Situation:
Clients with Bipolar disorder receives a very
high
nursing attention due to the increasing rate of
suicide
related to the illness.
51. The
nurse is assigned to care for a recently
admitted
client who has attempted suicide.
What should
the nurse do?
A.
Search the client's belongings and room
carefully
for items that could be used to
attempt
suicide.
B. Express
trust that the client won't cause
self-harm
while in the facility.
C. Respect
the client's privacy by not
searching
any belongings.
D. Remind
all staff members to check on
the client
frequently.
52. In
planning activities for the depressed client,
especially
during the early stages of
hospitalization,
which of the following plan is
best?
A. Provide
an activity that is quiet and
solitary to
avoid increased fatigue such
as working
on a puzzle and reading a
book.
B. Plan
nothing until the client asks to
participate
in the milieu
C. Offer
the client a menu of daily activities
and ask the
client to participate in all of
them
D.
Provide a structured daily program of
activities
and encourage the client to
participate
53. A
client with a diagnosis of major depression,
recurrent
with psychotic features is admitted to
the mental
health unit. To create a safe
environment
for the client, the nurse most
importantly
devises a plan of care that deals
specifically
with the clients:
A.
Disturbed thought process
B.
Imbalanced nutrition
C.
Self-Care Deficit
D.
Deficient Knowledge
54. The
client is taking a Tricyclic anti-depressant,
which of
the following is an example of TCA?
A. Paxil
B. Nardil
C. Zoloft
D.
Pamelor
55. A
client visits the physician's office to seek
treatment
for depression, feelings of
hopelessness,
poor appetite, insomnia, fatigue,
low
self-esteem, poor concentration, and
difficulty
making decisions. The client states that
these
symptoms began at least 2 years ago.
Based on
this report, the nurse suspects:
A.
cyclothymic disorder.
B. Bipolar
disorder
C. major
depression.
D.
dysthymic disorder.
56. The
nurse is planning activities for a client who
has bipolar
disorder, which aggressive social
behaviour.
Which of the following activities
would be
most appropriate for this client?
A. Ping
Pong
B.
Linen delivery
C. Chess
D.
Basketball
57. The
nurse assesses a client with admitted
diagnosis
of bipolar affective disorder, mania.
The symptom
presented by the client that
requires
the nurse’s immediate intervention is
the client’s:
A. Outlandish
behaviour and inappropriate dress
B.
Grandiose delusion of being a royal
descendant
of king arthut
C.
Nonstop physical activity and poor
nutritional
intake
D. Constant
incessant talking that includes
sexual
topics and teasing the staff
58. A nurse
is conducting a group therapy session
and during
the session, A client with mania
consistently
talks and dominates the group. The
behaviour
is disrupting the group interaction.
The nurse
would initially:
A. Ask the
client to leave the group session
B. Tell the
client that she will not be
allowed to
attend any more group sessions
C.
Tell the client that she needs to allow
other
client in a group time to talk
D. Ask another
nurse to escort the client
out of the
group session
59. A
professional artist is admitted to the
psychiatric
unit for treatment of bipolar
disorder.
During the last 2 weeks, the client has
created 154
paintings, slept only 2 to 3 hours
every 2
days, and lost 18 lb (8.2 kg). Based on
Maslow's
hierarchy of needs, what should the
nurse
provide this client with first?
A. The
opportunity to explore family dynamics
B.
Help with re-establishing a normal sleep pattern
C.
Experiences that build self-esteem
D. Art
materials and equipment
60. The
physician orders lithium carbonate
(Lithonate)
for a client who's in the manic phase
of bipolar
disorder. During lithium therapy, the
nurse
should watch for which adverse reactions?
A. Anxiety,
restlessness, and sleep
disturbance
B.
Nausea, diarrhea, tremor, and lethargy
C.
Constipation, lethargy, and ataxia
D.
Weakness, tremor, and urine retention
Situation –
Annie has a morbid fear of heights. She asks
the nurse
what desensitization therapy is:
61. The
accurate information of the nurse of the
goal of
desensitization is:
A.
To help the clients relax and
progressively
work up a list of anxiety
provoking
situations through imagery.
B. To
provide corrective emotional
experiences
through a one-to-one
intensive
relationship.
C. To help
clients in a group therapy setting
to take on
specific roles and reenact in
front of an
audience, situations in which
interpersonal
conflict is involved.
D. To help
clients cope with their problems
by learning
behaviors that are more
functional
and be better equipped to
face
reality and make decisions.
62. It is
essential in desensitization for the patient
to:
A.
Have rapport with the therapist
B. Use deep
breathing or another
relaxation
technique
C. Assess
one’s self for the need of an
anxiolytic
drug
D. Work
through unresolved unconscious
conflicts
63. In this
level of anxiety, cognitive capacity
diminishes.
Focus becomes limited and client
experiences
tunnel vision. Physical signs of
anxiety
become more pronounced.
A.
Severe anxiety
B. Mild
anxiety
C. Panic
D. Moderate
anxiety
64.
Antianxiety medications should be used with
extreme
caution because long term use can lead
to:
A.
Parkinsonian like syndrome
B. Hepatic
failure
C.
Hypertensive crisis
D.
Risk of addiction
65. The
nursing management of anxiety related with
post-traumatic
stress disorder includes all of the
following
EXCEPT:
A.
Encourage participation in recreation or
sports
activities
B.
Reassure client’s safety while touching
client
C. Speak in
a calm soothing voice
D. Remain
with the client while fear level is high
SITUATION:
You are fortunate to be chosen as part of
the
research team in the hospital. A review of the
following
IMPORTANT nursing concepts was made.
66. As a
professional, a nurse can do research for
varied
reason except:
A.
Professional advancement through
research
participation
B. To
validate results of new nursing
modalities
C.
For financial gains
D. To
improve nursing care
67. Each
nurse participants was asked to identify a
problem.
After the identification of the research
problem,
which of the following should be done?
A.
Methodology
B.
Acknowledgement
C.
Review of related literature
D.
Formulate hypothesis
68. Which
of the following communicate the results
of the
research to the readers. They facilitate the
description
of the data.
A.
Hypothesis
B. Research
problem
C.
Statistics
D.
Tables and Graphs
69. In
Quantitative date, which of the following is
described
as the distance in the scoring unites of
the variable
from the highest to the lower?
A.
Frequency
B. Median
C. Mean
D.
Range
70. This
expresses the variability of the data in
reference
to the mean. It provides as with a
numerical
estimate of how far, on the average
the
separate observation are from the mean:
A. Mode
B. Median
C.
Standard deviation
D.
Frequency
Situation:
Survey and Statistics are important part of
research
that is necessary to explain the characteristics
of the
population.
71.
According to the WHO statistics on the Homeless
population
around the world, which of the
following
groups of people in the world
disproportionately
represents the homeless
population?
A.
Hispanics
B.
Asians
C. African
Americans
D.
Caucasians
72. All but
one of the following is not a measure of
Central Tendency:
A. Mode
B. Standard
Deviation
C. Variance
D.
Range
73. In the
value: 87, 85, 88, 92, 90; what is the
mean?
A. 88.2
B.
88.4
C. 87
D. 90
74. In the
value: 80, 80, 80, 82, 82, 90, 90, 100; what
is the
mode?
A.
80
B. 82
C. 90
D. 85.5
75. In the
value: 80, 80, 10, 10, 25, 65, 100, 200;
what is the
median?
A. 71.25
B. 22.5
C. 10 and
25
D.
72.5
76. Draw
Lots, Lottery, Table of random numbers or
a sampling
that ensures that each element of the
population
has an equal and independent
chance of
being chosen is called:
A. Cluster
B.
Stratified
C.
Simple
D.
Systematic
77. An
investigator wants to determine some of the
problems
that are experienced by diabetic
clients
when using an insulin pump. The
investigator
went into a clinic where he
personally
knows several diabetic clients having
problem
with insulin pump. The type of sampling
done by the
investigator is called:
A.
Probability
B. Snowball
C.
Purposive
D.
Incidental
78. If the
researcher implemented a new structured
counselling
program with a randomized group of
subject and
a routine counselling program with
another
randomized group of subject, the
research is
utilizing which design?
A. Quasi
experimental
B.
Comparative
C.
Experimental
D.
Methodological
79. Which
of the following is not true about a Pure
Experimental
research?
A. There is
a control group
B. There is
an experimental group
C.
Selection of subjects in the control group
is
randomized
D.
There is a careful selection of subjects
in
the experimental group
80. The
researcher implemented a medication
regimen
using a new type of combination drugs
to manic
patients while another group of manic
patient
receives the routine drugs. The
researcher
however handpicked the
experimental
group for they are the clients with
multiple
episodes of bipolar disorder. The
researcher
utilized which research design?
A.
Quasi-experimental
B.
Phenomenological
C. Pure
experimental
D.
Longitudinal
Situation
19: As a nurse, you are expected to participate
in
initiating or participating in the conduct of research
studies to
improve nursing practice. You to be updated
on the
latest trends and issues affected the profession
and the
best practices arrived at by the profession.
81. You are
interested to study the effects of
mediation
and relaxation on the pain
experienced
by cancer patients. What type of
variable is
pain?
A.
Dependent
B.
Independent
C.
Correlational
D.
Demographic
82. You
would like to compare the support system
of patient
with chronic illness to those with
acute
illness. How will you best state your
problem?
A. A
descriptive study to compare the
support
system of patients with chronic
illness and
those with acute illness in
terms of
demographic data and
knowledge
about intervention.
B. The
effects of the types of support
system of
patients with chronic illness
and those
with acute illness.
C. A
comparative analysis of the support
system of
patients with chronic illness
and those
with acute illness.
D. A study
to compare the support system
of patients
with chronic illness and those
with acute
illness.
E.
What are the differences of the support
system
being received by patient with
chronic
illness and patients with acute
illness?
83. You
would like to compare the support system
of patients
with chronic illness to those with
acute
illness. Considering that the hypothesis
was: “Client’s
with chronic illness have lesser
support
system than client’s with acute illness.”
What type
of research is this?
A.
Descriptive
B.
Correlational, Non experimental
C.
