Situation. You are a staff nurse in the psychiatric unit of the hospital.

One of the most common

conditions you care for are patients with anxiety. The following questions relate to this statement.

1. The patient with obsessive-compulsive disorder attempts to control anxiety through ritualistic
behaviors. Which of the following nursing interventions will increase the patient’s sense of
security?

1 point

A. Distract the patient from rituals with other activities

B. Stop the client from doing the rituals

C. Encourage the patient to talk about the purpose of the rituals

D. Allow the patient to perform the rituals

2. You are teaching a patient with generalized anxiety about foods. What would you instruct the
patient as to what food to avoid?

1 point

A. High-fat foods

B. Caffeine

C. Sodium

D. Refined sugars

3. Distorted perceptions, loss of rational thinking, and failure to perceive potential harm to
characteristics of which level of anxiety?

1 point

A. Severe

B. Panic

C. Mild

D. Moderate
4. A patient with panic disorder is learning to counter negative thoughts of “I’m going to die” with
“This is only anxiety and it will pass”. The patient is using which of the following THERAPEUTIC
APPROACHES?

1 point

A. Cognitive restructuring

B. Behavior modification

C. Systematic desensitization

D. Conscious relaxation

5. You have a patient having a panic attack. Your MOST APPROPRIATE action is to ______.

1 point

A. Stay with the patient while allowing an adequate personal space

B. Explain in detail what is happening to promote the patient’s understanding

C. Place the patient in an area with other people who can offer support

D. Reassure the patient that the situation is not as bad as he thinks it is

Situation. Nurse Isa who is on-duty in a psychiatric unit is assigned to care for patients at-risk for
suicide.

6.In evaluating the effectiveness of the care provided for a self-destructive patient, the BEST
approach is to __________.

1 point

A. modify the plan as little as possible to avoid confusing the patient.

B. make sure the staff has followed the original care plan.

C. involve the patient in the process of evaluation.

D. identify maladaptive coping behaviors.

7.Which of the following statements would BEST represent Nurse Isa’s attempt to assess a patient’s
current ability to organize and enact a suicide wish?

1 point

A. “What is your educational background?”

B. “What plan do you have for committing suicide?”

C. “Have you ever thought about hurting yourself?”

D. “Are your self-destructive thoughts frequent?”

8. Nurse Isa should pursue assessment of suicide risk for individuals who display tendencies to be
_____________.

1 point

A. Compulsive, obsessive, or weak

B. risk-taking, aggressive, or controlling

C. hostile, impulsive, or depressed

D. blaming, abusive, or confused

9. On admission, the nursing diagnosis for Ken, who is depressed and suicidal is, “Risk for suicide.”
An appropriate outcome for this diagnosis at discharge from the hospital is, “The patient will
_____________.

1 point

A. not harm self while hospitalized

B. be able to problem-solve effectively

C. increase feelings of self-worth

D. develop a trusting relationship with the nursing staff.

10.A male suicidal patient is found by Nurse Isa as he tries to hang himself in the bathroom. What
nursing intervention would address the patient’s need for safety while maintaining his self-
esteem?
*

1 point

A. Advise him to use the bathroom only with staff supervision.

B. Tell him that the police is coming to rescue him.

C. Place him in the seclusion room with 15-minute checks.

D. Assign a nursing staff to remain with him all times.

Situation. One of your programs as a community health nurse is related to substance abuse
addiction. You spearheaded an educational collaborative activity to address the increasing drug
and alcohol problems in the community. A multi-sectoral committee was formed, and an initial
organizational committee meeting was held. The following questions apply to this situation.

11.To motivate and spark the interest of prospective participants in the proposed program, which
of the following activities will you introduce as an initial activity of the group?

1 point

A. Lecture-forum on alarming dangers of drug and alcohol use.

B.A summer sport fest involving all age group.

C. Values-formation program

D. Lecture-forum to increase awareness of unhealthy lifestyle.

12. To assess the prevalence and incidence of substance abuse, a community survey was done by
the barangay health workers. Using purposive sampling, what age group is at MOST risk to be
considered as the survey respondents?

