. During the morning mental health meeting,
18. A quality of a nurse in the therapeutic the social worker criticizes the nurse
communication which conveys objective because the client complained of receiving his
understanding of how patients feel and how medication late. The most effective way for the
they see their situations is referred to as: - nurse to deal with this situation is to: - talk to the
empathy social worker after the meeting

19. A female nurse is caring for a client. The client 27. When assuming the role of a student nurse
states, "you know, I’ve never had a female in the psychiatric-mental health setting,
nurse before." The nurse's best reply would which behavior would be least effective in
be: - how do you feel about having a female helping to achieve personal and professional
nurse? growth? - completing a task for a client instead
20. Mr. Cruise is being discharged from the unit. of repeatedly prompting him to finish it
While preparing for his things, the patient
says, "I feel nobody care about me." nurse 28. The creation of asylums during the 1800s
Zhairras's best response would be: - you was meant to - provide food and shelter for
sound angry at your family the mentally ill

21. Melanie has been living at home with very 29. During a group session, Andrew, a client
supportive parents. The client is thinking who is depressed tells the group that he lost
about independent living on the his job. Which of the following responses by
recommendation of the treatment team. The the nurse would be the best? - would you
client states to the nurse "I don't know if I tell us more about that job?
can make it in an apartment without my
parents. " which of the following responses
30. Blind spot in Johari window means: - the
by the nurse would be most therapeutic: - information is known by others only
31. He/she is a member of the interdisciplinary 39. A nurse is assessing the client's skin turgor. this
team who has a solid foundation in health is an example of:- functional-professional touch
promotion, illness prevention, and
rehabilitation in all areas, allowing him or 40. Which would be a reason for a student
her to view the client holistically: - nurse to use the dsm? - understand the
psychiatric nurse reason for the admission and the nature of
psychiatric illnesses
32. Which of the following questions is best to
ask when assessing the client's judgement 41. A client recently diagnosed with obsessive
and decision making? - what problem would compulsive disorder tells the nurse, "I know
you like to work on while you're hospitalized? the doctor said this was just an anxiety
b. “If you found yourself downtown without problem, but I think I’m just stupid. I keep
money or a car, how would you get home?” thinking that people are angry at me, and
then i must keep telling them I'm sorry.
33. In formulating the plan of care for a client, "Which of the following is the most
the nurse includes manipulation of the appropriate response by the nurse? - what
environment to create and maintain an makes you think someone is angry at you?
optimal psychological health and wellness
for the client. This action is consistent
42. A husband is dismayed that his wife's
with: - milieu therapy
delirium tremens have persisted for the
second day. The most suitable response by
34. The appropriate action for a student nurse the nurse is: - I see that you are very worried.
who says the wrong thing is to - restate it by Medications are being administered to decrease
saying, "that didn't come out right. What I your wife's discomfort
meant was...

35. Student nurse Sam recalls that this involves

the diagnosis and treatment of human
responses to actual or potential health 43. The mother of a client recently diagnosed
problems: - psychiatric nursing with schizophrenia says to the nurse, "I was
36. The client begins to pace and clench his afraid of my son. Will he be alright?" which
fist. What should the nurse do in this response by the psychiatric nurse supports
instance? - explore the meaning of the the ethical principal of veracity? - I can see
behavior; A. Acknowledge the client's your fear; you are concerned your son will
behavior.; C. Assist the client to a quiet not be alright
area., E. Speak with a soft and calming
voice. 44. He/she is a member of the interdisciplinary
team who helps the client to achieve a
37. When interacting with a client, the nurse balance of work and play in his or her life
should consider distance zones. Which of and provides activities that promote
constructive use of leisure or
the following should be considered by the
unstructured time: - recreation therapist
nurse? - all of the above
45. As client's need become more varied and
38. The nurse on duty is supervising a newly complex, who is considered in an ideal
registered nurse providing care to a client position to fulfill the role of case manager? -
with end-stage heart failure. The client the psychiatric nurse
appears withdrawn, reluctant to talk, and
shows little interest in participating 46. Rizz lost a very close friend to suicide. She
in hygienic care or activities. Which statement felt trapped in a cage. She felt so horrible
by the new registered nurse indicates a non- and all she wanted to do is cry, fear and
therapeutic communication technique? - why sadness are eating her inside. She fell into
don't you feel getting up for your bath? depression. Which of the following
 factors greatly affected Riz? - interpersonal an example of which technique
factors of communication? - clarifying

47. In a conversation with Melanie, she states "I 56. A nurse assesses a newly admitted client.
can't bear it anymore. I want to end it all!" Select the example of "offering self": - I'd like
which of the following would be the nurse's to spend some time helping you get comfortable
best response? - are you thinking of talking to me.
harming yourself?
57. Tom shares a lot of himself with others and
48. A student nurse who dreams to be a knows the other well would look like this: -
psychiatric nurse on day should possess upper right square
the following qualities: - professionalism/
self-awareness/ accountability 58. When a client displays some distortions of
reality, which of the following technique
49. Mr. Casey is reluctant to take his prescribed would be most helpful? - voicing doubt
oral medication. The most therapeutic
response by the nurse to this refusal is: -
what is it about the medicine you don't like?

