MENTAL HEALTH AND PSYCHIATRIC NURSING

COMPREHENSIVE EXAMINATION
by: Dr. Ma. Socorro Guang Hing
1. D
2. A 9-year-old would have successfully achieved
her stage of development when she has:
A. self control and will power
B. adequate conscience
C. sense of competence
D. ability to give and receive love

3. The nurse is asked by a male client for a date

when he is discharge Which response is most
appropriate?"
A.“I may consider dating you when you are fully
recovered."
B."I'm sorry but I already have a special someone."
C."It's against hospital policy to date patients:"
D."This is a professional relationship, and we need to
stay clear on that."

4. One example of the psychiatric nurse's role in my

primary prevention is:
A. Visiting the client's home to discuss medication
management
B. Handling crisis intervention in an outpatient setting
C. Managing a post-discharge support group
D. Conducting sex education classes for high school
students

5. Therapeutic use of self entails the following:

A. Self awareness, assertiveness, clinical skills
B. Tolerance, self understanding and patience
C. Self awareness, understanding human behavibr and
communication skills
D. Self understanding, empathy, and self-regulation
6. The initial goal of the nurse who admits the
client should be focused on:
A. Making the client feel safe and accepted.
B. Helping the client get acquainted with others.
C. Giving the client information about the ward
D. Assessing and history taking

7. The following are violations of empathy in the

nurse client relationship except:
A. Responding in a non - punitive manner to the
patient.
B. Rejecting the client as a unique human being
C. Tolerating all behaviors of the patient.
D. Pitying a verbally abused client.

8. A nurse says to her client "Our interaction is

confidential provided what you tell me is not
detrimental to your safety." Upholding this is a gauge
of the nurse's:
A, Trustworthiness
B. Empathy
C. Loyalty
D. Sensitivity

9. A nurse is teaching stress management for

clients. Which of the following beliefs advocates
this method of coping with stressful life events?
A. Avoidance of stress is an important goal of living.
B. Control over one's response to stress is possible.
C. Most people have no control over their level of
stress.
D. Significant others are important to provide care and
concern.

10. Art therapy among psychiatric patients:

A. Uses reading materials for emotional maturity
B. Promotes interaction through reality - based topics
C. Offers a non-verbal means to express emotions
through drawing and painting
D. Is the purposeful use of music to express feelings
Situation: Vi, thirty years old unemployed was
admitted to the psychiatric ward due to hearing
frightening voices and bizarre behaviors. Her
condition, started 6 months ago when she was
maltreated by her husband.

11. Which one of the following dysfunctional

relationships predispose to schizophrenia?
A., inconsistent behaviors and faulty communication
B. lack of participation with peers
C. domineering parents
D. inherited familial predispositions

12. When attempting to validate the mumbling

and talking to self - behavior of the client, the
nurse says?
A.,"Tell me what you are experiencing."
B."I don't see anyone here but you and I."
C."You were moving your lips. Are you hearing voices?"
D."Let's find out what you are trying to communicate".

13. In the ward Vi claims,"I can see faces

hovering over me" when it's just the nurse and
the patient in the room, indicates disturbance in:
1. Thought
2. Reality testing
3. Perception
4. Judgement
A. 1,2
B. 1,3
C. 2,3
D. 2,3,4
14. One day Vi had auditory hallucinations and
whispers to the nurse "Did you hear that terrible
man?" Which would be the best initial response by
the nurse?
A."I didn ' hear anything. What does the voice seem to be
saying?"
B."I didn't hear what the man sai Let's talk about
something else."
C."Who is he? Do you know him?"
D."I didn't hear anything. Let's talk about how you feel."

15. Vi-needs further discussion about her

medication Haldol when she says:
A. I should take fluids and fiber rich foods."
B."I will report restlessness and fidgeting."
C."I may need to wear long sleeve clothes".
D. It is normal to have changes in my temperature.'

Situation: Jie, 18 years old, was noticed by the

mother to have lost weight and has lost interest in
her studies and going out with friends.

16. While the nurse is interviewing the patient she

stares blankly and utters incomprehensible words. The
nurse would best chart this behavior as:
A,"Uncooperative during the interview."
B."Responded to queries with blank looks and
mumbles words."
C."Can't answer queries of the nurse during the
interview."
D."Stares blankly and speaks softly."

17. Which activity would be inappropriate for

her initially?
A. Açcompany her in the room even without speaking.
B. Doing art activity with the nurse
C. Activities like relay to stimulate her
D. Walking with her to the social hall.

18. Jie is recommended for ECT. Which of the

following is true regarding his preparation?
A. The client is on NPO for 4 hours.
B. Similar to that of EEG
C. Similar to that of a client who will be under
general anesthesia
D. Obtain consent from the client

20. The community health nurse talks about

primary prevention for depression. Which of the
following will be most helpful?
A. Keep self-busy so as not to confront problems
B. Use of crisis intervention services
C. Use of antidepressants
D. Verbalizing rather than internalizing feelings.

Situation: Andy 26 years old, was admitted to the

psychiatric unit due to plans of self-violence.

21. The following are manifestations of potential

for violence, self-directed EXCEPT:
A. The client claimed "T'don't find life worth living.'
B. The client refused to eat for the past 2 days.
C. The nurse found a cord in the client's bag.
D. The client bathed alone.

19. Jie told the nurse "My family will be better off
without me." To ensure the client's safety the nurse
places Jie in seclusion. This is a violation of the
patient's right to:
A. Privacy
B. Confidentiality
C. Informed consent
D. Least restrictive environment

23. Which approach is most appropriate when

Andy attempts suicide by cutting his wrist with a
sharpened toothbrush?
A. Discourage him to talk about his suicide attempt.
B. Use on site watcher to periodically monitor the
client.
C. Allowing him to remain alone. in a locked room
near the nurse's station.
D. One on one continuous observation of the patient.

22. For the nursing diagnosis Risk for self-

directed violence, which action should the nurse
take first?
A, Instruct him to seek out the staff when he has thoughts
of harming himself.
B. Have him agree to a No Suicide contract.
C. Remove all potentially harmful obiects from the
environment.
D. Assign him to a double room occupied by another
patient.

24. Andy states "Now that my wife is dead Idon't

want to live anymore." The nurse therapeutically
responds by saying:
A."Life doesn't look promising now. Do you feel like
hurting yourself?"
B."You shouldn't feel so hopeless."
C."You don't feel like living?"
D."What about your children?"

25. Which of the following will be most important

to report to the staff?
A. Andy spent most of the day in his room.
B. Andy refused to participate in the group today.
C. Andy lost 4 pounds since admission
D. Andy participated in the card game for the first
time.
Situation: Bong,23 years old is brought to the
psychiatric unit because of agitation
challenging people into fight.

26. On admission the client is noted to be pacing up

and down the hall. To establish the nurse-client
relationship which should the nurse try first?
A. Explain the importance of doing assessment.
B. Remain nearby to observe the patient until he is
calmer.
C. Call the physician for sedation.
D. Ask him to sit down and orient him to the ward

28. The niirse' observes the client pacing the hall in

clenched fists and flushed face. He is yelling and
swearing. In what phase of the aggression cycle is he
in?
A. Anger
B. Escalation
C. Triggering
D. Crisis

27. When interacting with an aggressive client

the nurse:
A. Stares at the client to establish eye contact.
B. Has her arms crossed at the back.
C. Has her hands on the sides with palms up.,
D. Warns him that he will be restrained if he does not
stop.

29. The client is taught assertiveness, exemplified

by which statement?
A:"I wish you would stop making me angry.
B."Ifeel angry when you walk away when I am
talking.
C."You never listen to me when I am talking.
D."You make me angry when you interrupt me."
Situation: Emman, 20 years old, an alcoholic for 5
years, was brought by his parents to the
rehabilitation center for detoxification.

30. Bong tends to be verbally aggressive. To help

Bong better handle his feelings which of the
following nursing actions would be most helpful?
A. Watching videotapes Bout assertiveness.
B. Role playing new behaviors on expression of feelings
C. Acknowledging his feelings
D. Talk about the disadvantages of angry outbursts

31. An enabling attitude of the nurse in caring for.

drug dependent persons is which one of the
following?
A. Moralizing the client for his drug abuse
B. Agreeing with the client's reasons for abusing drogra u
C. Talking with the client about his drinking behavior
D. Understanding the reason for the drug problem

32. Later in the afternoon, Emman shows signs of

alcohol withdrawal as evidenced by diaphoresis
tremors and anxiety. What medication will likely be
prescribed for
A,Thorazine
B. Valium
C. Benadryl
D. Dilantin

34. The best nursing intervention when Emil

manifests alcohol withdrawal delirium is:
A. Keep him restrained in bed.
B. Check his blood pressure every 15 minutes
C. Keep the room dim.
D. Provide a quiet environment.
35. Emil says that he only uses alcohol because of
his stressful married life, is using which
defense mechanism?
A, displacement
B. projection
C. rationalization
D. sublimation

Situation: Grief is a normal reaction to loss.