1 point

A. Pre-schoolers

B. Older adults

C. Older Children

D. Adolescents
13.A self-help support group for educational and caring approach for alcoholics is:

1 point

A. Halfway homes

B. Psychiatric treatment and rehabilitation center

C. Alcoholic Anonymous

D. Detoxification treatment programs

14.The LEAST effective education and preventive measure for drug abuse is:

1 point

A. Activity workshops for out of school youths

B. Family enrichment programs

C. Regular advocacy meetings to include families, store, restaurant, bar owners

D. Leaflets and brochures for mass distribution

15.The committee organized parent education classes. A representative from the local police
department was invited to discuss:

1 point

A. Stress management

B. Parent effectiveness training

C. The legal implications of illicit drug use

D. Recognition of deviant child and adolescent behavior

16.What would be your MOST therapeutic response to a manic patient demanding that you call his
attending physician to make an order for a pass to go out at the middle of the night?

1 point
A. “You go to the recreation hall now while I call your attending physician”

B. “You must really be upset to want a pass immediately. I will give you a medication to make you
calm.”

C. “I can’t call your physician now but you can talk to me about your request to pass.”

D. “Don’t be unreasonable. I can’t call your attending physician in the middle of the night”

17.One of your patients lacks food and fluid intake due to poor appetite. What foods would BEST
meet the patient’s nutritional needs?

1 point

A. Steak and spaghetti

B. Peanut butter, sandwich and milk

C. Carrots, celery, raisins, apple

D. Beef and non-diet soda

18.During lunchtime you have observed that a patient with mania taking food from other patient.
What principle would guide you in determining the appropriate intervention in this situation?

1 point

A. the patient needs foods and fluids any way possible

B. The patient will calm down as soon as lunchtime is over.

C. the intrusive behavior of a manic patient is not a threat to other patients.

D. other patients need to be protected from the intrusive behavior of other patients.

19.A patient is manifesting some manic depression. Which of the following activities would you
provide to distract such patient?

1 point

A. you let the patient go for a walk

B. give him a book to read.

C. let him watch the final game of the UAAP

D. let him play checkers with another patient.

20. What therapeutic activity would you provide a patient with mania?

1 point

A. doing ceramics and whittling

B. playing cards and checkers

C. playing bingo and knitting

D. drawing and folding towels

Situation. You are a staff nurse in the Eye Unit of the hospital. You want to find out the evidence-
based care for the nurses to improve adherence to eye drop therapy. You formulated the clinical
question “Among patients with Glaucoma which nursing interventions increase adherence to eye
drop treatment?”

21. Which of the following is the expected outcome of the clinical question?

1 point

A. No expected outcome

B. Nursing interventions

C. Increased adherence to eye drop treatment

D. Patient with Glaucoma

22. Which of the following research evidence will MOST LIKELY provide you with the best available
evidence for adherence to eye drop treatment?

1 point

A. Systematic review of randomized controlled trials

B. Meta-synthesis

C. Meta-analysis
D. Experimental design

23. You would include as nursing interventions for adherence to eye drop treatment the following
EXCEPT:

1 point

A. Verbal/written information

B. Patient education program

C. Eye drop instillation training

D. Telephone instruction

24. Which of the following would be your measurement tools for adherence to eye drop
treatment? (SELECT ALL THAT APPLY):

1) Patient interview

2) Progress notes

3) Questionnaires

4) Checklist

5) Patient diary

1 point

A.1, 3, 5

B.1, 2, 4

C.2, 3, 4

D.3, 4, 5

25. For patients with impaired hand coordination, which of the following would you include in your
health teaching to ensure that there is adherence to eye drop treatment?

1 point
A. Install reminder devices

B. Teach patient’s caregiver how to instill eye drop

C. Simplify dosing regimen

D. Provide initial instruction

Situation. You are a staff nurse in the Eye Unit of the hospital. In the regular Quality Circle meeting
one of the matters discussed was the increasing complaints of patients who underwent eye
surgery in relation to instillation of eye drops. The case of Jas who has cataract surgery was
presented as a frame of reference in the reviewing the procedure on eye drops instillation.

26. In instilling the eye drops you have to tilt the back slightly Jas’ head. Which of the following is
the rationale for this nursing action?

1 point

A. to prevent any spill from the eye during the procedure

B. to keep any debris away from the lacrimal duct.

C. to facilitate the procedure.

D. to reach the conjunctival sac easily.

27. You have observed presence of drainage in Jas’ eyes. Which of the following eye solutions
would you use in cleaning her eyes?

