May 3, 2010

NURSING BOARD EXAM PRACTICE V – Care of Clients with Physiologic and Psychosocial Alterations

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 86 - 100

86. Which of this client situation appropriately illustrate horticulture therapy?

A. the therapist brings bongos, tambourine, and bells and encourages client


B. Tommy, Karen, Jon and Pia play scrabble every night after supper

C. every afternoon, Vic goes in the garden where he work with plants,

seedlings, tree planting and watering them

D. Paul finds sketching relaxing and rewarding

87. The beginning professional nurse can do mental health counseling with the following clients EXCEPT:

A. Actively psychotic patients

B. Out of school adolescents

C. Parents with child rearing concerns

D. School children with behavioral problem

88. A professional responsibility of the mental health psychiatric nurse is to provide a safe and therapeutic environment. This is BEST reflected in:

A. restraining patients who violates policies and do not follow schedule of


B. maintaining a closed door policy to prevent patients from absconding.

C. keeping a restrictive environment to prevent patients from becoming

assaultive and hostile

D. ensuring physical safety and maintaining therapeutic attitude

towards the patients

89. The foundation of the therapeutic process is the therapeutic relationship. What is the essential component that the nurse must bring to the relationship?

A. humor

B. empathy

C. reframing

D. confrontation

90. Which of these people, the highest in population groups that would need priority mental health therapy?

A. adults going through active skills

B. single elderly with no social support

C. young professionals entering the workplace

D. women preparing for overseas employment

Situation - The nurse observed that Marie, age 28 years old had not been participating in activity therapies.

91. Which of the following remarks from the nursing attendants indicates a need for further teaching and observation?

A. Marie made no response to an invitation to play

B. Marie preferred to sit at the bench and watch the ballgame

C. Marie is aloof and indifferent to co-patients

D. Marie read a book while other patients played a ballgame

92. Marie said “I don’t like to be a part of it. Look, they are being laughed at because they are singing and acting like children”. The nurse notes that in order for the activity therapy to be therapeutic:

A. the staff should decide solely what activities to be done and what rules


B. patients should be allowed solely to decide what they want to do on their


C. ballgames should be limited to male patients only

D. age and needs of patient should be considered in the choice of


93. To encourage active participation among patients, it is BEST to plan activities they can engage in through a:

A. one to one interaction

B. community meeting

C. checklist

D. feedback evaluation forum

94. In planning activities for the patients, it is essential to consider FOREMOST:

A. safety and security

B. variety and fun

C. novelty and creativity

D. excitement and challenge

95. Adults, “ singing and acting like children” is a form of:

A. displacement

B. regression

C. sublimation

D. compensation

Situation – Nursing care for the elderly

96. In planning care for a patient with Parkinson’s disease, which of these nursing diagnoses should have priority?

A. potential for injury

B. altered nutritional state

C. ineffective coping

D. altered mood state

97. The frequent use of the older client’s name by the nurse is MOST effective in alleviating which of the following responses to old age?

A. Loneliness

B. Suspicion

C. Grief

D. Confusion

98. An elderly who has lots of regrets, unhappy and miserable is experiencing:

A. Crisis

B. Despair

C. Loss

D. Ambivalence

99. The pre-morbid personality of a schizophrenic elderly client is:

A. Schizoid

B. Extrovert

C. Ambivert

D. Cycloid

100. Schizophrenia is a/an:

A. Anxiety disorder

B. Neurosis

C. Psychosis

D. Personality disoder