Your review guide for Nursing Board Examination, Nursing Training Schedules and Board Exam Test Taking Strategies. Nurse Licensure Examination (NLE) results and Nurse Licensure Examination answer keys. Nursing board exam questions and review materials. National Council Licensure Examination (NCLEX) questions, NCLEX exam, NCLEX review and NCLEX results.
To: All Concerned Central and Regional Offices
All Professional Regulation Boards
Subject: Nationwide Implementation of e-Services
In View of Commission's commitments to the Department of Labor and Employment and President Aquino's 22-Point Platform and Polocy Pronouncement on Labor and Employment, the Commission hereby directs the implementation of the following eServices for implementation in all PRC Regional and Field Offices:
1) Online Verification of Academic Records (OVAR)
2) Online Verification of Eligibility System (OVES)
3) Online Verification of Room Assignments (OVERA)
4) Professional Identification Card Availability Verification (PICAV)
5) Online Verification of Registered Professionals (OVRP)
6) Online Board Examination Application System (OBEAS)
7) Onlline Renewal Application System (ORAS)
8) Online Verification of Rating of Failed Examinee (OVRFE)
The e-Services are designed to enable the Commission to: a) optimize the use of ICT resources and services, b) attain the processing time of frontline services as committed in the PRC Citizen's Charter, e) effect efficient frontline services management to minimize queuing, and d) implement the decentralization of functions thru ICT technology application.
86. Which of this client situation appropriately illustrate horticulture therapy?
A. the therapist brings bongos, tambourine, and bells and encourages client
participation
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
activities.
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
apply
B. patients should be allowed solely to decide what they want to do on their
own
C. ballgames should be limited to male patients only
D. age and needs of patient should be considered in the choice of
games
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:
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?
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
B. Frustration develops in response to unmet needs, wants and desire
C. Anger is incompatible with love
D. Aggression can be expressed in a constructive as well as a destructive
Manner
57. Carlo is acting out hostile and aggressive feeling by kicking the chairs in the room, the MOST effective way to deal with Carlo’s behavior is initially to:
A. Set limits on the behavior by verbal command
B. Administer PRN tranquilizer
C. Remove the chairs from the room
D. Restrain the patient and place him in the “Isolation Room”
58. Mrs. Dizon was visiting her son at the Psychiatry Ward. Which of the following items will the nurse NOT allow to brought inside the ward?
A. String rosary bracelet
B. Box of cake
C. Bottle of coke
D. Rubber shoes
59. Which of the following will probably be most therapeutic for a patient on a behavioral modification ward?
A. If the client is agitated, discuss the feelings especially anger
B. Insist to stop obscene language by verbal reprimand
C. Give client support and positive feedback for controlling use of
obscene language.
D. Provide a punching bag as an alternative to express upset emotions.
60. Which of the following must be considered while planning activities for the depressed client?
A. Activities which require exertion of energy
B. Challenging activities to get him out of his depression
C. Structured activities that the client can participate
D. Variety of unstructured activities
Situation - The nurse works with Mina to help her work through termination of the nurse-patient relationship.
61. Preparation for termination of the nurse-patient relationship begins during the:
A. termination phase
B. working phase
C. pre-orientation phase
D. orientation phase
62. Mina’s past reactions to ending relationships is withdrawal. The nurse assists her to practice better ways of coping termination by providing opportunities to:
A. test new patterns of behavior
B. plan for alternatives
C. conceptualize her problem
D. value and find meaning in experience
63. During the early part of the interaction, the nurse asked after a period of silence. “Perhaps we would talk about my leaving”. The nurse utilized which communication technique:
A. encouraging
B. suggesting
C. focusing on client
D. understanding
64. The longest and the most productive phase of the NPR is:
A. Termination phase
B. Working phase
C. Pre-orientation phase
D. Orientation phase
65. The objection of the nurse-patient relationship is to provide an opportunity of the patient to:
Situation – Annie has a morbid fear of heights. She asks the nurse what desensitization therapy is:
41. The accurate information of the nurse the goal of desensitization is:
A. To help the clients relax and progressively work up a list of anxiety provoking situations through imagery
B. To provide corrective emotional experiences through a one-to-one intensive relationship
C. To help clients in a group therapy setting to take on specific roles and reenact in front of an audience, situations in which interpersonal conflict is involved.