1 point

A. hydrochloric acid

B. Normal saline solution

C. Mineral water

D. Soapsuds solutions

28.You cannot open Jas’ eyes due to dried crust. Which of the following actions would you do?

1 point
A. Apply the eye drops the next day

B. Apply eye ointment to soften the crust.

C. Instill eye drops

D. Place a warm wet wash cloth over her eyes for at least three minutes.

29.You accidentally touch Jas’ eyelid during eye drop instillation causing her to blink. What should
have you done to prevent this from occurring?

1 point

A. Touch the inner side of the medicine cap

B. Tilt back Jas’ head slightly

C. Hold the dropper close to the eye but do not allow the medication to fall into the cornea.

D. Have Jas look up and focus on something

30.Which of the following is the rationale for instilling eye drops to patients who has eye surgery?

1 point

A. to help control the intra-ocular pressure.

B. to dilate the patient’s pupils

C. to treat an eye infection

D. to constrict the patient’s pupils

Situation. Mrs. Soriano, a 38 -year old female came in for consult with the chief complaint of
severe pain of both eyes. She claimed she sometimes sees rainbow halos around light. She also
experiences nausea and vomiting, the attending physician gave an impression of Acute Angle-
Closure Glaucoma.

31.Vision loss for Mrs. Soriano may progress as days go by and this is irreparable. An appropriate
nursing diagnosis would be ___________.

1 point
A. disturbed sensory perception related to severe pain

B. risk for ineffective therapeutic regimen

C. disturbed sensory perception related to visual impairment

D. grieving related to loss of vision

32. In a medically-managed patient with glaucoma, independent self-care is the area for
evaluation. Which of the following is a short-term outcome for Mrs. Soriano?

1 point

A. ability to recognize clinical manifestations of complications

B. Mrs. Santos’ self-care ability

C. Compliance with the medical management

D. Mrs. Reyes ability to instill eye drops

33. In assessing Mrs. Soriano, what demographic data is/are RELEVANT to ocular movement?

1 point

A. gender

B. age at menarche

C. age and gender

D. Race

34. An ophthalmoscopic examination was done to Mrs. Soriano. The following results are expected
EXCEPT ____________.

1 point

A. nonreactive pupil

B. corneal cloudiness

C. erythematous conjunctiva

D. decreased intraocular pressure

35. Select the medication that should be discussed by the nurse with the attending physician
before administering it to Mrs. Soriano.

1 point

A. Isoptocarpine eyedrops

B. Corticosporin ophthalmic

C. Mannitol

D. Atropine

Situation. Research findings suggest that among soldiers who experienced war combats, there are
some of them who may experience the phenomenon known as Post-Traumatic Growth (PTG). You
want to explore this phenomenon. You formulated the problem as “What is the relationship
between PTG and social support among soldiers who experienced a battle-related traumatic
amputation.

36. Which of the following is the independent variable of the study?

1 point

A. Social Support

B. PTG

C. Relationship

D. Soldiers with traumatic amputation

37. Which of the following is the dependent variable of the study?

1 point

A. Social Support

B. PTG

C. Relationship

D. Soldiers with traumatic amputation

38. Which of the following sampling techniques is the MOST APPROPRIATE for this study?

1 point

A. Purposive sampling

B. Simple random sampling

C. Convenience sampling

D. Delphi technique

39. You have 1,656 soldiers who experienced battle-related traumatic amputation. Using Slovin’s
formula with a 5% margin of error, what will be your sample size.

Slovin Formula:

N
-----
1+Ne^2

A.996

B.490

C.540

D.1,200

40. Findings revealed an r=.49. This means the relationship between PTG and social support is a
_________.

1 point

A. Low positive relationship

B. No relationship

C. Moderate positive relationship

D. High negative relationship

Situation. You are a staff nurse in a Rehabilitation Center for Substance Abuse.

41. You admitted an intoxicated patient for alcohol withdrawal. Which of the following
interventions should you implement to help the client become sober?
*

1 point

A. have the patient take a cold shower

B. walk the patient around the unit

C. Provide the patient a quiet room to sleep in

D. Give patient a black coffee to drink

42. While obtaining the history of a patient with several cases of driving under the influence of
alcohol, you asked about the amount of alcohol the patient consumes daily. He answered “I just
have a few drinks with the guys after work”. Which of the following would be your MOST
therapeutic response?

