NLE NURSING PRACTICE 04

Answer the 20 item exam
and get your scores below!

1. For most patients with Personality Disorders, the treatment of choice is usually:

A. Group therapy
B. Individual Psychotherapy
C. Self-help support groups
D. Hospitalization


2. Lorna is diagnosed with Borderline Personality Disorder. Which symptom would the nurse expect to assess related to her expression of anger?

A. Controlled, subtle anger
B. Inappropriate, intense anger
C. Inability to recognize anger
D. Substitution of physical symptoms


3. Lorna tells the nurse that she is the best nurse in the hospital, and then tells her she is when the nurse sets limits on her behavior. The nurse interprets this behavior as:

A. Denial
B. Splitting
C. Rationalization
D. Projection


4. One effective treatment modality for persons with Antisocial personality is:

A. Behavior therapy
B. Light therapy
C. Play therapy
D. ECT


5. In the assessment of a client diagnosed with Narcissistic Personality disorder, prominent behavioral characteristics to be observed is:

A. Suspiciousness
B. Splitting
C. Hypersensitivity to negative remarks
D. Sense of entitlement


6. During morning medication, Mang Nano, a patient with dementia, could not be located in the unit. Later he was found walking aimlessly in front of the hospital. When asked he say that his only son is coming to bring him home. What should you do?

A. Encourage him to interact with other patients
B. Explain to him that his medication time should be followed
C. Reorient him to reality and assess the reason for the behavior
D. Hold him by his hands and gently guide him back to his room


7. Assessment data of Mang Nano reveals disorientation to time and place after dark. The nurse interprets this finding as:

A. Amnesia
B. Degeneration
C. Perseveration
D. Sundown syndrome


8. The family of the client with Alzheimer's disease asks the nurse about what to expect as the disease progress. The answer of the nurse is based on which fact?

A. Improvement depends on the treatment given
B. Improvement can occur when underlying medical problems are treated
C. The disorder occurs in a chronic, progressive manner over time
D. The disorder typically involves periods of remission and exacerbation


9. Which nursing intervention would be most appropriate for Mang Nano if he is upset and agitated?

A. Decrease environmental stimuli while remaining with the client
B. Firmly tell the client that the behavior is not acceptable
C. Offer medication that will have a calming effect
D. Question the client about the cause of the problem



10. A client was admitted with the chief complaint of increasing confusion for about a month. Which assessment question to the family will differentiate delirium from dementia?

A. How long have you noticed the confusion in your family member?
B. Has there been a history of dementia in the family?
C. Do you think something happened that was upsetting to your family member?
D. Does your family member live alone or with someone?


11. In the late stages of Alzheimer's disease, which of the following outcomes would be most realistic for the client?

A. The client will verbalize increased feelings of self-worth
B. The client will identify life areas that require alterations due to illness
C. The client will maintain reality orientation
D. The client will remain safe in the least restrictive environment


12. Sui is in his senior year in Nursing. He is an active student leader, an honor student & a part-time tutor. He has little time to rest and often complains of having difficulty in falling asleep, especially at night. He can be suffering from:

A. Initial Insomnia
B. Intermittent insomnia
C. Maintenance insomnia
D. Terminal insomnia


13. How can you help Sui overcome his Insomnia?

A. Ask him to lessen his food intake
B. Limit activities just before bedtime
C. Advise him to buy sleep meds
D. Ask him to drink warm coffee


14. Mr. TokAn 30y/o experienced sudden wave of overwhelming sleepiness in his job and this problem lasted for more than a month. What can be the appropriate nursing intervention for persons with narcolepsy?

A. Ask him to drink at least 4-5 cups of espresso especially during working hours
B. Offer a tall glass of warm milk
C. Suggest taking scheduled naps
D. Tell him to always bring an Ipod or Discman filled with dance tunes


15. Lumen, the mother of an 8 y/o boy remarked, - I'm sick & tired of washing his soiled bed sheets twice a week. This has been going on for 2 months. What can I do to lessen the episode of my son's bedwetting? The best answer to her query is:

A. Transfer him to a sleeping mat
B. Punish him for his bedwetting
C. Ask him to wear snuggly fit diapers
D. Empty his bladder before sleeping


16. BusogBoy, a 20 y/o college student needs help for uncontrolled eating & self-induced vomiting. He has been diagnosed with Bulimia Nervosa. What would be an appropriate nursing intervention for him?

A. Observe BusogBoy for the next 24 hrs. for any incidence of purging
B. Tell BusogBoy that he'll be forced to eat soon after purging
C. Tell BusogBoy that he'll be given extra food tray
D. BusogBoy must be observed two hours after each meal


17. One of the most common characteristic of persons suffering from Bulimia is binge-eating. This refers to:

A. Insatiable appetite
B. Eating unusually large amount of food over a short period of time
C. Self-induced vomiting
D. Use of laxatives, diuretics & enemas to compensate for calories consumed


18. Payatita, 18 y/o was admitted due to rapid weight loss associated with Anorexia Nervosa. The nursing diagnosis identified in her present condition is:

A. Altered nutrition: less than body requirements
B. Impaired gas exchange
C. Alteration in Perception
D. Anxiety


19. The most important goal for clients with eating disorders such as anorexia nervosa is:

A. Be able to cope with stresses & conflicts
B. Develop a more realistic body image
C. Be able to identify significant others
D. Develop a positive outlook in life


20. Payatita's refusal to eat serves the primary purpose of allowing her to:


A. Gain the sympathy of others
B. Gain a sense of control and power
C. Remain free from anxiety
D. Openly assert her own identity







Score =


Correct answers:

from: Philippine Nurse