D. To help clients cope with their problems by learning behaviors that we are more functional and be better equipped to face reality and make decisions.
42. It is essential in desensitization for the patient to:
A. Have a rapport with therapist
B. Use deep breathing or another relaxation technique
C. Assess one’s self for the need of anxiolytic drug
D. Work through unresolved unconsciousness conflicts
43. In this level of anxiety, cognitive capacity diminishes. Focus becomes limited and client experiences turned vision. Physical signs of anxiety become more pronounced.
A. Severe anxiety
B. Panic
C. Mild anxiety
D. Moderate anxiety
44. Anti-anxiety medication should be used with extreme caution because long term use can lead to.
A. Parkinsonian like syndrome
B. Hypertensive crisis
C. Hepatic failure
D. Risk of addiction
45. The nursing management of anxiety related with post traumatic stress disorder includes all of the following EXCEPT:
A. Encourage participation in recreation or sport activities
B. Reassurance client’s safety while touching client
C. Speak in calm soothing voice
D. Remain with the client while fear level is high
Situation – The nurse is often met with the following situations when clients become angry and aggressive individual, the nurse should:
46. To maintain a therapeutic eye contact and body posture while interacting with angry and aggressive individual, the nurse should:
A. keep an eye contact while staring at the client
B. keep his/her hands behind his/her back or in one’s pockets
C. fold his/her arms across his/her chest
D. keep an “open” posture, e.g. Hands by sides but palms turned outwards
47. During the pre-interaction phase of the N-P relationship, the nurse recognizes thisnormal INITIAL reaction to an assaultive or potentially assaultive person.
A. To remain and cope with the incident
B. Display empathy towards the patient
C. To call for help from other members of the team
D. To stay and fight or run away
48. Which of the following is an accurate way of reporting and recording an incident?
A. “When asked about his relationship with his father, client became anxious.”
B. “When asked about his relationship with his father, client clenched his jaw/teeth, made a fist and turned away from the nurse.”
C. “When asked about his relationship with his father, client was resistant to
respond”
D. “When asked about his relationship with his father, his anger was suppressed”
49. To encourage thought, which of the following approaches is NOT therapeutic?
A. “Why do you feel angry?”
B. “When do you usually feel angry?”
C. “How do you usually express anger?”
D. What situations provoke you to be angry?”
50. A patient grabs and about to throw it. The nurse best responds saying.
A. “Stop! Put that chair down.”
B. “Don’t be silly.”
C. “Stop! The security will be here in a minute.”
D. “Calm down.”
Situation – A vehicle hit some pedestrian while waiting for a bus ride. Some of the victims suffered injuries in different part of the body. The victims were brought to the nearby hospital. One of the victims, Josephine was confirmed to have a fractured left arm. While waiting for plaster cast to be applied, Josephine appears to be anxious.
51. To reduce anxiety, the nurse teaches the procedure to the client, which of the following topics should NOT be included in the teaching plan?
A. Leave the cast uncovered to promote drying
B. Bear weight on the plaster for one hour. A stockinet will be placed
over the left arm to be placed in the cast.
C. Handle hardening cast with palm of hands.
D. Trim and reshape finish cast with knife or cutter.
52. Cast was applied on Josephine’s left arm. In assessing the neurovascular status of the client, which of the following assessment findings should be reported to the physician?