Experimental
D. Quasi
Experimental
84. In any
research study where individual persons
are
involved, it is important that an informed
consent of
the study is obtained. The following
are
essential information about the consent that
you should
disclose to the prospective subjects
except:
A.
Consent to incomplete disclosure
B.
Description of benefits, risks and
discomforts
C.
Explanation of procedure
D.
Assurance of anonymity and
confidentiality
85. In the
Hypothesis: “The utilization of technology
in teaching
improves the retention and attention
of the
nursing students.” Which is the
dependent
variable?
A.
Utilization of technology
B.
Improvement in the retention and
attention
C. Nursing
students
D. Teaching
Situation:
You are actively practicing nurse who has just
finished
you graduate studies. You learned the value of
research
and would like to utilize the knowledge and
skills
gained in the application of research to the nursing
service.
The following questions apply to research.
86. Which type
of research inquiry investigates the
issues of
human complexity (e.g understanding
the human
expertise)?
A. Logical
position
B.
Positivism
C.
Naturalistic inquiry
D.
Quantitative research
87. Which
of the following studies is based on
quantitative
research?
A. A study
examining the bereavement
process in
spouse of clients with
terminal
cancer
B. A study
exploring the factors influencing
weight
control behaviour
C.
A Study measuring the effects of sleep
deprivation
on wound healing
D. A study
examining client’s feelings
before,
during and after bone marrow
aspiration.
88. Which
of the following studies is based on the
qualitative
research?
A.
A study examining clients’ reaction to
stress
after open heart surgery
B. A study
measuring nutrition and weight
loss/gain
in clients with cancer
C. A study
examining oxygen levels after
endotracheal
suctioning
D. A study
measuring differences in blood
pressure
before, during and after
procedure
89. An 85
year old client in a nursing home tells a
nurse, “I
signed the papers of that research
study
because the doctor was so insistent and I
want him to
continue taking care for me” Which
client
right is being violated?
A.
Right of self determination
B. Right to
full disclosure
C. Right to
privacy and confidentiality
D. Right
not to be harmed
90. A
supposition or system of ideas that is
proposed to
explain a given phenomenon best
defines:
A. A
paradigm
B.
A theory
C. A
Concept
D. A
conceptual framework
Situation:
Mastery of research design determination is
essential
in passing the NLE.
91. Ana
wants to know if the length of time she will
study for
the board examination is proportional
to her
board rating. During the June 2008 board
examination,
she studied for 6 months and
gained 68%,
On the next board exam, she
studied for
6 months again for a total of 1 year
and gained
74%, On the third board exam, She
studied for
6 months for a total of 1 and a half
year and
gained 82%. The research design she
used is:
A.
Comparative
B.
Experimental
C.
Correlational
D. Qualitative
92. Anton
was always eating high fat diet. You want
to
determine if what will be the effect of high
cholesterol
food to Anton in the next 10 years.
You will
use:
A.
Comparative
B.
Historical
C.
Correlational
D.
Longitudinal
93.
Community A was selected randomly as well as
community
B, nurse Edna conducted teaching to
community A
and assess if community A will
have a
better status than community B. This is
an example
of:
A.
Comparative
B.
Experimental
C.
Correlational
D. Qualitative
94. Ana
researched on the development of a new
way to
measure intelligence by creating a 100
item
questionnaire that will assess the cognitive
skills of
an individual. The design best suited for
this study
is:
A.
Historical
B. Survey
C.
Methodological
D. Case
study
95. Gen is
conducting a research study on how mark,
an AIDS
client lives his life. A design suited for
this is:
A.
Historical
B.
Phenomenological
C. Case
Study
D.
Ethnographic
96. Marco
is to perform a study about how nurses
perform
surgical asepsis during World War II. A
design best
for this study is:
A.
Historical
B.
Phenomenological
C. Case
Study
D.
Ethnographic
97. Tonyo
conducts sampling at barangay 412. He
collected
100 random individuals and determine
who is
their favourite comedian actor. 50% said
Dolphy, 20%
said Vic Sotto, while some
answered
Joey de Leon, Allan K, Michael V.
Tonyo
conducted what type of research study?
A.
Phenomenological
B. Non
experimental
C. Case
Study
D.
Survey
98. Jane
visited a tribe located somewhere in China,
it is
called the Shin Jea tribe. She studied the way
of life,
tradition and the societal structure of
these
people. Jane will best use which research
design?
A.
Historical
B.
Phenomenological
C. Case
Study
D.
Ethnographic
99. Anjoe
researched on TB. Its transmission,
Causative
agent and factors, treatment sign and
symptoms as
well as medication and all other in
depth
information about tuberculosis. This study
is best
suited for which research design?
A.
Historical
B. Phenomenological
C.
Case Study
D.
Ethnographic
100. Diana
is to conduct a study about the
relationship
of the number of family members in
the
household and the electricity bill. Which of
the
following is the best research design suited
for this
study?
1. Descriptive
2.
Exploratory
3.
Explanatory
4.
Correlational
5.
Comparative
6.
Experimental
A.
1,4
B. 2,5
C. 3,6
D. 1,5
E. 2,4
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