1 point

A. “That’s all the patients here say at first”.

B. “You say you have a few drinks, but you have a multiple arrests”.

C. “I think you cannot handle a few drinks”.

D. “Then you should have somebody driving for you”.

43.Which of the following assessment data provides the best information on the patient’s
physiologic response and the effectiveness of the medication prescribed for alcohol withdrawal?

1 point

A. Sleep pattern

B. Urine output

C. Vital signs

D. Nutritional status

44. One of your patients is manifesting signs and symptoms of alcohol withdrawal such as: tremors,
diaphoresis, and hyperactivity. Blood pressure is 190/92 mmHg and pulse rate of 92 beats/min.
which of the following medications should you expect to be ordered for this patient?
*

1 point

A. Lorazepam (Ativan)

B. Naloxone (Narcan)

C. Haloperidol (Haldol)

D. Benztropin(Cogentin)

45. A patient discharged from an alcohol rehabilitation program was on Clonazepam (Klonopin) 0.5
mg. three times a day. Several months later he reported having insomnia, shakiness, sweating, and
one seizure. Which of the following questions should you ask FIRST? Ask if he _____________.

1 point

A. has stopped taking the Klonopin suddenly

B. has been drinking alcohol with the Klonopin

C. has developed tolerance to the Klonopin and needs to increase the dose.

D. is having a panic attack and needs to take extra Klonopin.

Situation. You are the Quality Assurance Officer of your hospital. The following questions relate to
this statement.

46. As the Quality Assurance Officer, you developed a group of nurses to conscientiously use the
current evidence in managing patients with rheumatoid arthritis. This is an example of _______.

1 point

A. Evidence-based practice

B. Purposive sampling

C. Research utilization

D. Random sampling

47. Based on the initial research findings, Sterillium, an alcohol-based hand disinfectant is more
effective than the traditional brush-stroke hand scrub method. You recommend its use by the
nurses in the OR. This is an example of ______.
*

1 point

A. Generalizability of results

B. Evidence-based practice

C. Dissemination of research findings

D. Research utilization

48. One of your programs as a Quality Assurance Officer is to develop the research culture in the
Nursing Service Department. What would be the best and easiest thing to do to encourage the
nursing personnel to participate in research?

1 point

A. Teaching them statistical procedures commonly applied in research

B. Letting them do a critical analysis of a research topic

C. Doing a review of related literature and studies

D. Asking them to participate in gathering data

49. You were asked to present the most frequently occurring causes of sentinel events for the last
six months as the basis for the patient safety program. What measure of central tendency are you
going to use in this situation?

1 point

A. Mode

B. Median

C. Mean

D. Analysis of variance

50. You want to determine the difference in the coping skills among adolescents diagnosed with
drug abuse as a basis of a gender specific program on coping skills. What will be your sampling
technique to answer the research problem?
*

1 point

A. Stratified sampling

B. Purposive sampling

C. Convenience sampling

D. Random sampling

Situation– You are a staff nurse in the Ear Unit of a government hospital. As such, you are taking
care of patients with different ear conditions.

51. A patient came in with the chief complaints of ringing in the ears and a feeling of whirling
around. The attending physician suspects Meneire’s Syndrome. To arrive at a correct diagnosis, the
patient must be manifesting these three symptoms: paroxysmal whirling vertigo; tinnitus; and
_____________-.

1 point

A. conductive hearing loss

B. bilateral symptoms

C. vomiting

D. sensorineural hearing loss

52. Which of the following is a predisposing factor for sensory hearing loss?

1 point

A. Serous otitis media

B. Ototoxic agents

C. Otosclerosis

D. Perforation of the eardrum

53. One of your patients underwent tympanoplasty. Which of the following interventions is the
MOST APPROPRIATE after a tympanoplasty?
*

1 point

A. Applying ear drops as ordered by the physician

B. Teaching the patient to avoid heavy physical activity for at least three weeks.

C. Rinsing ear three times a day using hydrogen peroxide as ordered

D. Avoiding the use of cotton in cleaning the ears.

54. Which of the following is useful in correcting a sensorineural hearing loss?

1 point

A. Nothing, the damage is irreversible

B. Myringotomy

C. Stapedectomy

D. Tympanolasty

55. Migs, a 21 year-old radio announcer came in for consult with the chief complaints of not being
able to hear well and inability to discriminate sounds he is hearing. An otoscopic examination was
done to her, which revealed that there is sensorineural loss. This condition is due to damage to
what part of the ear?