A. Pain on the left arm
B. Swelling of the fingers
C. Skin abrasion on the edges of the plaster cast
D. Nail bed capillary refill time of 10 seconds
53. One of the victims a sixty year old woman sustained hip fracture. Prior to surgery, a Buck’s extension traction is to be applied. The rationale of traction is primarily based the understanding that Buck’s extension traction:
A. Reduces muscle spasms and helps to immobilize the fracture
B. Allows reduction of the fracture site for bone healing.
C. Secures the fracture site to prevent damage to the muscle tissues
D. Secures the fracture site for rigid immobilization
54. Philip was placed in skeletal leg traction with an overbed frame. He is not allowed to move from side to side. Which of the following nursing interventions is useful in maintaining.
A. Assist the client by holding the trapeze and raising hips of the bed.
B. Check the apparatus that weights hang free and knots in the rope
are tied securely.
C. Suspend a trapeze within easy reach of the client
D. Support the affected extremity while the weights are removed.
55. To prevent complication when a child is in Buck’s traction, the nurse should:
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 31-40
Situation – The supervising nurse received report that a staff nurse is displaying frequent irritation, anger, and even indifference toward clients and co-workers.
31. The initial action of the supervisor would be to:
A. Post guidelines on proper decorum of nurse in the bulletin board.
B. Write a memo of warning to the house
C. Request anecdotal report from the nurse’s co-workers
D. Call the nurse for a one on one conference
32. The nurse expressed increasing feelings of dissatisfaction. The supervising nurse intervenes therapeutically by taking the role of:
A. Administrator by relieving her of responsibilities
B. Therapist by delving into the nurse’s internal conflict
C. Counselor by actively listening
D. Educator by reorienting her of role as a nurse.
33. Coupled with poor work performance, mental and physical fatigue and actual withdrawal from client contact and nursing duties. The nurse can be said to be suffering from:
A. Psychotic anxiety
B. Staff burn-out
C. Personality maladjustment
D. Neurotic depression
34. A priority in the nurse’s personal development would be to:
A. Address her physical well-being
B. Boost her self-confidence
C. Provide social support
D. Help her find value and meaning in her work
35. The most relevant professional program for her would be:
A. Assertiveness training
B. Stress management
C. Group dynamics and team building
D. Behavior modification
Situation – A nurse assigned in the neurologic unit is taking of clients with varying degrees of generative disorders.
36. Mr. A with Myasthenia Gravis is having difficulty speaking. What communication strategies should the nurse avoid when interacting with Mr. A?
A. Repeating what the client says for better understanding
B. Using paper and pencil in communicating with the client
C. Encouraging the client to speak slowly
D. Encouraging the client to speak quickly
37. When planning for nursing care for Mr. B who has Parkinson’s disease. Which of the following goals would be most appropriate?
A. To improve muscle tone
B. To start rehabilitation as much as possible
C. TO treat the disease
D. TO maintain optimal body function
38. For the past 10 years, Alma, 42 years old has had multiple sclerosis. Client with multiple sclerosis experience many different symptoms. As part of the rehabilitation planned for Alma, the nurse suggested therapy and hobbies to help her.
A. Strengthen muscle coordination
B. Establish routine
C. Develop perseverance and motivation
D. Establish good health habits
39. On his second day of hospitalization, Mr. Santos was unable to stand and is having difficulty swallowing and talking. Which of the following is the priority of the nurse in assisting Mr. Santos?
A. To prevent bladder distention
B. To prevent decubitus ulcer
C. To prevent contracture
D. To prevent aspiration pneumonia
40. The wife of a seventy two year old man with a diagnosis of Alzheimer’s disease begins to cry and tells the nurse, “I could not understand my husband anymore. He has changed drastically.” “Which of the following responses of the nurse is MOST appropriate?
A. The physician and the staff will make sure that your husband will becomfortable and safe here.
B. This has been a difficult time for you. Let us walk and find a quiet place where we can talk.
C. He will soon recover in his condition.
D. You need not worry, we are doing the best we could.
