Psyche Exam Preim.docx

Alimannao Hills, Penablanca, Cagayan First Semester of Academic Year 2017-2018 COLLEGE OF NURSING MEDICAL-SURGICAL NURSING I (LECTURE) START HERE  1. The nurse can use self-disclosure with patient if: a. She has experienced the same situation b. The patient asks her directly about his experience c. It helps the patient to talk more easily d. It achieves a specific therapeutic goal 2. Which of the following is a general accepted criterion of mental health? a. Self acceptance b. Absence of anxiety c. Ability to control others d. Happiness 3. Which of the following should occur during the work phase of nurse patient relationship? a. The nurse assesses the patient’s needs and develops a plan of care for the patient b. The nurse and the patient together evaluate and modify the goals of the relationship c. The nurse and the patient discuss their feelings regarding the termination of the relationship d. The nurse and the patient explore each other’s expectations of the relationship 4. The nurse should introduce information about the end of the nurse patient relationship: a. During the orientation phase b. As the goals of the relationship are reached c. At least one or two sessions before the last meeting d. When the patient is able to tolerate it 5. The most effective way for the nurse to set limits for newly admitted patients who put out his cigarettes on the day room floor is to: a. Restrict the patient’s smoking to times when he can be closely supervised by a staff member b. Encourage other patients to speak with patient about the dirtying the dayroom c. Ask the patient if he puts out his cigarettes on the floor at home d. Hand the patient an ash tray and tell him he must use it or he will not be allowed to smoke 6. The basis for a therapeutic nurse-patient relationship begins with the nurse’s: a. Sincere desire to help others b. Acceptance of others c. Self-awareness of understanding d. Sound knowledge of psychiatric nursing 7. A busy woman attorney with a successful law practice is admitted to the acute care hospital with epigastric pain. Since admission, she called the nurse every 15 minutes with one request or another. The patient is exhibiting: a. Repression b. Somatization c. Regression d. Conversion 8. Dadoy lost an important advertising account and had a flat tire on the way home. That evening, he began to find fault with everyone. Which defense mechanism is he using: a. Displacement b. Projection c. Regression d. Denial 9. Which primary unconscious defense mechanism keep highly anxiety-producing situations out of conscious awareness? a. Introjections b. Regression c. Repression d. Denial 10. Dwayne Wade, age 18, returns home from school to discover that her mother has been in serious automobile accident.D. Wade initially responds to the news by yelling “No, I don’t believe it. It can’t be true”. Wade is using which defense mechanism? a. Introjections b. Suppression

c. Denial d. Repression Situation: Kobe Bryant, a 27 year old secretary was brought to the hospital in an agitated state. He is admitted to the psychiatric unit for observation and treatment. 11. The nurse enters K. Bryant’s room for the first time and says “Kobe., I’m Kat your nurse. I’ll help you get settled”. K. Bryant responds “I want another nurse. I don’t like you. You’re mean”. The nurse recognizes that Bryant’s response is an example of: a. Identification b. Regression c. Countertransference d. Transference 12. Before responding to Bryant’s initial outburst, the nurse should: a. Make sure she is in a safe distance from the patient b. Move closer to the patient to show that she is not afraid c. Assess her own feelings and responses to the patient’s behavior d. Recognizes that it takes time for the relationship to develop and not to feel hurt 13. What would be the most therapeutic initial response by the nurse: a. Say nothing, accept that the patient has said, and remain nearby b. Say “Bryant we’ve just met”. Why do you think I’m mean?” c. Say, “I’m only trying to be helpful. Let me help you put your things away” d. Say, “I’ll be back in half an hour.” Then leave the patient’s room Situation: The nurse has been caring for a psychiatric patient for several months. She has held several sessions with him. During this particular session, he appears more anxious than usual. 14. The patient’s anxiety level takes toll on the nurse and she feels her body tensing. The nurse momentarily questions the therapeutic quality of her listening skills. Which behavior of the nurse’s part indicates her decreased attention to the patient’s problem: a. Moving her chair so he directly faces the patient b. Leaning forward towards the patient c. Maintaining direct eye contact d. Crossing her arms and legs 15. Besides his loud rapid speech, the patient swings his feet and rapidly taps his fingers on the arm of the chair. Yet he says” I certainly feel calm today, I didn’t know ife could be so tranquil.” Which response by the nurse is most appropriate? a. “I’m glad to hear you are feeing cam today and settled this morning” b. “you tell me that you are calm, but your body seems to be sending a different message” c. “I think we should talk about how calm the weather is today” d. “I’m glad you are feeling so calm. Things will be better for you now. you can count on that.” 16. Characteristics of mentally healthy individual include: a. A difficulty in meeting needs b. A negative perception of the environment c. A frequent feeling of lack of control over the environment d. An awareness of needs for improvement 17. The primary role of the nurse in care of the psychiatric client is to: a. Collaborative with other disciplines b. Conduct intake evaluation c. Coordinates client care d. Participate in decision- making 18. A client states to the nurse, “I’m going to kill my wife when I get out here.” The nurse must: a. Document this information after immediate notification of the physician b. Notify the client’s wife immediately c. Contact the local law enforcement authorities d. Notify the hospital administration 19. Mentally healthy individuals can be defined as those who: a. Have insight into their problems b. Do not exhibit pathologic symptoms c. Are able to meet their own basic needs d. Are free from both physical and emotional problems 20. For most nurses, the most difficult part of the nurse-patient relationship is: a. Remaining therapeutic and professional at all times b. Being able to understand and accept the patient’s behavior c. Developing awareness of self and professional role in the relationship d. Accepting responsibility in identifying and evaluating the real needs of the client

21. The statement that would best describe the practice of psychiatric nursing would be: a. Helping people with present or potential mental health problems b. Assuring patient’s legal and ethical rights by acting as a client advocate c. Focusing interpersonal skills on people with physical or emotional problems d. Acting in a therapeutic way with the people diagnosed as having mental disorder 22. An acutely ill patient has just been admitted to the mental health unit. When working with this client initially the nurse most therapeutic action would be: a. Use diversional activity and involve the client in occupational therapy b. Build trust and demonstrate acceptance by spending some time with the client c. Delay one to one interactions until medications reduce the psychotic symptoms d. Involve the client in multiple small group discussions to distract attention from fantasy world 23. During a special meeting to discuss the unexpected suicide of one of the female clients while on weekend pass, the nurse overhears another patient moan softly, “I’m next Oh my God I’m next. They couldn’t prevent hers and they can’t protect me.” It would be most therapeutic for the nurse to responding by saying: a. “You are afraid you will hurt yourself” b. “The other client was a lot sicker than you are” c. “it’s different the other client was home, you are here” d. “There is no need to worry. All passes will be cancelled for a while” 24. During a one to one interaction with a nurse, the client states, “ I’m worried about going home. The nurse responds, “Tell me more about this”. This response is an example of: a. Focusing b. Clarifying c. Reflecting d. Refocusing 25. The nurse sits with an elderly depressed client twice a day, although there is a little verbal communication. One afternoon the client asks. “Do you think they’ll ever let me out of here”. The nurse best response reply would be: a. “Why don’t you ask your doctor” b. “Everyone says you’re doing just fine” c. “Why do you think you’re ready to leave”? d. “You have the feeling not to leave” 26. A nurse is assigned to care for a regressed 19-year old college student newly admitted to the psychiatric units with one month history of talking to unseen people and refusing to get out of bed, go to class or get involved in daily grooming activities. The nurse initial efforts should be directed toward helping the client by: a. Providing frequent rest periods to avoid exhaustion b. Facilitating the client’s social relationship with a peer group c. Reducing environmental stimuli and maintaining dietary intake d. Attempting to establish a meaningful relationship with the client 27. Neuroleptics are the drug of choice to relieve symptoms of: a. Psychosis b. Depression c. Hyperkinesis d. Narcotic withdrawal 28. The aspect of electroconvulsive therapy that can result in the most serious complication is the use of: a. Positive pressure to inflate the aveoli b. Electric voltage to induce seizures c. Succinylcholine to relax muscles d. Methohexical sodium to induce sleep 29. A drug such as trihexyphenidyl (artane), biperidine (akineton), benztropine (cogentin) is often prescribed in conjunction with: a. Barbiturates b. Antidepressants c. Antianxiety/ anxiolytics d. Antipsychotics/ Neuroleptics 30. An extrapyramydal symptom that is potentially irreversible side effect of Chlorpromazine and antipsychotic drugs is : a. Torticollis b. Oculogyric crisis c. Tardive dyskinesia d. Pseudoparkinsonism Situation: Klay Thompson is the nurse manager of an oncology unit in the 18th floor of a large urban medical center. Recently, he has been increasingly afraid of riding in the elevator. This morning she experience shortness of breath,

palpitations, dizziness, and trembling while in the elevator. K. Thompson was examined by an emergency department physician, who could find no physiologic basis for her symptom. 31. Klay Thompson begins outpatient counseling sessions with a psychiatric clinical nurse specialist. Which nursing intervention would be most helpful in reducing Thompson’s anxiety level? a. Psychoanalytic oriented psychotherapy b. Group psychotherapy c. Systematic desensitization d. Referral for evaluation for ECT 32. Because of the severity of Thompson’s anxiety, the nurse refers her to a psychiatrist for q medication evaluation. Which psychotropic drug regimen is most likely to be prescribed on a short term basis: a. Diazepam 5mg orally 3x a day b. Benztropine(Cogentin) 2mg. orally 2x a day c. Thorazine 25mg. orally 3x a day d. Mellaril 100mg. 4x a day 33. Which side effects are most common after ECT treatment? a. Headache and dizziness b. Diarrhea and urinary incontinence c. Nausea and vomiting d. Temporary memory loss and confusion 34. The physician decides to start patient Kevin Durant on lithium therapy. Which of the following best describes her dietary requirements while she is receiving this medication? a. A high calorie diet with reduced sodium and adequate fluid intake b. Regular diet with normal sodium and adequate fluid intake c. A low caloric diet with reduced sodium and increased fluid intake d. A regular diet with reduced sodium and adequate fluid intake 35. Which of the following statements reflects the scope of mental health psychiatric nursing? a. It includes nursing actions action aimed to returning the patient to his highest potential of productivity b. It is an integral aspect of all nursing and a specialty services to people affected by mental illness c. It includes nursing action to reduce the rate of new cases of mental disorder in population d. It consist of early recognition and treatment of mental disorders to reduce severity and duration of mental illness 36. Which of these nursing actions belong to the secondary level of preventive intervention? a. Providing mental health consultations to healthcare providers b. Providing emergency psychiatric services c. Being politically active in relation to mental health issue d. Providing mental health education to members of the community 37. Which of the following statements about causation of mental illness would the nurse identify is correct: 1. life circumstances can influence one’s mental health from birth 2. The inability to deal with environmental stresses can result in mental illness 3. Mental health is influenced by relationships between persons who either love or refuse to love one another 4. Inherited characteristics exert minimal to no influence on one’s mental health a. 1 only b. 2,3 only c. 1,2,3 only d. 1,2,3,4 Situation: A nurse is working with an aggressive client in the psychiatric unit. 38. All of the following concepts are true EXCEPT: a. Hostility is destructive b. Frustration develops in response to unmet needs, wants and desires c. Anger is always incompatible with love d. Aggression can be expressed in a constructive as well as destruction manner 39. Carmelo Anthony is acting out hostile and aggressive feeling by kicking the chairs in the room. The most effective way to deal with Carmelo’s behavior is initially to: a. Set limits on the behavior by verbal commands b. Administer PRN tranquilizers c. Remove the chairs from the room d. Restrain the patient and place him in the isolation room 40. Mrs. Anthony is visiting his son at the Psychiatric Ward. Which of the ff. items will the nurse not allow to be brought? a. String rosary bracelet b. Box of cake c. Bottle of coke

d. Rubber shoes 41. Which of the ff. will probably be most therapeutic for a patient on a behavioral modification ward? a. If the patient is agitated, discuss the feelings especially the anger b. Insist to top obscene language by verbal reprimand c. Give the patient support and positive feedback for controlling use of obscene language d. Provide a punching bag as an alternative to express upset emotions 42. Which of the ff. must be considered while planning activities for the depressed patient? a. Activities which require exertion of energy b. Challenging activities to get him out of his depression c. Structured activities that the patient can participate d. Variety of unstructured activities 43. To maintain the 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 him/her hand behind hi/her back or in one’s pocket c. Fold his/her arms across his/her chest d. Keep an “open” posture e.g. Hands by sides but palms turned outwards 44. Patient in the ward suddenly slapped you in the face and spitted on your face and it obviously agitated and violent. Which of the ff. is the best nursing action? a. Tell the client: “Because of that, you are not going to eat your lunch , dinner and breakfast anymore” b. Slap the client back and say “I am your nurse, you are a patient and you have no right to hurt me” c. Prepare a 5 member team to restraint the client d. Respond by saying “ you are losing control of yourself, you slapped me and you spitted me and you are way of control” 45. Which of the ff. 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 the jaw/teeth, 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.” 46. To encourage thought, which of the ff. 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. e. “What situations provoke you to be angry?” 47. A patient grabs and about to throw it. The nurse best respond saying: a. “Stop! Put that chair down” b. “Don’t be silly” c. “Stop! The security will be here in a minute” d. “Cam down or I will kick you” 48. A helping nurse patient relationship is characterized by which of the ff.? a. recovery promoting b. growth facilitating c. Mutual interaction d. Health enhancing 49. Demonstrating a helping relationship enables you to establish in the patient. a. Compliance to treatment b. Positive response to illness c. Gratitude to your service d. Some sense of trust in you 50. Therapeutic communication begins with: a. Knowing the patient b. Trust c. Interacting with the patient d. Knowing yourself 51. Which of the ff. approaches will most likely make your patient accept your help? a. Attending to all his needs b. Calling him by first name c. Demonstrating a relaxed and attending attitude d. Asking personal questions for health information

52. The client said “ I am troubled that my son is starting to use drugs”. The nurse replied “ It’s troubling and painful for you, I feel sorry about this. “the nurse’s reply is an example of: a. Empathy b. Sympathy c. Telepathy d. Self awareness 53. The client’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 a new pattern of behavior b. Plan for alternatives c. Conceptualize her problem d. Value and find meaning in experience 54. A male nurse reminds the client that is already time for group activities. The client responded by yelling to the nurse “You are always telling me what to do! Just like my father!” this is an example of: a. Symbolism b. Transference c. Reaction formation d. Counter transference 55. The longest and most productive phase of the NPR is: a. Termination phase b. Working phase c. Pre-orientation phase d. Orientation phase 56. The objective of the NPR is to provide an opportunity of the patient to: a. Clarify problems b. Develop insights c. Have a correct emotional experience d. Develop interpersonal relationship 57. Nurse Tony Parker is caring for a male patient who experience false sensory perceptions with no basis in reality. This perception is known as: a. Hallucinations b. Delusions c. Loose associations d. Neologism 58. A male client is admitted with a diagnosis of delusions of grandeur. The diagnosis reflects a belief that one is: a. Being killed b. Highly famous and important c. Responsible for evil world d. Connected to client unrelated to oneself Situation: Mastery of psychiatric medication is necessary for the therapeutic improvement to the health of the patient. 59. lithium is only given : a. P.O b. IM c. IV d. S 60. The nurse knows that the relationship between sodium and lithium is that: a. When lithium increases, sodium also increases b. When sodium increases, lithium also increases c. They are inversely proportional d. They are directly proportional 61. As part of teaching plan on lithium carbonate, clients are instructed to have lithium levels determined every 1-3 months when they are outpatients. Which statement best describes the reason for this: a. Lithium can produce potassium depletion b. Triglyceride levels can increase as the lithium levels increases c. Lithium in large quantities produces sedation d. There is very narrow margin of safety between the therapeutic level and toxic level of lithium 62. Therapeutic use of self is essential in relating with psychiatric patients. This is best demonstrated in: a. Sympathizing with the miserable feelings of patients b. Engaging patients in productive activity c. Engaging patients in introspective thinking d. Suppressing own feelings towards patients

63. In the application Of the nursing process in catering for clients with psychiatric problems, the nursing diagnoses are prioritized according to: a. The established goalof care b. The nurse’s priority of care c. Life threatening potential d. Focus on the resolution of the client’s problem 64. You overhead your two friends talking about mental illness. They agree that mentally ill person is not capable of living alone or working. Your friends are exhibiting which of the ff: a. Stereotyping b. Prejudice c. Introspection d. Censorship 65. Nurse Anthony Davis recognizes that the most important factor necessary for the establishment of trust in a critical care area is: a. Privacy b. Respect c. Empathy d. Presence Situation: Nurse Rajon Rondo has been assigned at the Psychiatric department. As part of caring for these patients, he recalls the precautions to be observed when administering psychiatric drugs: 66. When caring for a patient receiving Haldol, the nurse would assess for which of the ff. ? a. Hypersalivation b. Oversedation c. Hypertension d. EPS 67. After 3 days of taking Haldol, the patient shows an inability to sit still, restless, and fidgety and paces around the unit. Of the ff. signs seen, the patient is likely to manifest: a. Tardive dyskenesia b. Dystonia c. Akathisia d. Parkinsonism 68. The physician prescribed Paul George, 28 year old a manic depressive patient with lithium carbonate. The nurse should include in her instruction to increase intake of food high in: a. Iron b. Potassium c. Magnesium d. Sodium 69. Nurse Russel Westbrook knows that Chlorpromazine(Thorazine) should be witheldv and notify the physician when which of the ff clinical condition is observed? a. Neuroleptic Malignant Syndrome b. Orthostatic hypotension c. Blurring vision d. Mild photosensitivity reaction 70. Draymond Green, a 35 year old bipolar patient, has been taking lithium for several days. The nurse reviews her laboratory record to check her lithium level and noted a value of 1.2 meq/l. the nurse knows that this indicates: a. An anticipated level of the drug b. A toxic level and needs to stop the medication c. A laboratory error and needs to be rechecked d. A very low level and calls for increase in the dose 71. When the nurse respects the client’s self- disclosure, this is gauge for the nurse’s : a. Trustworthiness b. Loyalty c. Integrity d. Professionalism 72. The patient has not been visited by the relatives for months. He gives a telephone number and requests the nurse to call. An appropriate action of the nurse would be: a. Inform the attending physician about the request of the patient b. Assist the patient to bring his concern to the attention of the social worker c. “ Here (gives her mobile phone). You may call this number now” d. Ask the client what is the purpose of contacting his relatives 73. Rapport has been established in the nurse-patient relationship. The patient asks to visit the nurse after his discharge. The appropriate response of the nurse would be :

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a. “ Mas makakabuti kung paguusapan natin ito sa takdang oras ng sting talakayan. Tungkulin kong ibigay ang oras ko para rito habang nasa hospital ka at nattapos hanggang sa ikaw ay makalabas” b. “Sige kung ililihim mo ito, magiging pribilehiyo mo ito para makipag-usap sa akin” c. “OO, tungkulin kong pangalagaan at protektahan ka” d. “Pasensya na. Gustuhin ko man, ito ay labag sa patakaran ng ospital” A schizophrenic patient approaches the nurse and states. “ The voice are driving me crazy! They tell me I’m idiot and that everyone here thinks I should be in jail for being so bad. They won’t stop yelling at me, cant you hear them!” the nurse best response would be: a. “ the voice I hear are different from the ones you hear” b. “Have you been taking your medications regularly?” c. “Forget the voices and ask a patient to play cards with you” d. “I can’t hear the so called voices, but I can see you are upset” A psychiatric patient says “We can pan, scan, ran, plan”. The nurse identifies this as which speech abnormality? a. Word salad b. Echolalia c. Clang association d. Neologism “Can’t go to the zoo…..no money,,, Oh I have a hat; these members make no sense man. What’s the problem?” This is an example of: a. Word salad b. Flight of ideas c. Clang association d. Neologism A patient says to the nurse “trugtrag tregtrig” the statement “trugtrag tregtrig” is an example of: a. Echolalia b. Concrete association c. Neologism d. Fight of ideas While working with a client with delusions, what nursing intervention would be most helpful? a. Avoid challenging the content of the client’s delusion b. Promise the client that antipsychotic meds will improve thought process c. Challenge the contents of the patient’s delusion d. Seclude the client in his room to decrease stimulation Every time the nurse would move or gesture with her hands, the patient would copy her gestures. This is: a. Echopraxia b. Perseveration c. Echolalia d. Waxy Flexibility The patient’s leg got juggllling up and down when he talked to the nurse. When her feet were still, his arms would jiggle constantly during the interview: a. Akathisia b. Tardive Dyskenisia c. Perseveration d. Neologism The superego is part of the self that says: a. I want what I want b. I can wait what I want c. I should not want that d. I like what I want Which of the ff. patient’s statement about Clozapine(Clozaril) indicates that the client needs additional teaching? a. “ I need to have my blood check once every several months while I’m taking this drug” b. “ I need to sit on the side of the bed for a while when I wake up in the morning” c. “ the sleepiness I feel will decrease vas my body adjusts to Clozapine” d. “ I need to call my doctor whenever I notice that I have a fever or sore throat” James Harden, a young man whose father has recently died begins to talk and acts like his father. This is an example of: a. Introjetion b. Projection c. Reaction formation d. Sublimation

