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 16-30

Situation - The community health nurse encounters special children in the community.

16. An individual with antisocial personality disorder lacks remorse, shame and guilt in going against the norms of society. Psychodynamically, this defect in the personality reflects a disturbance of the:

A. ego

B. super ego

C. ego ideal

D. id

17. The nurse teaches parents about children’s beginning concepts of right and wrong by emphasizing child rearing attitude and practices during the:

A. school age

B. toddler age

C. infancy period

D. latency period

18. It is BEST for parents to teach healthy interpersonal relationships to their children by:

A. modeling to their children

B. encouraging their children to attend secondary school

C. encouraging their children at home to behave properly

D. teaching their children good manners and right conduct

19. An important principle for the nurse to follow in interacting with retarded children is:

A. seen that if the child appears contented, his needs are being met

B. provide an environment appropriate to their development task as scheduled

C. treat the child according to his chronological age

D. treat the child according to his developmental level

20. Mental retardation is:

A. a delay in normal growth and development caused by an inadequate environment

B. a lack of development of sensory abilities

C. a condition of subaverage intellectual functioning that originates during the developmental period and is associated with impairment in adaptive behavior

D. a severe lag in neuromuscular development and motor abilities

Situation - As a professional, it is imperative that the nurse is accountable to oneself hence the importance of personal and professional development.

21. Nurse: “ I feel personally involved with my client’s problems” demonstrates:

A. counter transference

B. empathy

C. transference

D. sympathy

22. The nurse has achieved self-awareness in which of the following verbalizations?

A. every time people around me yell, I feel upset and withdrawn

B. when the patient yelled at me I became speechless

C. with the patients tone of voice and stare, I got reminded of how my father would be so angry and this made me anxious

D. I thought it was rude for the patient to yell hence I kept quiet

23. An accepting attitude requires being:

A. aware of ones biases

B. tolerant of the faults of others

C. non judgmental

D. in control of tendency to blame

24. Self-awareness, knowledge and understanding of human behavior and communication skills define what is essential in caring for every nurse to be able to demonstrate:

A. positive self-projection

B. assertiveness

C. therapeutic use of self

D. self-mastery

25. Considering that man is by nature social, it is BEST for the nurse to gain self-awareness by:

A. participating in intensive group experiences

B. individual psychotherapy

C. hypnotherapy

D. writing an autobiography for self introspection

Situation – Ninety year old Purita is confined at the medical unit for respiratory ailment for which a breathing apparatus is prescribed for her to use while she sleeps. She refuses to wear continuously though she full understands the medical indication for it:

26. Which of these ethical principles can guide the nurse in her action?

A. Beneficence

B. Fidelity

C. Autonomy

D. Nonmaleficence

27. Purita has six children who already adults. They differ in their opinion whether or not to allow their mother to decide for her. The nurse would encourage family conference for:

A. The eldest child’s opinion to be given priority.

B. Majority of the children to decide

C. Allowing the medical staff to decide in their behalf

D. Consensus building

28. Breathing treatments are to be given to Purita. In anticipation that Purita might refuse. Dinio, one of the children requests that he be the one to sign the consent in behalf of their mother. The nurse explains that Purita is rational in her thinking and which of this client’s right must be regarding?

A. Right to refuse treatment

B. Right to privacy

C. Right to informed consent

D. Right of habeas consent

29. Which of these would be the nurse’s priority following the treatment principle of least restrictive alternative?

A. One on one staffing

B. Use of on site guard/watcher

C. Physical restraint

D. Seclusion

30. Purita talks about her joy in having responsible and accomplished children and recalls challenging career as a lawyer. She is demonstrating a sense of:

A. Ego integrity

B. Industry

C. Generativity

D. Autonomy