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1. Answer: B. A state of well-being where a person can realize his Option A: This refers to the ego function that protects itself
own abilities can cope with normal stresses of life and work from anything that threatens it.
beyond the support of family and friends fulfill the capacity to love and 5. Answer: C. Teaching the client stress management techniques
Option A: This describes the ego function reality testing. prevention of mental illness. This can be achieved by rendering health
Option C: This is the definition of Mental Health and teachings such as modifying ones responses to stress.
Psychiatric Nursing.
Option A: This is tertiary level of prevention that deals with
Option D: Mental health is not just the absence of mental
rehabilitation.
illness.
Options B and D. Secondary level of prevention which
2. Answer: A. Administers medications to a schizophrenic patient. involves reduction of actual illness through early detection and
treatment of illness.
Administration of medications and treatments, assessment,
documentation are the activities of the nurse as a technician. 6. Answer: A. Are you being threatened or hurt by your partner?
Option B: Activities as a parent surrogate. The nurse validates her observation by asking simple, direct question.
Option C: Refers to the ward manager role. This also shows empathy.
Subconscious refers to the materials that are partly remembered partly 7. Answer: A. Sexual desire disorder
Protection is a priority concern in abuse. Help the victim to develop a and the superego.
Option B: Do not give advice to leave the abuser. Making and security. Failure to gratify these needs may result in anxiety.
decisions for the victim further erodes her esteem. However, discuss Option C: Biomedical perspective of anxiety.
she is at fault.
The client may not have difficulty in social exchange. The cues do not
9. Answer: B. When I tell my child to do something once, I dont support this diagnosis.
manage anxiety.
Abusive parents tend to have unrealistic expectations on the child.
Option B: The client will have discomfort due to pain.
Options A, B, and C are realistic expectations on a 3-year- Option C: The client may fail to meet environmental
10. Answer: C. Ensure the safety of the victim 14. Answer: C. Expression of conflicts through bodily symptoms
The priority consideration is the safety of the victim. Attend to the Bodily symptoms are used to handle conflicts.
Options A, B, and D may be addressed later. disorder does not have a structural or organic basis.
11. Answer: D. Somatoform Pain Disorder 15. Answer: A. I know the feeling is real tests revealed negative
results.
This is characterized by severe and prolonged pain that causes
Option A: This is a chronic syndrome of somatic symptoms Option B: This is a demeaning statement.
that cannot be explained medically and is associated with psychosocial Option C: This belittles the clients feelings.
Option C: Dissipate energy through safe activities. 21. Answer: A. Overprotection of the child
This is a disruptive disorder among children characterized by more learning difficulty. They should be taught with patience and repetition,
serious violations of social standards such as aggression, vandalism, start from simple to complex, use visuals and compliment them for
stealing, lying and truancy. motivation. Realistic expectations should be set and optimize their
capability.
Option A: This is characteristic of attention deficit disorder.
Options B and C: These are noted among children with 22. Answer: B. altered parenting role
autistic disorder.
Altered parenting role refers to the inability to create an environment
18. Answer: A. increased attention span and concentration that promotes optimum growth and development of the child. This is
and impulsivity among children with ADHD. Option A: This refers to the lack of choices or inability to
Options C: Anxiety in school phobia is not due to being in Option A: These manifestations are noted in Oppositional
school but due to separation from parents/caregivers so these Defiant Disorder, a disruptive disorder among children.
interventions are not applicable. Option C: These are manifestations of Attention Deficit
Option D: This will not help the child overcome the fear
Disorder.
Option B: Acceptance enhances a trusting relationship. 28. Answer: A. Monitoring his vital signs every hour
Preoperational stage (2-7 years) is the stage when the use of secure environment. Excessive stimulation can aggravate anxiety and
language, the use of symbols and the concept of time occur. cause illusions and hallucinations.
Option B: Concrete operations (7-12 years) when inductive 29. Answer: B. Cocaine
reasoning develops.
Option D: Formal operations (2 till adulthood) is when The manifestations indicate intoxication with cocaine, a CNS stimulant.
26. Answer: B. Tolerance constriction. Option C: Intoxication with hallucinogen like LSD is
Option A: Apraxia is the inability to execute motor activities Dementia has a gradual onset and progressive deterioration. It causes
32. Answer: C. This must be difficult for you and your mother.
Fluid volume deficit is the priority over altered nutrition since the
Option B: Patient is allowed to reminisce but it is not the attempts to lose more weight.
Option D: The client in the moderate stage of Alzheimers causes the client to feel ambivalent. The client will not discuss her
breakfast.
Weight gain is the best indication of the clients improvement. The goal Option B: Social phobia is fear of performing in the presence
is for the client to gain 1-2 pounds per week. of others in a way that will be humiliating or embarrassing.
Option C: Attending an activity does not indicate 43. Answer: D. Accept her fears without criticizing.
Option D: Body image is a factor in anorexia nervosa, but it The client cannot control her fears although the client knows its silly
39. Answer: A. Have episodic binge eating and purging Option A: Allow expression of the clients fears but he should
Bulimia is characterized by binge eating which is characterized by Options B and C: These are not the initial interventions.
Option D: Low esteem is noted in both eating disorders based on her unconscious needs and conflicts.
40. Answer: A. Patient will learn problem-solving skills Options B and C: These are therapeutic approaches.
If the client learns problem-solving skills she will gain a sense of control emotional reaction towards the nurse based on her past.
focus on feelings.
Valium is a CNS depressant. Taking it with other CNS depressants like
42. Answer: C. Claustrophobia Option B: The client should be taught to avoid activities that
require alertness.
Claustrophobia is fear of closed space. Option C: Valium causes dry mouth so the client must
the client
Malingering is a conscious simulation of an illness while somatoform
the client uses body symptoms to relieve anxiety. disorder occurs unconsciously.
Option A: The condition occurs unconsciously. Option A: Both disorders do not have an organic or structural
Option D: The client should not be confronted by the Option D: This is a characteristic of the somatoform disorder.
48. Answer: D. How do you feel about being pressured into sex Stress management techniques is the best management of
by your boyfriend? somatoform disorder because the disorder is related to stress and it
Focusing on the expression of feelings is therapeutic. The central force supported by organic pathology so no medical regimen is required.
of the clients condition is anxiety. Options B and D: Milieu therapy and psychotherapy may be used
Option A: This is not therapeutic because the nurse passes Option A: This disorder is not supported by organic
Option B: Giving advice is not therapeutic. Options B and D: Milieu therapy and psychotherapy may be
Option C: This is not therapeutic because it confronts the used therapeutic modalities but these are not the best.
underlying cause.