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Colegio de KidapawanCompetency Appraisal 11

ABC/Maladaptive behavior/ER/Cellular aberrationSecond Semester

School year !1"!1#$R%&& 1

Situation 1: Harry, age 36 is admitted to the psychiatry unit in an acute manic episode of bipolar disorder.

1. Harrys condition is a disturbance of: A. sensorium C. the CS !. cognition ". affect

#. $n the %ard, Harry manifests e&cess energy and is difficult for him to sit still. 'he ()S' useful acti*ityfor him %ould be: A. deli*ering supply of linen to other rooms C. conducting a drama %or+shop !. engaging in acti*ity therapy and group e&ercises ". painting a mural %ith other patients

3. Harrys disrupti*e beha*ior on the unit has been increasingly annoying other clients. hich of thefollo%ing %ould the nurse do- A. set limits on his beha*ior and be consistent in approach !. ma+e a rigid structured plan that he %ill ha*e to follo% C. ignore his beha*ior

". tell him that he is annoying other clients and isolate him in his room

. Harry approaches you and says /$ ha*e a%arded 'op Salesman of the 0ear. (y boss %ill come andcelebarate %ith me. 0ou +no% for a fact that this is )' true. Harry is demonstrating a delusion of: A. achie*ement C. influence !. reference ". grandeur

2. 'he defense mechanism utilied by manic patients to co*er up depression is: A. displacement C. compensation !. denial ". reaction formation

Situation #: 'he nurse obser*ed that (arie, age #4 years old had not been participating in acti*itytherapies.

6. hich of the follo%ing remar+s from the nursing attendants indicates a need for further teaching andobser*ation- A. (arie made no response to an in*itation to play !. (arie preferred to sit at the bench and %atch the ballgame C. (arie is aloof and indifferent to co5patients ". (arie read a boo+ %hile other patients played a ballgame

. (arie said /$ dont li+e to be a part of it. 7oo+, they are being laughed at because they are singing andacting li+e children. 'he nurse notes that in order for the acti*ity therapy to be therapeutic: A. the staff should decide solely %hat acti*ities to be done and %hat rules apply !. patients should be allo%ed solely to decide %hat they %ant to do on their o%n C. ballgames should be limited to male patients only

". age and needs of patient should be considered in the choice of games

4. 'o encourage acti*e participation among patients, it is !8S' to plan acti*ities they can engage inthrough a: A. one to one interaction C. chec+list !. community meeting ". feedbac+ e*aluation forum

9. $n planning acti*ities for the patients, it is essential to consider );8()S': A. safety and security C. no*elty and creati*ity !. *ariety and fun ". e&citement and challenge

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C. e&plain that he is depreciating himself too much". ac+no%ledge ho% he feels and focus on reality oriented topics

#2. 'he psychosocial tas+ that Andy needs to %or+ on is a sense of: A. identity C. autonomy !. trust ". intimacy

Situation 6 Dimmy de*eloped this goal for hospitaliation. /'o get a handle on my ner*ousness. 'he

nurse is going to collaborate %ith him to reach his goal. Dimmy %as admitted to the hospital because he

called his therapist that he planned to asphy&iate himself %ith e&haust from his car but frightened instead.

He realied he needed help.

#6. 'he nurse recognied that Dimmy had conceptualied his problem and the ne&t priority goal in the

care plan is:

a. help the client find meaning in his e&perience

b. help the client to plan alternati*es

c' help the client cope with present problem

d. help the client to communicate

#. 'he nurse is guided that Dimmy is a%are of his concerns of the /here and no% %hen he crossed out

%hich item from this /list of %hat to +no%

a. an&iety laden unconscious conflicts

b. sub>ecti*e idea of the range of mild to se*ere an&iety

c' early signs o( an)iety

d. physiological indices of an&iety

#4. hile Dimmy %as discussing the signs and symptoms of an&iety %ith his nurse, he recognied that

complete disruption of the ability to percei*e occurs in:a. panic state of an&iety

b' severe an)iety

c. moderate an&iety

d. mild an&iety

#9. Dimmy initiates independence and ta+es an acti*e part in his self care %ith the follo%ing 8EC8B':

a' agreeing to contact the sta(( when he is an)ious

b. becoming a%are of the conscious feeling

c. assessing need for medication and medicating himselfd. %riting out a list of beha*iors that he identifies as an&ious

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c. cross5sectional study

d. e*aluati*e study

3#. 'he process recording %as the principal tool for data collection. hich of the follo%ing is )' a part

of a process recording-

a. on *erbal narrati*e account

b. Audio and interpretation

c' Audio"visual recording

d. erbal narrati*e account

33. hich of these does )' happen in a descripti*e study-

a. 8&ploration of relationship bet%een t%o or more phenomena

b. 8&ploration of relationships bet%een t%o or more phenomena

c. (anipulation of phenomenon in real life conte&t

d' Manipulation o( a variable

3. 'he in*estigator also pro*ided the nursing care of the sub>ect. 'he in*estigator is referred to as aFan.