1 point

A. Cochlea and auditory nerve

B. Vestibular nerve and cochlea

C. Middle ear and auditory nerve

D. Outer ear and cochlea

56.The following are methods of charting, EXCEPT __________.

1 point

A. Sequential

B. Narrative
C. POMR

D. Focus

57. In a PIE method of charting, PIE is for needs, EXCEPT ___________.

1 point

A. Admission

B. Problem

C. Teaching

D. Discharge

58. Which statement is NOT true about medical record that Claire must understand. Charts
_____________.

1 point

A. Contents must be kept confidential

B. Can be borrowed by any nursing student

C. Can be accessed by a researcher.

D. Can be given out only with patient’s consent

59. Claire should know that in narrative charting, documentation of patient care should be
____________.

1 point

A. Extensive

B. Formatted

C. Chronologic

D. Descriptive

60. In charting neurologic assessment, Claire must understand that the following should be
indicated. SELECT all that apply.
1. Orientation 3. Sensation

2. Pupil movement 4. Quality of speech

1 point

A.3 and 4

B.1 and 2

C.1, 2, 3, and 4

D.1, 3, and 4

Situation. As a beginning professional nurse one of the competencies expected of you is to engage
in research. Basic knowledge in research, therefore, is very important. The following questions
related to these statements.

61.Which of the following is a type of probability sampling?

1 point

A. Cluster

B. Purposive

C. Quota

D. Convenience

62.You want all people who are currently institutionalized for psychiatric problems to participate in
your study. This is an example of ____________.

1 point

A. Universal population

B. Target population

C. Element
D. Sample

63. What element distinguishes a true experimental research from a quasi-experimental research?

1 point

A. The use of non-probability sampling

B. Lack of random assignment of subject to group

C. Size of the sample

D. The introduction of experimental treatment

64. You want to determine the difference of the anxiety level between male and female patients
scheduled for abdominal surgery. The first 30 males and the first 30 females who are admitted to
the hospital at the time of the study would be asked as study participants. This is an example of
what sampling technique?

1 point

A. Fish bowl technique

B. Simple random

C. Quota sampling

D. Purposive sampling

65.You want to determine the effect of a planned exercise on low-back pain. Which of the following
research designs would be MOST APPROPRIATE to use in this study?

1 point

A. Posttest only control group design

B. One-shot case study

C. Pretest-posttest control group design

D. One group pretest-posttest design

66. Burnout is a phenomenon that is BEST characterized by _____________.

*

1 point

A. emotional exhaustion: depersonalization: and reduced personal accomplishment

B. growing dissatisfaction among nurses due to changing career expectations.

C. increased absenteeism and fast turnover of nurses due to toxic work environment.

D. conflict between demands of work and family.

67.A common response to unhealthy work environment is physical tension. This can be overcome
by progressive muscle relaxation which basically involves __________.

1 point

A. focusing on an image to relax

B. active physical exercise like aerobics

C. releasing muscles from tension.

D. listening to a relaxation audio program.

68. Bio-behavioral interventions are being used increasingly by both nurses and patients in stress
management. The following are examples of such intervention except ___________.

1 point

A. progressive muscle relaxation

B. pharmacotherapy

C. guided imagery

D. mindful meditation

69. Ryan, a young overweight nurse, is making five to ten sticks of cigarettes a day. He claimed that
he learned to smoke to relieve his stress caused by toxic assignments in the ward. Along with the
smoking he became a stress-eater. He decided to undergo a lifestyle modification which begins
with ____________.

*
1 point

A. eating the right kind of foods

B. a recognition of the impact of unhealthy habits

C. doing a regular daily exercise.

D. a constructive and positive attitude in life.

70. Ryan is a well-informed nurse on the smoking cessation program of the Department of Health.
As a next step to his decision to stop smoking, Ryan needs ___________.

1 point

A. commitment

B. motivation

C. information

D. skills to implement change

Situation. In interdisciplinary care of a psychiatric patient: Each number of the health item has
his/her roles and functions. The following questions relate to this statement.