36. Jim is admitted due to complicated COVID) One
day the client tells the nurse "it's all my fault. I did not
abide with the minimum health protocols. Now Crod is
punishing me." The nurse therapeutically responds by
saying:
A."Don't be hard on yourself. Its not your fault'
B."You feel that you deserve to be sick"
C." Don't say that. God is all forgiving."
D." You should have taken precautionary measures."

37. The nurse knows that a dying patient should

be encouraged to talk about death and dying.
The most therapeutic approach is to:
A. confront Jim with the facts about his illness and
impending death to encourage open discussion
B. encourage the family members to raise the issue of
dying
C. verify what the physician has told Jim about his diagnosis
[Link] about dying and death when the client says "Am I
dying?"

38. Which of the following nursing interventions

is least helpful for a grieving client:
A, Allowing denial when it is useful initially
B. Assuring the client that it will get better
C. Providing attentive presence
D. Reviewing past coping behaviors

39. Critical factors for successful resolutibn of

grieving are the following but:
A. the murse's healthy attitudes about grief
B. the client's adequate perception about the loss
C. adequate support given to the client
D. client's adequate coping resources

40. Which situation is the highest risk factor for

complicated grief:
A, lack of experience of loss in the past
B. childbirth, marriage and divorce
C. sudden, unexpected death
D. inadequate support

Situation: A nurse may find clients in the hospital

or community setting who are victims of violence.

41. Mrs. C,40 years old suspected as a victim of

spouse abuse. In conducting an interview which
should the nurse do first?
A. Contact the appropriate legal services
B. Ensure privacy for interviewing Mrs: Caway from
the abuser
C. Establish rapport with the victim and the abuser.
D. Request the presence of the security personnel.

42. Assessment shows that Mrs. C has bruises

on her arms. The priority nursing intervention is:
A, Encourage her to leave her husband.
B. Instruct him to file a case against the husband.
C. Provide information about spouse abuse and resources.
D. Assess her for other injuries

43. Which of the following actions will be least

helpful for a battered client?
A, Helping the client displace her feelings
B. Giving her information about a safe home and a
crisis help line telephone number.
C. Teaching the client about the cycle of abuse.
D. Discussing the client's legal and personal rights.

44. A comes to the Emergency Room and says “I

have just been raped." What should the nurse
do?
A, Offer the client drink that she wants to help her
relax
B. Stay with the client and allow her to express
whatever she wants
C. Get the examination completed quickly
D. Leave her alone to provide privacy

45. A asks the nurse "What's wrong with me?”

Which response is most therapeutic?
A.,"Many people experience intense reacti
ons followring a
frightening experience."
B."Your reactions are means of working off psychic
energy."
C."Nothing is wrong with you."
D."Why do you think there's something wrong with you?"

Situation: Mel persistently complained of headache

after she was dismissed from her jo Her complaints do
not have demonstrable organic findings.
46. The appropriate nursing diagnosis for Mel is:
A. Altered role performance
B. Powerlessness
C. Ineffective individual coping
D. Low esteem
47. The focus of the nurse client relationship is to:
A. Improve the over-all functioning of the client.
B. To assume responsibility for all the patient's needs,
C. Encourage verbalization of complaints.
D. Help connect her symptoms with her conflicty

48. The nurse's use of matter of fact, caring

approach is aimed at:
A, Inereasing the need for physical symptoms.
B. Increasing adaptive coping through assertiveness._
C. Decreasing secondary gains.
D. Decreasing the patient's discomfort.

49. A nursing diagnosis of Ineffective coping is

identified An appropriate long-term goal is that
the patient will:
A. Assume responsibility for independent functioning.
B. Demonstrate ability to cope with stress by other 2 means.
C. Schedule appointments with a therapist.
D. Verbalize that his symptoms are related to his stress

50. Which statement by the client indicates that

the goal of stress management was attained?
A,"I still hurt."
B."I enjoy being given attention by others."
C."I feel relaxed after the breathing activity."
D."I felt better after discussing my feelings with you.”

Situation: Domna, 36, single an OPD client is

described as perfectionist, organized, task-oriented
secretary, and wants everything in order. Before
going home, her compulsions include checking the
locks on doors and recounting files of papers."

