NURSING BOARD EXAM PRACTICE V – Care of Clients with Physiologic and Psychosocial Alterations
June 2008 Nursing Licensure Examination (NLE)
June 2008 NP5 Nursing Board Exam Answer Key
Nursing Board Exams Questions 76 - 85
Situation - A group of adult chronic schizophrenic patients were recommended to undergo social skills training.
76. The following are the objectives of a social skills training program EXCEPT:
A. explore deep seated intrapsychic conflicts
B. practice skills in relating with people
C. help build self esteem and self confidence
D. develop and practice general coping skills
77. Social skills training is NOT primarily indicated for psychiatric patients who are:
A. in acute stage of illness
B. having difficulties starting and maintaining interpersonal relationships
C. having chronic episodes of stress and anxiety while interacting with others
D. experiencing recurrence of symptoms in front of particular people or among
people in general
78. The focus of the group interaction is “here and now”. An appropriate topic would be:
A. ways to celebrate Valentine’s Day in February
B. how to spend the summer vacation
C. an unforgettable experience as a child
D. how to tell a joke
79. An appropriate technique for the participants to practice how to communicate effectively is through/a:
A. lecture
B. seminar
C. role play
D. psychodrama
80. Considering that it is BEST to learn by example, it is MOST practical to:
A. model good social skills throughout the session
B. relate successful past experiences
C. invite a resource person
D. watch a movie
Situation - Andy, 30 years old, was admitted to the Psychiatric Ward because of religious preoccupation, deterioration in self-care and disturbed thoughts. He believes that he has committed a lot of sins. He is threatened by people reaching out to him. His fasting for several days was not sufficient for him to feel forgiven.
81. Andy is demonstrating:
A. religious delusion
B. delusion of grandeur
C. somatic delusion
D. delusion of being controlled
82. A delusion is:
A. psychomotor disturbance
B. mood disturbance
C. disturbance of thought
D. disturbance of perception
83. The nursing goal for Andy is to:
A. have him see a priest for confession
B. encourage him to pray to atone for his sins
C. help him develop a positive self image
D. socialize him with a group to keep him in touch with reality
84. As Andy talks about his sins that he believes make people look down upon him. It is BEST to:
A. agree with him and sympathize how sinful he has really been
B. explore the nature of his sins
C. explain that he is depreciating himself too much
D. acknowledge how he feels and focus on reality oriented topics
85. Which of the following drugs will most likely to decrease Andy’s hallucination?
A. Chlorpromazine (Thorazine)
B. Chlomipramine (Anafranil)
C. Fluoxetine (Prozac)
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