Nursing Board Exam - NLE and NCLEX: NURSING BOARD EXAM PRACTICE V – Care of Clients with Physiologic and Psychosocial Alterations

Apr 12, 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 1-15

NURSING PRACTICE IV SET B

NURSING PRACTICE V - NURSING CARE OF CLIENT WITH PHYSIOLOGICAL AND PSYCHOSOCIAL ALTERATIONS (Part C)

Situation - Felisa has a ritualistic pattern of constantly washing her hands with soap and water followed by rubbing alcohol.

1. This behavior is categorized as:

A. delusional

B. normal

C. neurotic

D. psychotic

2. A therapeutic intervention in this situation is:

A. avoid limits on her behavior to release her anxiety

B. call attention to her ritualistic pattern

C. provide alternative behaviors to deal with increased anxiety

D. ignore her behavior totally

3. The anxiety of Felisa is disabling and interferes with her job performance, interpersonal relationships and other activities of daily living. To minimize such problems, she is likely to be given:

A. diazepam ( Valium )

B. haloperidol ( Haldol )

C. imipramine Hcl ( Tofranil )

D. chlorpromazine ( Thorazine )

4. Felisa understands the effects of her medicine when expresses:

A. “I should watch out for signs of sore lips or sore throat”

B. “I might have constipation”

C. “I might feel changes in my body temperature”

D. “ I should not drive or operate machines”

5. The level of anxiety that Felisa is experiencing is:

A. Panic

B. Severe

C. Mild

D. Moderate

Situation - The nurse recognizes the need to learn to cope with stress and change. She becomes interested to practice natural ways to enhance well being.

6. Lifestyle modification begins with:

A. minimizing eating in fast food restaurants

B. having an exercise regimen to follow regularly

C. recognizing the impact of unhealthy habits

D. avoiding pollutants in the environment

7. All of these are the behavior intervention to stress management. EXCEPT:

A. guided imagery

B. pharmacotherapy

C. meditation

D. progressive muscle relaxation

8. Basic to progressive muscle relaxation is:

A. focusing on an image to relax

B relaxing muscles from tension

C. use of industrial equipment

D. stopping disturbing thoughts

9. Dietary practices are very important to the health of the Filipino family. The nurse needs to assess this lifestyle because:

A. the nurse wants to change the eating patterns of the Filipino family

B. the nurse knows that being overweight is a major health hazard

C. the nurse wants to stop all the mainstream weight-loss diets

D. the nurse has to find out what people are eating

10. A young overweight adult smokes 5-10 sticks of cigarettes/day, ambitious, looks at life as challenging and perfect and never considers change in his lifestyle, initially needs:

A. commitment

B. information

C. skills to attempt change

D. motivation

Situation - Bernie and John in their late 40’s have been married for 20 years and at the peak of their careers. Suddenly, Bernie discovered that her husband 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. John asked forgiveness and regret very much the hurt his wife was going through and suffered guilt feelings:

11. Bernie and John are going through a:

A. situational crisis

B. developmental crisis

C. anticipated crisis

D. both developmental and situational crisis

12. All of these are characteristics of crisis EXCEPT:

A. a hazardous or threatening event occurs

B. it has a growth promoting potential

C. usual problem solving methods and coping mechanisms produce a

solution

D. anxiety or depression continue to increase

13. The nurse employs this approach in crisis intervention: