1.

Miss X is reading her notes on paraphilia when you see the

paraphilias. She was able to learn that word acted on urges, because
sexual arousal involving observing an you can have the urge, but you
unsuspecting person is naked, disrobing are not acting on it, so you
or engaging in sexual activity. So this is cannot diagnose paraphilia in
called: that manner.
b. diagnosis is made when the
C. voyeurism individual has not acted on
Because it says observing the word urges, but is extremely
observing is already there. distressed by the urges against
casino, but cannot act within
2. Mr. P is not able to explain his sexual the urges,
desires and gratification, but he claims c. diagnosis is made when the
being sexually aroused upon touching individual is planning to act on
and rubbing against a person unknown urges.
to him in public areas d. diagnosis is made with the
individual, has no urges but
B.Frotteurism.
extremely distressed by other
3. sexual activity involving a free urges.
pubescent child or children is called an 7. patient M has a persistent or recurrent
partial or complete failure to attain and
A. pedophilia maintain erection until completion of
his sexual activity with his partner. He
4. sexual arousal involving real acts in
says he also lacked the subjective sense
which psychological or physical
of sexual excitement and pleasure
suffering and humiliation of the victim
during sexual activity. Guys, you know
is sexually exciting to the person.
all of this so patient M is experiencing
sexual sadism
The one who hurts is actually gratified B. male erectile disorder
when it comes to sexual sadism..
5. Number five. Zoloft is also an 8. patient Y is experiencing a persistent or
antidepressant which is classified under recurrent failure to obtain or maintain
SSRI. Its generic name is guys. lubrication or swelling response of
B. sertraline sexual excitement until completion of
6. Which of the following is true regarding sexual activity and a honeymoon
the diagnosis of paraphilia? period. As a nurse, you will understand
a. diagnosis is made when the that this condition is called.
individual has acted on urges, a. hypoactive sexual desire
on urges, or is extremely disorder
distressed by the urges. That 9. appears distant or persistent or
should be the right answer. You recurrent delay in absence of orgasm
can only have the diagnosis for following a normal sexual excitement,
 considering the person's age and other don't. How would gender identity re-
factors is called letter applied in Jenny's condition? These are
the following choices.
C. male orgasmic disorder a. she has gender dysphoria
10. a persistent recurrent genital pain in b. she doesn't have gender
either male or female before, during, dysphoria.
and after sexual intercourse not cause c. Z will only be diagnosed with
by lack of lubrication are vaginismus. gender dysphoria, depending
a. Dyspareunia on how long she has felt this
11. a persistent recurrent involuntary way.
spasm of the musculature of the outer d. she says she is transgender
third of the vagina, which interferes 15. Which of the following defines as
with the coitus, is called cisgender?
a. miss M who feels like a man
D .vaginismus b. Mister R, who was born male
and acts as a male
12. Miss R feels she is a male. This also
c. miss T who prefers to be called
manifested in her outward behavior
sir but is able to engage in a
that expresses her masculinity and this
relationship with men or
is called
women.
C. gender identity
d. miss N who is aware of her
13. patient V is a transgender. Which of the
femininity despite her
following would most likely be false
masculine ways.
about Mr. V?
Situation: A TV show has exposed a
a. patient V assumes the gender
group of foreigners engaging in various
identity of a man.
sexual, unacceptable sexual acts in the
b. patient V feels like he doesn't
country.
belong in his body.
16. These foreigners who are expressing
c. patient V was once a female but
their sexually unacceptable ways of
identifies as being a man.
experiencing sex, is collectively known
d. patient V was born as a
in medical terminology as which
hermaphrodite
condition.
a transgender man. She was born D. paraphilia and guys
as female and she became a paraphilia. Answer. When you
transgender man. You know, are into the act of paraphilia
hermaphrodite means again. She guys, a paraphilia becomes a
has two organs. It was not actually, condition. Paraphilia. So if I call
uh, included into the data which on a person who was diagnosed
was given as a hermaphrodite with paraphilia then I would call
him paraphilia. Now guys the
14. Z wants to be a man because man and term sexual aberration and
her company get promoted and women letter C sexual deviation are
 also acceptable terminologies c. inquiring about the client's
when it comes to paraphilia. perception or appraisal of the
However, these are not medical neighbor's death
terminology and they are not d. inquiring about and examining
your psychiatric terminologies the client's feelings that may
where these guys are sociology block adaptive coping
classes. But this is not a 20. . Laboratory work is prescribed for a
sociology class because you will client who has been experiencing
be nurses, you have to come up delusions. when the nurse approaches
with the right terminology. the client to obtain a specimen of the
17. The nursing diagnosis of this client is: B. client's blood, the client begins to
altered sexual patterns shout, here, all vampires led me out of
a. sexual dysfunction. here. The most appropriate nursing
b. Altered sexual patterns response is which of the following?
c. disturbed sexual orientation. a. I’m not going to hurt you, I’m
d. sexual process disturbance. here to help you
Guys there are no okay. There b. What makes you think I am a
are no signs that these were vampire?