71. Which of the following is NOT a BARRIER to interdisciplinary collaboration?

1 point

A. Personal qualities of the individual health care team member that promote shared problem
solving

B. Inequality of power and status

C. Inappropriate education and training of mental health team members

D. Role conflict

72. Which of the following is NOT an ingredient of the collaboration process?

1 point
A. Negotiations between each member of the health team to conceptualize new ways of solving
problems

B. Communication techniques used by each health team member

C. Receptively and respect for each health team member’s contribution

D. Active and assertive contribution from each member of the health team

73. The element of collaboration essential in developing further psychiatric nursing is ________.

1 point

A. Link between nursing theory and clinical practice through research

B. Use of informatics

C. Collaborative practice

D. Utilization of evidence-based nursing interventions

74. The MOST important steps in interdisciplinary team building is _________.

1 point

A. Define disciplinary and individual roles and responsibilities

B. Use disciplinary treatment plan

C. Specify conflict resolution procedures

D. Communicate regularly, openly and clearly

75. The mental health team member is responsible for helping patients to receive the needed
services is the __________.

1 point

A. Case worker

B. Psychologist

C. Social worker

D. Psychiatric nurse
Situation. You are a staff nurse in the Neurologic Unit of the Hospital. You are taking care of
patients with different neurological conditions. The following questions refer to this statement.

76. Patients suffering from Spinal Cord Injury are at risk for hypotension. This risk is attributable to
______.

1 point

A. Volume depletion

B. Pulmonary overload

C. Loss of reflexes

D. Fluid depletion

77. Which of the following can be used as a guide when establishing the functional ability of a
patient with Spinal Cord Injury?

1 point

A. Degree of Residual Muscle Function

B. Absence of Hypotension

C. Degree of Independence

D. Absence of Complications

78. Benjamin, a 28 year old stuntman, was admitted to your unit unconscious, after falling from a
horse. Tentative diagnosis of Spinal Cord Injury was the cause of?

1 point

A. Motor Vehicle Crashes

B. Sports

C. Violence

D. Falls
79. The final diagnosis for Benjamin is Spinal Cord Injury, Anterior Cord Syndrome. Which of the
following is NOT a characteristic of this condition?

1 point

A. Loss of motor power

B. Loss of pain and temperature sensations

C. Pronounced sensory loss in the upper extremities

D. Preserved position, vibration and touch sense

80. Patients with Spinal Cord Injury benefit from rehabilitation. Which of the following is NOT a
goal of rehabilitation?

1 point

A. To promote independence

B. To prevent infection

C. To reduce morbidity

D. To maximize function recovery

81. You do the initial assessment of a child diagnosed to have OSTEOMYELITIS, LEFT TIBIA. Which
of the following would you expect to find when assessing the area over the tibia?

1 point

A. Diffused tenderness

B. Decreased pain

C. Localized edema

D. Increased warmth

82. Which of the following should you include in the care plan to meet the development needs of
an 8 year old child confined at home with osteomyelitis?
*

1 point

A. Talking to the child about his interests twice daily

B. Allowing siblings to visit throughout the day

C. Encourage the child to communicate with school mates

D. Encourage the parents to stay with the child

83. A child with newly diagnosed osteomyelitis has nausea and vomiting. The parents wanted to
give ginger candy to help control the nausea. Which of the following should you tell the parents?

1 point

A. “Your child needs medication for the vomiting”

B. “I will need to get a prescription”

C. “We discourage the use of home remedies in children”

D. “You can try them and see how it does”

84. A child is to receive IV antibiotics for osteomyelitis. Which of the following blood tests should
be done before the initial dose of antibiotics can be given?

1 point

A. Culture

B. White blood count

C. Creatinine

D. Hemoglobin

85. You are caring for a child with osteomyelitis who will be receiving high-dose intravenous
antibiotic therapy for 3 to 4 weeks. Which of the following should you plan to monitor?

1 point

A. Urine glucose level

B. Thrombin time

C. Blood glucose level

D. Urine specific gravity

Situation. You are a staff nurse in the psychiatric unit of the hospital. One of the most common
conditions you care for are patients with anxiety. The following questions relate to this statement.