50. During a group session, Andrew, a client

who is depressed tells the group that he lost 59. A client with bipolar mood disorder, manic
his job. Which of the following responses by phase had been hyperactive and sarcastic to
Nurse Dan would be best? - would you tell the nurse and other clients. This action has
us about your job? been decreasing and the client tells the
51. Client: "I had an accident." nurse: "tell me nurse, "my husband and i have problems
about your accident. This exemplifies which getting along from time to time. We see
of the following therapeutic communication things in a different way." the response by
techniques? - exploring the nurse that would be least therapeutic
is: - not getting along with one's spouse can
be upsetting
52. He/she is a member of the interdisciplinary
team whose primary function is diagnosis of
mental disorders and prescription of 60. After an initial interaction, the client asks for
medical treatments: - psychiatrist the nurse's home mobile number, indicating
a desire to date the nurse. Which response
by the nurse is most appropriate? - this is a
53. Which of the following are true regarding
professional relationship and we need to
mental health and mental illness - in most stay clear on that
cases, mental health is a state of emotional
psychological, and social wellness
evidenced by satisfying interpersonal
61. The nursing staff has safely and
successfully secluded and restrained a
relationships, effective behavior and coping,
client with acute mania who threatened the
positive self-concept, and emotional
nurse and threw a chair against the wall in
stability.
the community room. Which statement by
nurse Diana is most helpful to the client at
54. Domestic violence is one of the problems of this time? You have been restrained until
society today. An abused spouse says to you can manage your behavior
nurse Bianca, "I should get out of this bad
situation," what would be the most helpful
62. Jan sat at a coffee shop and read a book.
response of nurse Bianca? - what do you
She did some grocery shopping, cooked,
find difficult about this situation?
and ate alone while watching Netflix. She
spoke to almost no one. She only texted her
55. The patient tells nurse Lorraine, "I feel as if i friend who she went out with the night
am going to clock out." nurse Lorraine before to see how she was doing. She didn't
responds, "what do you mean you are going want to talk to anyone. And she loved it. Jan
to clock out?". Nurse Lorraine's response is can be considered as (a/an): - introvert
 70. The morning after admission to a
63. A client who has recently been diagnosed with psychiatric unit, a depressed client sits in
aids states to the nurse, "there are plenty of the dining room and is staring blankly at the
rotten people around. why couldn't one of them meal tray. the client has not eaten a full
get aids instead of me?" the nurse should best meal since the first day of admission. which
respond: - it seems unfair that you have this of the following comments by the nurse
disease
would be most applicable? the meals are
developed to provide you with the nutrients you
64. The client seeing the psychiatric nurse in need. please eat
the mental health clinic tells the nurse, "if i
tell you something very important, will you
71. The nurse consults the dsm for which of the
promise not to tell anyone?" which
following purposes?- to serve as a guide for
statement is the nurse's best response? - if client assessment
it affects your care i will have to tell
72. A nurse is assigned to take care of an older
someone who can help
dult client who tells the nurse, "i don't want
65. A significant change in the treatment of
people with mental illness occurred in the
to talk with You. you are only a nurse. i will
wait for my physician." which of the following
1960s when - community support services
would be the most appropriate nursing
were established
response? - you would choose to speak with
your doctor
66. One evening, a patient leaves his room and
begins marching in the hall. when 73. A child's parents enter the nurse's station
approached by the nurse, the client, "god yelling, "what is wrong with you people? my
says i'm supposed to guard the area." which daughter cut Herself and you allowed it to
of the following responses would be the best? -
happen. i thought my child would be safe here".
i understand you hear a voice. you and i are select the assertive response for the nurse - i
the only ones in the hall, and i don't hear a can't hear you if youre screaming. let's sit down
voice and and talk about it

67. The parent of a 10-year-old who has been 74. A student nurse approaches her patient on
taking ritalin had consumed stocks of the the second day of their exposure at the
medication and asks the nurse to give her a psychiatric ward. the patient refuses to
prescription. to distinguish the different roles of answer whenever the student nurse asks
the interdisciplinary team, which of the following questions or encourages the patient
is the nurse's best action? - explain that the say anything. which of the following would
psychologist will have to assess the child before be the student nurse's best action? - sit
giving a prescription quietly with the patient and remain with the
patient for some time
68. The nurse observes a young male client not
talking with the other clients with his eyes
lowered and jaw clenched, while receiving
dialysis treatment. the nurse states, "you
look so depressed." the client responds, "i
am a bother; not much good to anyone
anymore. my wife would at least acquire
some insurance money if i died. " which among
the following responses is most therapeutic? -
you feel so bad you widhed you were dead

69. A patient is undressing in front of other

people. the nurse might say: - let's go to
your room and you can put your clothes back
on