manifested by the client. c. I’ll leave and comeback later for
18. The profile of persons who sexually your blood
abuse children includes guys. d. It must be fearful to think
a. male 35 to 70 years old. Okay, others want to hurt you.
now for people usually, uh, who 21. A client says to the nurse, “I'm going to
are abusers of children, who are die. And I wish my family would stop
pedophiles, they are male. They hoping for a cure. I get so angry when
are 35 to 70 years old. Yun lang, they carry on like this After all, I'm the
guys for you to determine that one who's dying.” The most therapeutic
they are pedophiles response by the nurse is :
demographically and a. You're feeling angry that your
classification family continues to hope for
19. a nurse is working with a client who has you to be cured? Guys, this is
sought counselling after trying to rescue what you call reflecting.
a neighbor involved in a house fire. In b. I think we should talk more
spite of the client's efforts, the neighbor about your anger with your
died. Which action does the nurse family at the very end.
engage in with the client during the c. well, it sounds like you're being
working phase of the nurse-client pretty pessimistic after all,
relationship? years ago people died of
a. exploring the client's potential pneumonia
for self-harm d. have you shared your feelings
b. exploring the client's ability to with your family?
function again.
22. a client who is delusional says to the b. the client will function at the
nurse, the federal guards were sent to highest level of independence
kill me. What is the nurse best ? possible
a. the guards are not out to kill c. the client will complete all ADLs
you independently within a one
b. I don't believe this is true. hour time frame
c. I don't know anything about the d. the nursing staff will attend to
guards. Do you feel afraid that all of the clients ADL needs
people are trying to hurt you during the hospital stay.
guys? 25. The nurse observes that a client is
d. what makes you think the facing agitated and presenting
guards were sent to hurt you aggressive gestures. The client's speech
for a day? pattern is rapid and affect is belligerent.
23. A nurse is discharging a client with a Based on these observations, what is
history of command hallucinations to the nurse's immediate priority of care?
harm self or others. The nurse provides a. providing safety for the client
instruction to the client about and other clients on the unit.
interventions for hallucinations and b. offering the client a less
anxiety, and determines that the client stimulating area in which to
understands this instruction If the client calm down and gain control.
states which of the following? c. clients and the unit with a
a. My medication makes me sense of comfort and safety.
anxious. d. assisting the staff in caring for
b. I can call my therapist when I’m the client in a controlled
hallucinating so that I can talk environment.
about my feelings and plans 26. A nurse is caring for male old male
and not hurt anyone. client diagnosed with catatonic stupor.
c. I’ll got to support group and talk The client is lying on the bed with his
so that I don’t hurt anyone. body folded into a fetal position. Which
d. I won’t get anxious or hear of the following is the most appropriate
things if I get enough sleep and nursing intervention?
eat well. a. leaving the client alone and
24. The nurse develops a nursing diagnosis intermittently checking on him
of self-care deficit for an elderly client b. taking the client into the day
with dementia. Which of the following room with other clients so that
is the most appropriate goal for this they can help watch him
client? Guys invented an elderly client, c. sitting quietly beside the client
so an appropriate goal letter V and asking occasional open
a. the client will be admitted a ended questions.
long term facility to have d. asking direct questions to
activities of daily living needs encourage the client to talk.
met.
27. A depressed client has been started on administered, it is important that the
a tricyclic antidepressant. The nurse nurse
teaches the client to expect to notice a a. C. monitor the client's blood
significant change in the depression level regularly.
within: 32. A client in the hyperactive phase of
a. mood disorder bipolar type, is receiving
b. lithium carbonate. The nurse notes that
c. 1 to 4 weeks like any other the client's lithium level is 1.8 milli
drug. Okay, for psycho Pharma equivalent per liter. It would be most
1 to 4 weeks. 1 to 4 weeks. It's appropriate for the nurse?
not hours, it's not days. a. continue the usual dose of
d. lithium and note any adverse
28. number 28. A psychiatric client is to be reaction.
discharged with orders for haloperidol b. We discontinue the drug until
or Haldol therapy. When developing a the lithium serum develops 2.5
teaching plan for discharge. The nurse mil equivalent per liter
should include cautioning the client c. ask the physician to increase
against ? the dose of lithium because the
a. driving at night blood lithium level is too low
b. staying in the sun. there is what d. hold the drug and notify the
you call photosensitivity with physician immediately because
client who are taking the blood lithium level may be
haloperidol or Haldol. toxic.
c. ingesting wines and cheeses. 33. Neuroleptics are the drugs of choice to
(You cannot do this if you are relieve symptoms of anxiety.
taking MAOI). a. psychosis - schizophrenia. All
d. taking medications containing schitz clients are psychotics
aspirin. 34. A nurse in the mental health unit is
29. A nurse is evaluating the medication having a conversation with the client
regimens of a group of clients to diagnosed with post-traumatic stress
determine whether the therapeutic disorder. The client seems upset and
level has been achieved. For which anxious. The most appropriate nursing
medication should the nurse review the response to the client is which of the
client serum blood level? following?