a. Barticipant5obser*er

b. )bser*er researcher

c. Caregi*er

d' Advocate

32. 'o ensure reliability of the study, the in*estigator analysis and interpretations %ere:

a' sub*ected to statistical treatment

b. correlated %ith a list coping beha*iors

c. sub>ected to an inter5obser*e agreement

d scored and compared standard criteria

Situation 4 "uring the morning endorsement, the outgoing nurse informed the nursing staff that ;egina,

2 years old, %as gi*en luraepam ?"almane@ 12 mg at 1

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a. face emerging problems realistically

b. conceptualie her problem

c. cope %ith her present problem

d' perceive her participation in an e)perience

39. hich of these responses indicate that ;egina needs further discussion regarding special

instructions-

a. /$ ha*e to ta+e this medicine >udiciously.

b. /$ +no% 1 %ill stop ta+ing the medicine %hen there is an ad*ice form the doctor for me to discontinue.

c. /$ %ill inform you and the doctor any unto%ard reactions $ ha*e.

d' +% lie taing this sleeping pill' %t solves my problem o( insomnia' % wish % can tae it (or li(e'.

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2. 'he rnentally ill person responds positi*ely to the nurse %ho is %arm and caring. 'his demonstration

of the nurses role as:

a. counselor

b. mother surrogate

c' therapist

d. socialiing agent

Situation 1ust bet%een you and me. Bromise

c. /0es, it is my principle to uphold my clients rights.

d. /0es, you ha*e the right to in*o+e confidentiality of our interaction.

4. hen the nurse respects the clients self5disclosure, this is a gauge for the nurses:

a' trustworthiness

b. loyalty

c. integrity

d. professionalism

9. ;apport has been established in the nurse5client interaction time. $ am committed to ha*e this time

a*ailable for us %hile you are at the hospital and ends after your discharge.

a' +2he best time to tal is during the nurse"client interaction time' % am committed to have this

time available (or us while you are at the hospital and ends a(ter your discharge'.

b. /0es, if you +eep it confidential, this is part of pri*ileged communication.

c. /$ am committed for your care.d. /$ am sorry, though $ %ould %ant to, it is against hospital policy.

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a' schi3oid

b. e&tro*ert

c. ambi*ert

d. cycloid

2#. Camila refuses to relate %ith others because she:

a' is irritable

b. feels superior of others

c. anticipates re>ection

d. is depressed

23. hich of the follo%ing disturbances in interpersonal relationships ()S' often predispose, to the

de*elopment of schiophrenia-

a. 7ac+ of participation in peer groups

b' 4aulty (amily atmosphere and interaction

c. 8&treme rebellion to%ards authority figures

d. Solo parenting

2. Camilas indifference to%ard the en*ironment is a compensatory beha*ior to o*ercome:

a. Juilt feelings

b. Ambi*alence

c' 5arcissistic behavior

d. $nsecurity feelings

22. Schiophrenia is aFan:

a. an&iety disorder

b. neurosis

c' psychosis

d. personalityFdisorder

Situation 1# Dolina is an 14 year old beginning college student. Her mother obser*ed that she is ha*ing

problems relating %ith her friends. She is undecided about her future. She has lost insight, lost interest in

anything and complained and complained of constant tiredness.

26. Dolina is out on antidepressant drugs. 'hese drugs act on the brain chemistry, therefore they %ould beuseful in %hich type of depression-

a. e&ogenous depression

b' neurotic depression

c. endogenous depression

d. psychotic depression

2. 'his is a tricyclic antidepressant drug:

a. enlafa&ine ?8ffe&or@

c. Setraline ?Loloft@

b. lou&etine ?Broac@

d' %mipramine 62o(ranil7

24. After one %ee+ of antidepressant medication, Dolina still manifests depression. 'he nurse e*aluates

this asK

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a. Mnusual because action of antidepressant drug is immediate

b. Mne&pected because therapeutic effecti*eness ta+es %ithin a fe% days

c' E)pected because therapeutic e((ectiveness taes "8 wees

d. $neffecti*e result because perhaps the drugs dosage is inade=uate

29. Dolina continues to *erbalie feeling sad and hopeless. She is not mi&ing %ell %ith other clients. )ne

of the nurses important consideration for Dolina $nitially is to:

a. ormulate a structured schedule so she is able to channel her energies e&ternally

b. 7et her alone until she feels li+e mingling %ith others

c' Encourage her to *oin sociali3ation hour so she will start to relate with others

d. 8ncourage her to >oin group therapy %ith other patients

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c. Confusion

d. Competition