86. The patient with obsessive-compulsive disorder attempts to control anxiety through ritualistic
behaviors. Which of the following nursing interventions will increase the patient’s sense of
security?

1 point

A. Distract the patient from rituals with other activities

B. Stop the client from doing the rituals

C. Encourage the patient to talk about the purpose of the rituals

D. Allow the patient to perform the rituals

87. You are teaching a patient with generalized anxiety about foods. What would you instruct the
patient as to what food to avoid?

1 point

A. High-fat foods

B. Caffeine

C. Sodium

D. Refined sugars

88. Distorted perceptions, loss of rational thinking, and failure to perceive potential harm to
characteristics of which level of anxiety?

1 point

A. Severe
B. Panic

C. Mild

D. Moderate

89. A patient with panic disorder is learning to counter negative thoughts of “I’m going to die” with
“This is only anxiety and it will pass”. The patient is using which of the following THERAPEUTIC
APPROACHES?

1 point

A. Cognitive restructuring

B. Behavior modification

C. Systematic desensitization

D. Conscious relaxation

90. You have a patient having a panic attack. Your MOST APPROPRIATE action is to ______.

1 point

A. Stay with the patient while allowing an adequate personal space

B. Explain in detail what is happening to promote the patient’s understanding

C. Place the patient in an area with other people who can offer support

D. Reassure the patient that the situation is not as bad as he thinks it is

Situation. You are a staff nurse in the psychiatric unit of the hospital taking care of patients with
various psychiatric disorders. The following questions relate to this statement.

91. You are concerned about the lack of food and fluid intake of one of your patients with mania.
What foods should you select that would BEST meet the patient’s nutritional needs?

1 point

A. Peanut butter, sandwich and milk

B. Carrots, celery, raisins, apple

C. Beef and non-diet soda

D. Steak and baked potato

92. Which of the following activities would you select to provide distraction for a patient with
manic behavior?

1 point

A. Reading a book

B. Plating checkers

C. Going for a walk

D. Ceramics and whittling

93. Which of the following would include therapeutic activities for the patient with mania?

1 point

A. Bingo and knitting

B. Playing Cards and checkers

C. Drawing and folding towels

D. Ceramics and whittling

94. You observed a patient with mania taking food from another patient’s food tray during lunch
time. Your nursing intervention should be based on what rationale?

1 point

A. The patient’s behavior is not an important threat to anyone’s physical safety

B. The patient needs food and fluids in any way as possible

C. As soon as lunch is over, the patient will calm down

D. Other patient’s need to be protected from the intrusive behavior of other patients.
95. Few minutes past midnight, a patient with mania approached you in the nurse’s station. He
demands that his psychiatrist come to the unit now and write an order for a pass to go home. Your
MOST THERAPEUTIC response is ________.

1 point

A.“I can’t call your psychiatrist now but you can talk to me about your request for a pass”

B. “You must really be upset to want a pass immediately. I will give you PRN medication.”

C. “Go to the recreation room while I call your psychiatrist”

D. “Don’t be unreasonable. I can’t call your psychiatrist at this time of the night.”

Situation. The Nursing Service Department of the hospital you are working in has planned a
training program on Computerized Documentation. To keep yourself updated with advanced
technology, you signed up for it.

96. What equipment is NOT considered technologically sophisticated?

1 point

A. Blood gas analyzer

B. Patient-controlled analgesia

C. Computerized infusion pumps

D. Chest X-ray machine

97. Which of the following is a language system that includes common nursing terms from a variety
of vocabularies?

1 point

A. Cochrane Collaboration System

B. National Information Center

C. Unified Nursing Language System

D. NANDA
98. The “virtual office visit” is a growing trend in patient care. Which of the following is NOT TRUE
of this type of visit?

1 point

A. The nurse communicates with the patient via audio monitors

B. The patient and the nurse are able to view and speak to one another

C. The patient and the nurse are able to exchange information

D. It uses e-mail

99. The specialty in which nurses are considered experts in healthcare information technology is
_______.

1 point

A. Information Specialist

B. Nursing Informatics

C. Computer System Expert

D. Advanced Practice Nursing

100. Which of the following chronic disease conditions is NOT CONSIDERED in tele-monitoring?

1 point

A. Chronic renal failure

C. Congestive Heart Failure

B. COPD

D. Multiple Sclerosis