84. A teenager who feels guilty about masturbation ritually touches door knobs a prescribed number of times ff. each occurrence of the act. This is an example of: a. Sublimation b. Reaction Formation c. Denial d. Undoing 85. The nurse asks a patient with a history of alcoholism about the patients drinking behavior. The patient states “ I didn’t hurt anyone, I just like to have a good time, and drinking helps me to relax”. The patient is using which defense mechanism? a. Denial b. Projection c. Introjections d. Rationalization 86. A woman who feels a lump in her breast shortly before leaving a 3 weeks vacation puts the information at the back of her mind until after returning from her vacation. This is an example of: a. Denial b. Repression c. Suppression d. Regression 87. A busy attorney with a successful law practice is admitted to an acute care facility with epigastric pain. Since admission, the client has called the nurse every 15 minutes with one request or another. This client is most likely exhibiting: a. Repression b. Somatization c. Regression d. Conversion 88. Mr. Chris Paul, an atty. Who throws books and furniture around the office after losing a case is referred to the psychiatric nurse in the law firm’s employee assistance program. Nurse Jordan Clarkson knows that the client’s behavior most likely represents the use of which defense mechanism: a. Regression b. Projection c. Reaction Formation d. Intellectualization 89. Which of the ff. defense mechanism is consciously used? a. Regression b. Suppression c. Projection d. Introjections 90. Unable to handle her emotions, Bradley Beal hurls angry and explosive outbursts towards those who are helpful to her. This behavior is an example of: a. Sublimation b. Displacement c. Reaction Formation d. Introjections 91. When establishing an initial nurse-client relationship, nurse John Wall should explore with the client the: a. Client’s perception of the presenting problem b. Occurrence of fantasies the client may experience c. Details of any ritualistic acts carried out by the patient d. Client’s feelings when external controls are instituted

92. The termination of NPI is the final stage where the: a. Problems are resolved b. Problems are identified c. Problems are examined d. Contract is specified 93. During the night, Deandre Jordan suddenly cries out as he saw shadows on the wall, “ No, don’t take me, nooohhhhh! The nurse’s best response would be: a. “ What do the shadows do to you” b. “Go back to sleep because you’re just having a dream” c. “ No one’s here but you and me Deandre. You’re safe here” d. “Tell me how you feel Deandre. I’m here to help”

94. Deandre tells Nurse Blake Griffin how he hit his wife after a heated argument and asked if he would be ever forgiven. The best response of the nurse is: a. “you seem to have bad feelings about hitting your wife” b. “You may asked her when she visits you” c. “ that depends if you’ll be good enough during your confinement” d. “ If it’s okay with you we can discuss that during our family therapy” 95. An attitude that the nurse must assume to be most help to Deandre is: a. Warm an accommodating b. Firmly consistent yet accepting c. Acceptance and permissiveness d. Judgmental and moralistic 96. Manu Genobili asked the nurse to have an out- on pass privilege for the weekend but his request was not granted by the nurse. He remarked “ I thought you really like me.” A therapeutic response of the nurse would be: a. “ I understand you feel bad but of course I like you” b. “ your behavior did not meet the criteria for an out- on pass privilege c. Ignore Manu’s remark d. Be transparent and express disapproval and openly say “you upset me with your remark”. 97. Which of the ff. is essential component the nurse must bring to the therapeutic nurse-client interaction: a. Confrontation b. Humor c. Empathy d. Sympathy 98. At the beginning of the session, Pau Gasol speaks quite rapidly and loudly. This behavior indicates a possible change in which form of non- verbal communication? a. Appearance b. Kinesics c. Paralanguage d. Proxemics 99. The nurse must introduce information about the end of the NPI: a. During orientation stage b. As the goals of the relationship are reached c. At least one or two sessions before the last meeting d. When the patient is able to tolerate it 100. The nurse checks the doctor’s order and Risperdal is prescribed for the treatment of the client’s symptoms. The nurse anticipates which laboratory study to be done before administration: a. Blood clotting studies b. Platelet count c. CBC d. liver function test

Prepared by: KAREN MAE S. ALCANTARA, MSN Instructor

Recommending approval: REYNALDO M. ADDUCUL, RN, RM, MSN Dean, College of Nursing

Approved by:

PRESENITA C. AGUON, Ph. D Vice President for Academic Affairs