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Liza says, Give me 10 minutes to recall the name of our college professor who failed many students in our

anatomy class. She is operating on her:


a.

Subconscious

b.

Conscious

c.

Unconscious

d.

Ego

Answer: (A) Subconscious


Subconscious refers to the materials that are partly remembered partly forgotten but these can be recalled
spontaneously and voluntarily. B. This functions when one is awake. One is aware of his thoughts, feelings actions
and what is going on in the environment. C. The largest potion of the mind that contains the memories of ones past
particularly the unpleasant. It is difficult to recall the unconscious content. D. The conscious self that deals and tests
reality.

Situation: In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse.
Which of the following is the most appropriate for the nurse to ask?
a.

Are you being threatened or hurt by your partner?

b.

Are you frightened of you partner

c.

Is something bothering you?

d.

What happens when you and your partner argue?

Answer: (A) Are you being threatened or hurt by your partner?


The nurse validates her observation by asking simple, direct question. This also shows empathy. B, C, and D are
indirect questions which may not lead to the discussion of abuse.

Situation: A 30 year old male employee frequently complains of low back pain that leads to frequent
absences from work. Consultation and tests reveal negative results. The client has which somatoform
disorder?
a.

Somatization Disorder

b.

Hypochondriaisis

c.

Conversion Disorder

d.

Somatoform Pain Disorder

Answer: (D) Somatoform Pain Disorder


This is characterized by severe and prolonged pain that causes significant distress. A. This is a chronic syndrome of
somatic symptoms that cannot be explained medically and is associated with psychosocial distress. B. This is an
unrealistic preoccupation with a fear of having a serious illness. C. Characterized by alteration or loss in sensory or
motor function resulting from a psychological conflict.

Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders
is vital. When planning school interventions for a child with a diagnosis of attention deficit
hyperactivity disorder, a guide to remember is to:

a.

provide as much structure as possible for the child

b.

ignore the childs overactivity.

c.

encourage the child to engage in any play activity to dissipate energy

d.

remove the child from the classroom when disruptive behavior occurs

Answer: (A) provide as much structure as possible for the child


Decrease stimuli for behavior control thru an environment that is free of distractions, a calm non confrontational
approach and setting limit to time allotted for activities. B. The child will not benefit from a lenient approach. C.
Dissipate energy through safe activities. D. This indicates that the classroom environment lacks structure.

The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may
be taught except:
a.

overprotection of the child

b.

patience, routine and repetition

c.

assisting the parents set realistic goals

d.

giving reasonable compliments

Answer: (A) overprotection of the child


The child with mental retardation should not be overprotected but need protection from injury and the teasing of other
children. B,C, and D Children with mental retardation have learning difficulty. They should be taught with patience and
repetition, start from simple to complex, use visuals and compliment them for motivation. Realistic expectations
should be set and optimize their capability.

The therapeutic approach in the care of an autistic child include the following EXCEPT:
a.

Engage in diversionary activities when acting -out

b.

Provide an atmosphere of acceptance

c.

Provide safety measures

d.

Rearrange the environment to activate the child

Answer: (D) Rearrange the environment to activate the child


The child with autistic disorder does not want change. Maintaining a consistent environment is therapeutic. A. Angry
outburst can be rechannelled through safe activities. B. Acceptance enhances a trusting relationship. C. Ensure
safety from self-destructive behaviors like head banging and hair pulling.

According to Piaget a 5 year old is in what stage of development:


a.

Sensory motor stage

b.

Concrete operations

c.

Pre-operational

d.

Formal operation

Answer: (C) Pre-operational


Pre-operational stage (2-7 years) is the stage when the use of language, the use of symbols and the concept of time

occur. A. Sensory-motor stage (0-2 years) is the stage when the child uses the senses in learning about the self and
the environment through exploration. B. Concrete operations (7-12 years) when inductive reasoning develops. D.
Formal operations (2 till adulthood) is when abstract thinking and deductive reasoning develop.