CLASSIFIED

FOR CRITICAL TEST

MENTAL HEALTH

LOCAL NURSING LICENSURE

Prepared by: Ms. Debbie

Warning:
This material is
Unauthorized use shall be
of the Philippine Laws. For
reviewees only.

The concepts of mental health

defined. Some cultures are quite
that are considered acceptable,
tolerance for behaviors that

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.

EXAMINATION
ANALYSIS

CONCEPTS
EXAM

Marie Bais, RN
protected by Copyright Laws.
prosecuted in the full extent
exclusive
use
of
CBRC

and mental illness are ________

liberal in the range of behaviors
whereas others have very little
deviate from the cultural norms.

1. Mental Health is best defined as:

a. The ability to distinguish what is real from what is not
b. A state of well-being where a person can realize his own abilities, can cope with normal stresses of life and work productively.
c. Is the promotion of mental health, prevention of mental disorders, nursing care of patients during illness and rehabilitation
d. Absence of mental illness

(C/ SCQ)
Concept: Definition of Mental and illness
Psychosis vs. Neurosis
2. During the early history era, healers were often sought to treat the mentally ill. Major treatment consisted of herbs, ointment and precious stones.
Which among the following best describes the basis of this treatment during the early historic era?
a. Mental illness was associated with sin and demonic possession.
b. Mental illness was curable when special measures were used.
c. Mental illness was associated with special powers.
d. Mental illness was often treated humanely.

(K/ SCQ)
Concept: Historical Perspectives of treatment in Mental Illness
Important historical landmarks in psychiatric care
3. Historically, psychiatric nursing has focused on symptom management. The current trend in mental health care is best described by:
a. Chenilin s symptoms are under control and she no longer hears voices.
b. Chorvaness is gainfully employed and lives in a residential housing unit.
c. Chakaness participates in an outpatient substance abuse program.
d. Keribels takes her medication as orders and lives with her parents

(An/SQC)
Concept: Current trends in the treatment of people with mental illness
4.

Nurse Klaire is aware that the following is classified as an Axis I disorder by the Diagnosis and Statistical Manual of Mental Disorders, Text
Revision (DSM-IV-TR) is:
a. Obesity
b. Borderline personality disorder
c. Major depression
d. Hypertension

(C/SQC)
Concepts: Diagnostic and Statistical Manual of Mental disorders
The movement toward treating those with mental illness in less restrictive environments gained momentum in 1963 with the

ANSWER SHEET:

enactment of Community Mental Health Centers Act. __________ is a deliberate shift from institutional care in state hospital to community
facilities began.
5.

Primary level of prevention in psychiatric care is exemplified by:

a. Helping the client resume self care.
b. Ensuring the safety of a suicidal client in the institution.
c. Teaching the client stress management techniques
d. Case finding and surveillance in the community

(An/SQC)
Concept: Levels of mental illness prevention
6.

Freud, the Father of __________, conceptualized personality structure as having three components: ___, ____ & ____. The superego is
that part of the psyche that:
a. Uses defensive function for protection.
b. Is impulsive and without morals.
DR. CARL E. BALITA REVIEW CENTER TEL. NO. 735-4098/735-0740
-1-

c. Determines the circumstances before making decisions.

d. The censoring portion of the mind.

(K/SQC)
Concept: Psychoanalytic Theory by Sigmund Freud
Three Structures of Personality
Three Levels of Awareness
7.

Ambert, an adolescent has a history of truancy from school, running away from home and barrowing other peoples things without their
permission. The adolescent denies stealing, rationalizing instead that as long as no one was using the items, it was all right to borrow them. It
is important for the nurse to understand the psychodynamically, this behavior may be largely attributed to a developmental defect related to
the:
a. Ego
c. Id
b. Super-Ego
d. Oedipal Complex

(An/SQC)
8.

Freud based his theory of childhood development on the belief that sexual energy, termed as ______, was the driving force of
human behavior. According to psychoanalytical theory, problems with excessive orderliness and neatness arise in which of the following
developmental stages?
a. Oral
c. Phallic
b. Anal
d. Genital

(An/SQC)
Concept: Five Stages of Psychosexual Development
9.

Lah Singh is known to be an alcoholic. You know that alcoholics are said to be having problems during the:
a. Oral
c. Phallic
b. Anal
d. Genital

(An/SQC)
According to Freud, the self or ego uses _____________, which are methods of attempting to protect self and cope with the basic
drives or emotionally painful thoughts, feelings or events.
10. You are the nurse working with Kha Lou Kah , a client who is trying to overcome a phobia related to fear of flying. You are most likely to
observe which defense mechanism displayed by the client?
a. Projection
c. Suppression
b. Denial
d. Displacement

(An/SQC)
Concept: Ego Defense Mechanisms
11. A client is displacing reaction formation when he:
a. Substitutes an activity for one that is truly desired.
b. Redirects sexual drives into socially acceptable channels.
c. Transforms mental conflicts into physical symptoms
d. Behaves opposite to what they truly feel.

(C/SQC)
12. A client who has just been sexually assaulted is very quiet and calm. Which defense mechanism does the clients behavior demonstrate?
a. Projection
c. Rationalization
b. Denial
d. Intellectualization

(C/SQC)
13. Eros gets angry with his boss and goes home and yells at his wife. Which of defense mechanisms is he using?
a. Identification
c. Displacement
b. Substitution
d. Replacement

(C/SQC)
Erik Erikson was a German psychoanalyst who extended Freuds work on personality development across the life span while
focusing on _________ and ________development in life stages.
14.
a.
b.
c.

The major task during the stage of Autonomy vs. Shame and Doubt according to Erik Erikson is to :
gain some self-control and independence within the environment.
to develop a sense of purpose and the ability to initiate and direct ones own activities.
to achieve a sense of self-confidence by learning, competing, performing successfully, and receiving recognition from signifi-cant others,
peers, and acquaintances.
d. to integrate the tasks mastered in the previous stages into a secure sense of self
(C/SQC)
Concepts: The Eight Psychosocial Stages of Development
15. A young male unable to stay put in one job and has no commitment in his relationship is said to be having difficulty achieving a sense of :
a. Autonomy
c. Industry
b. Trust
d. Intimacy

(C/SQC)
DR. CARL E. BALITA REVIEW CENTER TEL. NO. 735-4098/735-0740

-2-

16. Jean Piaget explored how intelligence and cognitive functioning develop in children. In his schema, he strongly believed that
_______ changes and ________ were responsible for cognitive development. Piaget believed that children in the preoperational stage
have difficulty taking the perspective of another person. This is known as:
a. Reversibility
c. Metacognition
b. Egocentrism
d. Constructivism

(C/SQC)
Concepts: The Four Stages of Cognitive Development
17. Marcels mother has two crackers, both of equal size. She breaks one of the crackers up into four pieces. Marcel says she wants the one with
the most and immediately chooses the four pieces , even though the two amounts are equal. Marcels choice illustrates Piagets concept of:

a.
b.

Accomodation
Egocentrism

c. False Belief
d. Conservation

18. The ability to think abstractly and systematically solve problems emerges during the:
a. Sensorimotor stage
c. Formal operations stage
b. Preoperational stage
d. Concrete operations stage
19. Lawrence Kohlberg's theory specifically addresses ________ development in children and adults . The morality of an individual's
decision was not Kohlberg's concern; rather, he focused on the reasons an individual makes a decision. According to Kohlbergs
theory, in the preconventional level, moral development is thought to be motivated by which of the following?
a. Peer pressure
c. Parents behavior
b. Social pressure
d. Punishment and reward
(C/SQC)
Concepts: Moral Development Theory
20. Which among the following moral theories was based in respect for other humans and belief that relationships are based on mutual trust?
a. Eriksons theory
c. Maslows theory
b. Freud theory
d. Kohlbergs theory
(C/SQC)
Concepts: Crisis
Types of Crisis
Crisis Intervention
21. Bays Gondo, who is on the psychiatric unit is copying and imitating the movements of her primary nurse. During recovery, she says, I thought
the nurse was my mirror. I felt connected only when I saw my nurse. This behavior is known by which of the following terms?
a. Modeling
c. Ego-syntonicity
b. Echopraxia
d. Ritualism
(C/SQC)
Concepts: Common Mental Disturbances
22. On arrival for admission to a voluntary unit, a female client loudly announces: Everyone kneel, you are in the presence of

the Queen of England. This is:

a. A delusion of self-belief
b. A delusion of self-appreciation
(C/SQC)

