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 66 - 75

Situation - As a program manager, the mental health psychiatric nurse is tasked to provide general patient management.

66. The nurse is aware that identifying the aspects of general patient management and identifying interventions for meeting these basic needs are distinctions of:

A. psychotherapy

B. therapeutic milieu

C. pharmacotherapy

D. behavior therapy

67. In order to get active participation of the clients to carry out the objective of the program, it is BEST for the nurse to conduct a/an:

A. community meeting

B. survey

C. observation

D. selective interview of patients

68. Through the nurse’s role modeling of effective communication, the clients learned new ways of dealing with authority figures. This gives the clients a venue to:

A. communicate

B. socialize

C. identify their problems

D. test new patterns of behavior

69. This element of communication facilitates evaluation of the program:

A. receiver

B. message

C. sender

D. feedback

70. The nurse’s style of leadership in milieu therapy is:

A. autocratic

B. laissez-faire

C. democratic

D. benevolent

Situation - Loretta is a 28 years old, unemployed patient, admitted to the psychiatric unit with a diagnosis of chronic undifferentiated schizophrenia. She described herself as the “Virgin Mary” and her mission is to propagate peace. She was observed laughing and talking to herself. Her thought processes were profoundly disorganized. She was also fearful and suspicious of others.

71. Loretta’s claim of being the “Virgin Mary” is a/an:

A. imagination

B. delusion

C. hallucination

D. obsession

72. Her mission to propagate peace is:

A. a serious call for a need of transformation

B. an attempt to overcome low self-esteem

C. realistic and laudable

D. an advocacy that she can participate in

73. Which of this intervention would NOT be therapeutic in decreasing Loretta’s anxiety?

A. joke about her thought to help her feel at ease

B. listen to her thoughts and feelings

C. simply accept

D. do not convince her that her perception is unreal

74. The nurse evaluates that Loretta’s ready for a rehabilitation program when she:

A. approaches the nurse at frequent intervals

B. ceases to talk about “Virgin Mary”

C. goes to the coffee shop alone more often

D. carries a book “The Purpose Driven Life”

75. The nurse is leading a group meeting of patients to prepare them to be discharged. An appropriate goal for the group members is to develop:

A. attitudes of society towards the mentally ill

B. skills for maintaining daily living

C. awareness of interpersonal patterns of interactions

D. insight into personal problems