MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
When interviewing the parents of an injured child, which of the following is
the strongest indicator that child abuse may be a problem?
A. The injury isn’t consistent with the history or the child’s age.
B. The mother and father tell different stories regarding what happened.
C. The family is poor.
D. The parents are argumentative and demanding with emergency department
personnel. Rationale- when the child’s injuries are inconsistent with the history given or
impossible because of the child’s development stage, the emergency department nurse
should be suspicious that child abuse is occurring
In the emergency department, a client with facial lacerations states that her husband
beat her with a shoe. After the health care team repairs her lacerations, she waits to be
seen by the crisis intake nurse, who will evaluate the continued threat of violence.
Suddenly the client’s husband arrives, shouting that he wants to “finish the job.” What
is the first priority of the health care worker who witnesses this scene?
A. Remaining with the client and staying calm.
B. Calling a security guard and another staff member for assistance.
C. Telling the client’s husband that he must leave at once.
D. Determining why the husband feels so angry.
Rationale: he health care worker who witnesses this scene must take
precautions to ensure personal as well as client safety, but shouldn’t
attempt to manage a physically aggressive person alone. Therefore, the
first priority is to call a security guard and another staf f member. After
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
,MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
doing this, the health care worker should inform the husband what is
expected, speaking in concise statements and maintaining a firm but calm
demeanor. This approach makes it clear that the health care worker is in
control and may diffuse the situation until the security guard arrives.
Telling the husband to leave would probably be ineffective because of his
agitated and irrational state.
Exploring his anger doesn’t take precedence over safeguarding the client
and staff.
A 24-year old client with anorexia nervosa tells the nurse, “When I look in the mirror, I
hate what I see. I look so fat and ugly.” Which strategy should the nurse use to deal
with the client’s distorted perceptions and feelings?
A. Avoid discussing the client’s perceptions and feelings.
B. Focus discussions on food and weight.
C. Avoid discussing unrealistic cultural standards regarding weight.
D. Provide objective data and feedback regarding the client’s weight
and attractiveness.
Rationale: By focusing on reality this strategy may help the client develop a
more realistic body image and gain self-esteem. Option A is inappropriate
because discussing the client’s perceptions and feeling wouldn’t help her
to identify. Accept. And work through them. Option B: Focusing
discussions on food and weight would give the client attention for not
eating .Option C is inappropriate because recognizing unrealistic cultural
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
,MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
standards wouldn’t help the client establish more realistic weight goals.
Nurse Taylor is aware that the victims of domestic violence should be assessed for
what important information?
A. Reasons they stay in the abusive relationship (for example, lack of financial
autonomy and isolation).
B. Readiness to leave the perpetrator and knowledge of resources.
C. Use of drugs or alcohol.
D. History of previous victimization.
Victims of domestic violence must be assessed for their readiness to
leave the perpetrator and their knowledge of the resources available to
them. Nurses can then provide the victims with information and options
to enable them to leave when they are ready.Option A: The reasons they
stay in the relationship are complex and can be explored at a later
time.Option C: The use of drugs or alcohol is irrelevant.Option D: There is
no evidence to suggest that previous victimization results in a person’s
seeking or causing abusive relationships.
A female client begins to experience alcoholic hallucinosis. Nurse Joy is aware
that the best nursing intervention at this time?
A. Keeping the client restrained in bed.
B. Checking the client’s blood pressure every 15 minutes and offering juices.
C. Providing a quiet environment and administering medication as needed
and prescribed.
D. Restraining the client and measuring blood pressure every 30 minutes.
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
, MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
Macoy and Helen seek emergency crisis intervention because he slapped her
repeatedly the night before. The husband indicates that his childhood was marred by
an abusive relationship with his father. When intervening with this couple, nurse Gerry
knows they are at risk for repeated violence because the husband:
A. Has only moderate impulse control.
B. Denies feelings of jealousy or possessiveness.
C. Has learned violence as an acceptable behavior.
D. Feels secure in his relationship with his wife.
A male client has approached the nurse asking for advice on how to deal with his
alcohol addiction. Nurse Sally should tell the client that the only effective treatment
for alcoholism is:
A. Psychotherapy
B. Total abstinence
C. Alcoholics Anonymous (AA)
D. Aversion therapy
Which nursing intervention would be most appropriate if a male client
develops orthostatic hypotension while taking amitriptyline (Elavil)?
A. Consulting with the physician about substituting a different type of antidepressant.
B. Advising the client to sit up for 1 minute before getting out of bed.
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
When interviewing the parents of an injured child, which of the following is
the strongest indicator that child abuse may be a problem?
A. The injury isn’t consistent with the history or the child’s age.
B. The mother and father tell different stories regarding what happened.
C. The family is poor.
D. The parents are argumentative and demanding with emergency department
personnel. Rationale- when the child’s injuries are inconsistent with the history given or
impossible because of the child’s development stage, the emergency department nurse
should be suspicious that child abuse is occurring
In the emergency department, a client with facial lacerations states that her husband
beat her with a shoe. After the health care team repairs her lacerations, she waits to be
seen by the crisis intake nurse, who will evaluate the continued threat of violence.
Suddenly the client’s husband arrives, shouting that he wants to “finish the job.” What
is the first priority of the health care worker who witnesses this scene?
A. Remaining with the client and staying calm.
B. Calling a security guard and another staff member for assistance.
C. Telling the client’s husband that he must leave at once.
D. Determining why the husband feels so angry.
Rationale: he health care worker who witnesses this scene must take
precautions to ensure personal as well as client safety, but shouldn’t
attempt to manage a physically aggressive person alone. Therefore, the
first priority is to call a security guard and another staf f member. After
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
,MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
doing this, the health care worker should inform the husband what is
expected, speaking in concise statements and maintaining a firm but calm
demeanor. This approach makes it clear that the health care worker is in
control and may diffuse the situation until the security guard arrives.
Telling the husband to leave would probably be ineffective because of his
agitated and irrational state.
Exploring his anger doesn’t take precedence over safeguarding the client
and staff.
A 24-year old client with anorexia nervosa tells the nurse, “When I look in the mirror, I
hate what I see. I look so fat and ugly.” Which strategy should the nurse use to deal
with the client’s distorted perceptions and feelings?
A. Avoid discussing the client’s perceptions and feelings.
B. Focus discussions on food and weight.
C. Avoid discussing unrealistic cultural standards regarding weight.
D. Provide objective data and feedback regarding the client’s weight
and attractiveness.
Rationale: By focusing on reality this strategy may help the client develop a
more realistic body image and gain self-esteem. Option A is inappropriate
because discussing the client’s perceptions and feeling wouldn’t help her
to identify. Accept. And work through them. Option B: Focusing
discussions on food and weight would give the client attention for not
eating .Option C is inappropriate because recognizing unrealistic cultural
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
,MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
standards wouldn’t help the client establish more realistic weight goals.
Nurse Taylor is aware that the victims of domestic violence should be assessed for
what important information?
A. Reasons they stay in the abusive relationship (for example, lack of financial
autonomy and isolation).
B. Readiness to leave the perpetrator and knowledge of resources.
C. Use of drugs or alcohol.
D. History of previous victimization.
Victims of domestic violence must be assessed for their readiness to
leave the perpetrator and their knowledge of the resources available to
them. Nurses can then provide the victims with information and options
to enable them to leave when they are ready.Option A: The reasons they
stay in the relationship are complex and can be explored at a later
time.Option C: The use of drugs or alcohol is irrelevant.Option D: There is
no evidence to suggest that previous victimization results in a person’s
seeking or causing abusive relationships.
A female client begins to experience alcoholic hallucinosis. Nurse Joy is aware
that the best nursing intervention at this time?
A. Keeping the client restrained in bed.
B. Checking the client’s blood pressure every 15 minutes and offering juices.
C. Providing a quiet environment and administering medication as needed
and prescribed.
D. Restraining the client and measuring blood pressure every 30 minutes.
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
, MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
Macoy and Helen seek emergency crisis intervention because he slapped her
repeatedly the night before. The husband indicates that his childhood was marred by
an abusive relationship with his father. When intervening with this couple, nurse Gerry
knows they are at risk for repeated violence because the husband:
A. Has only moderate impulse control.
B. Denies feelings of jealousy or possessiveness.
C. Has learned violence as an acceptable behavior.
D. Feels secure in his relationship with his wife.
A male client has approached the nurse asking for advice on how to deal with his
alcohol addiction. Nurse Sally should tell the client that the only effective treatment
for alcoholism is:
A. Psychotherapy
B. Total abstinence
C. Alcoholics Anonymous (AA)
D. Aversion therapy
Which nursing intervention would be most appropriate if a male client
develops orthostatic hypotension while taking amitriptyline (Elavil)?
A. Consulting with the physician about substituting a different type of antidepressant.
B. Advising the client to sit up for 1 minute before getting out of bed.
MEDICAL COLLEGES OF NORTHERN PHILIPPINES
PSYCHIATRIC NURSING EXAM – RATIONALIZATION best
Rated A guaranteed success latest update 2022+