a. valproic acid (Defaquin) a. don't worry so much - advising
30. If clients do not abide by their b. everything is going to be all
restrictions while taking MAOI, it is right. – stereotype/false
likely that they will develop? reassurance
a. occipital headache. c. I can see that you are upset. -
31. A client is receiving lithium carbonate This is making observation.
while this medication is being
 d. why are you having so much extrapyramidal side effects of the
trouble controlling your neuroleptic drug.
anxiety? a. Antipsychotics or neuroleptics
35. A common side effect of neuroleptic is
They are given in conjunction with
your answer should be letter D
a. antipsychotic or neuroleptic. Your
answer should be letter D because
b.
c. you have to remember yung mga
d. unintentional tremors. - drugs na ito. Bipyridine and
benzocaine are given as an anti-
pseudo parkinsonism
36. A client with schizophrenia who has parkinsonism agent. They are to
prevent the fighting. The pseudo
type two negative symptoms is started
on risperidone (asphodel). The nurse parkinsonism effects
would evaluate that the medication has 39. Trust is very essential in the process of
been effective for the type 2 (negative psychotherapy. This may develop in the
sx) symptoms. nurse client relationship when the
a. nurse :
b. a. avoiding setting
c. shows interest in unit activities. b. encourages the client to use
37. A client with depression is to receive testing behavior.
fluoxetine (Prozac), a caution that the c. tells the client how he should
nurse must remember when initiating behave.
treatment with this drug is that? d. Using consistency in
a. eight must be given with milk approaching the client.
and crackers 40. A client has just begun to discuss
b. important feelings when the time of the
c. The blood level may not be interview is up. The next day when the
sufficient to cause noticeable nurse meets with the client in the
improvement for 2 to 4 weeks agreed upon time, the initial
Prozac now effects of eight intervention would be to say:
weeks eight weeks nakikita ang a. good morning. How are you
result. Although for the others today? - ask that during an
they will say 6 or 7 week ordinary day
makikita mo na but for majority b. Yesterday you were talking
in the eight weeks. about some very important
38. Drugs such as trihexyphenidyl, feelings. Let's continue.
bipyridine and benztropine are often c. What would you like to talk
describe or prescribe in conjunction about today? – broad opening
with: artane (trihexyphenidyl). d. nothing. And wait for the client
Bipyridine (aquiniton) benztropine to introduce a topic.
(cogentin) - They combat the
41. These are common statements made 45. A patient says to the nurse, I want to
without sincerity and recognized by tell you something, but you mustn't tell
patients most of the time. anyone else which of the following
a. responses with the nurse would be
b. stereotype responses appropriate, and the choices are letter
42. Any nurse who administered A
antipsychotic medications must be alert a. I am glad you can trust me.
for early signs and symptoms of, b. I have to reveal anything that
a. neuroleptic malignant would be essential to your
syndrome - emergency treatment.
situation wherein the patient c. the nurse and the patient have
would develop hyperthermia a special relationship.
b. pseudo parkinsonism d. I am bound to keep it secret
c. dystonia because of confidentiality
d. blurred vision 46. This therapeutic communication
43. Andy a middle-aged patient says to the technique communicates refer to the
nurse “I don't deserve to live”. The most patient and the nurse's genuine interest
therapeutic initial response by the in the
nurse would be to: a. Suggesting
a. continue to listen to Andy while b. Summarizing
maintaining direct eye contact. c. Verbalizing
b. remain with Andy until she d. clarifying
states she feels better. 47. A male nurse is caring for a client. The
c. say hi to Andy. You sound client states, you know, I've never had a
depressed and lean towards her male nurse before. The nurses best
d. Ask Andy what he means by I reply would be ang letter C,
don't deserve to live. a. does it bother you to have a
44. Which of the following actions should a male nurse?
nurse take during the pre-interaction b. that there aren't many of us
phase of the nurse patient relationship? who are a minority
a. exploring personal feelings c. how do you feel about having a
regarding care of the mental male nurse?
health patients.-- that is doing d. you sound upset. Would you
self-awareness. prefer a female nurse?
b. establishing boundaries for the 48. During a group meeting, a male client
patient and the nurse - tells everyone of his fear of his
orientation phase impending discharge from the hospital.
c. determining if the patient goals It would be most appropriate for the
results from stressors. - group leader to respond.
working phase a. you ought to be happy that you
d. identifying goals and then are leaving
strategies. – orientation phase
 b. maybe you're not ready to be
discharged yet.
c. Maybe others in the group have
similar feelings that they would
share. – supporting each other
by sharing
d. how many in the group feel that
this member is ready to be
discharged now for? -
humiliating the px
49. a client attending a mental health
daycare unit is scheduled for several
diagnostic studies. Which client
behavior has receive adequate
preparation for this studies?
a. Client request the test to be
reexplained
b. The client repeatedly check the
appointment card
c. The client paces the hallway the
morning before the test
d. The client arrives early and
waits quietly to be called for the
test
50. A male nurse reminds the client that it’s
time for the group therapy. The client
responds by yelling at the nurse “You’re
always telling me what to do like my
father!”. This clients response is an
example of:
a.
b. transference