Commitment. Excellence. Quality. Page 1
Commitment. Excellence. Quality. Page 1
Commitment. Excellence. Quality. Page 1
CRIMINOLOGY
3rd Floor BSBI Building Bicol University, Legazpi City 4500
TEL. (052) 742- 1590/09175002996
COMPETENCY EVALUATION
PSYCHIATRIC AND MENTAL HEALTH NURSING
Instructions:
1. Choose the best answer and shade the corresponding letter on the answer sheet.
2. Avoid erasures or any form of alteration.
3. Use pencil in shading your answers.
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Situation: Psychiatric-mental health nursing is a specialized area of nursing practice that uses theories of human behaviour as its scientific framework and
requires the purposeful use of self as its part of expression. It is concerned with promoting optimum health for society. The following questions apply.
1. The initial step for client to attain positive self-concept:
a. self-care c. self-reflection
b. self-awareness d. self-confidence
2. It is the ability to enter the life of another person and perceive his current feelings and their meaning:
a. empathy c. genuineness
b. respect d. sympathy
3. Therapeutic use of self is best described as:
a. the ability to effect change in patient by imposing one’s spiritual values
b. being accurate in the administration of medication
c. the ability to consciously structure nursing intervention and establish relatedness
d. being skilful and artistic in giving treatment
4. In the process of development, the individual strives to maintain, protect and enhance the integrity of self. The nurse understands that this is usually
accomplished through the use of:
a. affective reactions c. ritualistic behaviour
b. withdrawal patterns d. defense mechanisms
5. A man is unable to remember the car accident he was in last week in which his brother was killed. This is an example of what kind of coping
mechanism?
a. denial c. suppression
b. repression d. projection
Situation: The ability to establish therapeutic relationships with clients is one of the most important skills a nurse can develop. The following questions apply.
6. In psychiatric nursing, the most important tool the nurse brings to a helping relationship is:
a. oneself and a desire to help
b. knowledge of psychopathology
c. advanced communication skills
d. years of experience in psychiatric nursing and milieu management
7. A male nurse reminds a client that it is time for group therapy. The client responds by yelling at the nurse, “You are always telling me what to do,
just like my father.” The client’s response is an example of:
a. regression c. reaction formation
b. transference d. countertransference
8. A male nurse is caring for a client. The client states, “You know, I’ve never had a male nurse before.” The nurse’s best reply should be:
a. “Does it bother you to have a male nurse?”
b. “There aren’t many of us; we’re minority.”
c. “How do you feel about having a male nurse?”
d. “You sound upset. I will get a female nurse to care for you.”
9. As depression begins to lift, a client is asked to join a small discussion group that meets every evening on the unit. The client is reluctant to join
because, “I have nothing to talk about.” What is the best response by the nurse?
a. “Maybe tomorrow you will feel more like talking.”
b. “Could you start off by talking about your family?”
c. “A person like you has a great deal to offer the group.”
d. “You feel you will not be accepted unless you have something to say.”
10. A father of a 16 year old student who has just been diagnosed with Hodgkin’s disease tells the nurse that he doesn’t want his child to know the
diagnosis. The nurse best response would be:
a. “It is best if he knows the diagnosis.”
b. “The cure rate for Hodgkin’s disease is high.”
c. “Let’s talk about why you don’t want him to know.”
d. “Would you like someone with Hodgkin’s disease to talk to you?
11. A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies,
“You’re worried about your medication?” The nurse’s communication is:
a. an example of presenting reality
b. reinforcing the client’s delusion
c. focusing an emotional content
d. a non therapeutic technique called mind reading
12. During a private conversation, a client with borderline personality disorder asks the nurse to keep his secret and then displays multiple, self-
inflicted, superficial lacerations on the forearms. What is the nurse best response?
a. “That’s it! You’re on suicide precaution.”
b. “I’m going to tell your physician. Do you want to tell me why you did that?”
c. “Tell me what type of instrument you used. I’m concerned about infection.’
d. “The team needs to know when something is important occurs in treatment. I need to tell the others, but let’s talk about it first.”
13. One of the clients verbalizes, “Masama ang pakiramdam ko. Hindi ako nakatulog kagabi.” A therapeutic response of the nurse would be:
a. “Baka ini-istorbo ka na naman ng mga boses.”
b. “Sinabi mo sana sa nars para nabigyan ka ng sedative drug mo.”
c. “Relax lang. Huwag kang masyadong mag-isip ng mga problema mo.”
d. “Maari mo bang sabihin sa akin ang mga naiisip at nararamdaman mo?”
14. Jamby is terminally ill of cancer, looking sad she expressed, “Wala na yata akong pag-asang mabuhay pa.” A nurse best response would be:
a. “Mukhang napakabigat ng dinaramdam ninyo. Andito po ako at pwede tayong mag-usap.”
b. “Huwag po ninyong isipin ang sakit ninyo. Bale wala yon. Andito naman po ako para makausap ninyo.”
c. “Lakasan ninyo ang loob ninyo. Lahat naman po tayo ay doon and patutunguhan.”
d. “Gagaling din po kayo at lalo pang gaganda. Wag po kayong mag-alala.”
15. A 30 year old woman is brought to the local community hospital by a family member because the woman “has been acting strange”. When
assessing the client, which of the following would alert the nurse?
a. “I cry all the time. I am so depressed.”
b. “I would like to end it all with sleeping pills.”
40. When talking with the client who is in acute manic phase with flight of ideas, the nurse primarily needs to:
a. speak loudly and rapidly to keep client’s attention, as the client is easily distracted
b. focus on the feelings conveyed rather than the thoughts expressed.
c. encourage the client to complete one thought at a time
d. allow the client to talk freely
Situation: Suicide is always a consideration for clients with depression. The nurse should be able to recognize manifestations of suicidal behaviour in order to
plan appropriate nursing interventions and prevent unnecessary deaths or injury from suicide.
41. Suicide precaution should be strictly observed when the client exhibits which of the following manifestations?
a. a client feels weak and tired c. the client has sudden cheerfulness
b. the client expresses hostile feelings d. the client is agitated
42. A female client confides to the nurse that she has been thinking about suicide. The nurse recognizes that the client:
a. wishes to frighten the nurse
b. wants attention from the staff
c. feels safe and can share her feeling with the nurse
d. is fearful of her own impulses and is seeking protection from them
43. A female client has been hospitalized for 3 weeks while receiving TCA medication for severe depression. One day, the client states to the nurse,
“I’m really feeling better, my energy level is up. Did the nurse aide tell you that I gave her my designer purse?” the nurse recognizes that this
statement may indicate:
a. an increased risk for suicide
b. an improved socialization level
c. an marked improvement in mood
d. a decreased need for continued observation
Situation: Anxiety is a vague feeling of dread or apprehension. It is an unavoidable life circumstance that serves as a response of the body to internal and
external stressors. Nurses must be ready to provide nursing care for clients suffering from anxiety and anxiety disorders.
44. A client’s severe anxiety and panic is often considered to be “contagious”. When the nurse identifies that personal feelings of anxiety are
increasing, the nurse should:
a. refocus the conversation on some pleasant topics
b. say to the client, “Calm down, you are making me anxious too.”
c. say, “I have to leave for awhile. I’ll send someone in and I’ll be back later.”
d. remain quiet so that personal feelings of anxiety do not become apparent to the client
45. When speaking with the client who has just experienced a panic attack, the nurse can best address the client’s concerns most therapeutically by
stating:
a. “I would have been upset too.”
b. “Episodes like this can be upsetting, but they do end.”
c. “You are concerned that this might happen again.”
d. “You’re family was concerned that you were having a heart attack.”
46. A client with a general anxiety disorder says to the nurse, “What can I do to prevent over-responding to stress in the future?” What is the nurse’s
best response?
a. “Hone your problem solving skills.”
b. “Improve your time management skills.”
c. “Ignore situations that you cannot change.”
d. “Develop a wide variety of coping strategies.”