c. A nihilistic delusion
d. A delusion of grandeur

23. Nurse Skyfall ensures a therapeutic environment for all clients inside the institution. Which of the following statements BEST describes a
therapeutic Milieu?
a. Therapy that rewards adaptive behavior
b. A cognitive approach to change behavior
c. A living, learning or working environment
d. A permissive and congenial environment
(C/SQC)
Concepts: Therapeutic Modalities
Milieu Therapy and other Behavioral Therapies
24. A client with major depression is considering Cognitive Therapy. The client says to the nurse, how does this treatment help me with my
condition? The nurse correctly responds by telling the client that:
a. This type of treatment helps you examine how your thoughts and feelings contribute to your difficulties.
b. This type of treatment helps you examine how your past life has contributed to your problems.
c. This type of treatment helps you confront your fears by exposing you to the feared objects abruptly.
d. This type of treatment will help you relax and develop new coping skills.
(C/SQC)
____________is a sudden event in ones life that disturbs homeostasis, during which usual coping mechanisms cannot resolve the

problem.
25. Nikki and Billy in their late 40s have been married for 20 years and at the peak of their careers. Suddenly, Nikki discovered that her husband
Billy was falling in love with another woman. Shaken by this situation, she started to have problems sleeping and could not function well at
work and at the risk of losing her job. Billy asked for forgiveness and regret very much the hurt his wife was going through and suffered guilt
feelings. In this scenario, the couple is going through a :
a. Situational crisis
c. Adventitious crisis
DR. CARL E. BALITA REVIEW CENTER TEL. NO. 735-4098/735-0740
-3-

b. Developmental crisis
(C/SQC)
Concepts: Crisis
Types of Crisis

d. both a & b

26. The most important assessment data for the nurse to gather from the client in crisis would be:
a. The clients work habits
b. Any significant physical health data
c. A past history of any emotional problems in the family
d. the specific circumstances surrounding the perceived crisis situation
(Ap/SQC)
Concepts: Crisis
Crisis Intervention
27. Nurse Jelly knows that statistics show that in adolescent suicide behavior:
a. Females use more dramatic methods than males
b. Males account for more attempts than do females
c. Females talk more about suicide before attempting it
d. Males are more likely to use lethal methods than are females
(C/SQC)
Concepts: Suicide
Demographics in Suicide
Facts and Fables about Suicide
Suicide Risk Factors and Protective Factors
28. Which behavior observed by the nurse indicates a reason for suspicion that a depressed adolescent client may be suicidal?
a. The client runs out of the therapy group, shouting at the group leader and runs to her room.
b. The client becomes angry while speaking on the telephone and slams the receiver down the hook
c. The client gives away a prized compact disc and cherished autograph picture of the performer
d. The client gets angry with her roommate when the roommate borrows the clients clothes without asking.
(C/SQC)
Concepts: Suicide
Analysis of the Suicide Crisis
Intervention with Suicidal Client
29. Which of the following will you remove from the clients room who is considered to be suicidal?
a. Pillow
c. Coke in can
b. Book
d. String bracelet
(An/SQC)
Concepts: Potential harmful objects used in committing suicide
30. A frightened woman calls the emergency department and tearfully tells you, Ive been raped! Please help me! Before telling the client what to
do, you would need to know:
a. If the client was injured, was in a safe place, and had transportation available
b. If the client knew her assailant, knew her location, and had notified the police
c. If she has insurance, is she could get to the hospital by herself and is pregnancy is a possibility
d. If she had bathed, douched, or changed clothes.
(Ap/SCQ)
Concepts: Points to consider in interacting with victims of sexual assault

POST SCRIPT QUESTIONS

1.
a.
b.

The psychodynamics of depression is:

Lax super-ego
c. internalized hostility feelings
Weak super-ego
d. narcissistic personality

2.
a.
b.

Problems with paranoia often originates during what stage of development?

Oral
c. Phallic
Anal
d. Genital

3.
a.
b.

Which stage of development, according to Erikson is most affected for the client who is a victim of family violence?
Ego Integrity vs. Despair
c. Initiative vs. Guilt
Identity vs. Role Confusion
d. Trust vs. Mistrust

4.

The nurse is providing information to a client with the use of Disulfiram (Antabuse) for alcohol abuse. The nurse understands that this form of
therapy works on what principle?
Operant Conditioning
c. Gestalt therapy
Desensitization
d. Aversion Therapy

a.
b.

1. Nurse Bliss teaches the parents about childrens beginning concepts of right and wrong by emphasizing child rearing attitude and practices
during the:
CARL
TEL. NO. 735-4098/735-0740
a. DR.
School
age E. BALITA REVIEWc. CENTER
Infancy period

-4-

a.

Toddler age

d. Latency period

END
Something worth Having is something worth Waiting for.

DR. CARL E. BALITA REVIEW CENTER TEL. NO. 735-4098/735-0740

-5-