51. Performing rituals helps Donna:

A. avoid an extreme tension
B. make up for her shortcomings
C. get attention
D. express feelings of autonomy

52. Donna's anxiety is disabling and interferes with her

social and occupational functioning and activities of
daily living. The level of anxiety that Donna is
experiencing is:
A. Mild
B. Moderate
C. Severe
D. Panic

53. In dealing with her behavior, the nurse should

carry out the following nursing interventions:
A,Encourage her to check. door locks and electrical gadgets
B. Tell her she can engage in her checking behaviors ten times only
C. Call her attention to her rituals
D. Engage in alternative behaviors to deal with increased anxiety

54. Which of the following indicates the need for

discussing further about her medication Valium?
A.,"I might have constipation."
B."I should not drive or operate dangerous machinery
C."I can take any food I want"
D. "I have to gradually stand from lying position."

55. An appropriate statement of short - term goal

for Donna is that after one week she will:
A. Demonstrate decreased anxiety.
B. Participate in daily exercise activity
C. Identify the underlying reason for the rituals.
D. Increase her self - esteem.

Situation: Mr. R, a 59-year-old lawyer is admitted

the psychiatric ward due to Alzheimer's Disease.
The daughter reports that he has also deterioration
in hearing
56. The manifestations of Alzheimer's disease are
the following:
A. disorientation, confusibn, sundowning
B. inattention, impaired consciousness,
hallucinations
C. Aphasia, apraxia, agnosia and amnesia
D. Agnosia, anergia, agitation & anhedonia

57. To alleviate the client's confusion one of the

following is the most effective approach:
A. Frequent use of the client's name by the nurse
B. Encourage the client to engage in a variety of
activities
C. Be patient in presenting reality
D. Distract the client's attention.

58. The thought alterations of the client places

highest priority to her need for:
A, Nutrition
B. Comfort
C. Safety
D. Hygiene

59. The daughter of Mr. R says that he has

become very loud and had the tendency to
become aggressive. This can be explained as;
A, Due to unresolved conflicts of childhood
B. To adjust to his sensory impairment
C. An attempt to assert his authority
D. An indifference to the outside world

60. The nurse can be of assistance to the tlient

by avoiding which of the following:
A. Supporting the client to do as much self-care within his capability
B. Allowing more time in performing self-care practices
C. Speaking clearly and slowly
D. Frequent rearranging of his room.

Situation:Sarah, 28 years old, a saleslady, was

accompanied by her relatives for admission with the
following, complaints: elevated, expansive mood,
constantly, moving around, with rapid speech, and
easily irritated.

61. During intake interview, Sarah is easily distracted

and jumps from one topic to another. Which among
the following is the appropriate nurse's statements for
Sarah's behavior?_
A.,"Sarah stop looking around and concentrate on my questions.
B."You mentioned about your job, can you tell me more about your work.'
C."Which topic would you like to take for discussion"
D."I don't understand what you're saying. Focus on one topic."

63. Sarah stated,"I am an important person, and

I deserve special treatment."Appropriate nurse's
response is:
A."How can that happen? You're just a saleslady."
B."If you are truly what you claim, then people
should be respectful to you."
C."Sarah, it's time to eat your dinner."
D."Sarah, how about telling me more aboitt pour
work as a saleslady."

64. Sarah demands to watch TV beyond vidwing

time. The nurse is therapeutic when she:
A. Allows her to extend viewing time just this once.
B. Tells her what you expect and be steady.
C. Reasons with her about the ward rules.
D. Ignores her attempts at getting her way.

65. Which of the following is indicated when the

serum lithium is 1.2 m/Eq per liter?
A. Request for serum lithium determination
B. Request the doctor to change the medications
C. Give the next dose
D. Stop the next dose and inform the physician

Situation:' Mr. Sy, 48 years old, married was

brought to the psychiatric unit due to depression.→

66. He became increasingly non-verbal and refuses to eat. He isolates himself in a room.
Themost therapeutic approach would be:
A. Prevent any further regression by requiring him to assume self-care
B. Allow him to be alone for longer period of time to make him feel secure.
C. Insist that he join other patients, set limits on how much time
D. Maintain consistent contact even if he does not respond

67. He has remained quiet and with a faraway

look. To encourage the client to talk what would
the nurse say?
A."Iy there anything that is bothering you?"
B."What are you thinking."
C."Use this time to talk about yourself'
D."I have something to tell you."

68. Mr. Sy stays alone most of the time in his room and
speaks only when addressed, answering briefly with
his eyes on the floor. The appropriate nursing
diagnosis identified is:
A. Altered thought process
B. Altred role performance
C. Self- esteem disturbance
D. Impaired social interaction
69. Mr. Sy remains non-verbal. Which is the
appropriate short term goal in his care plan?
A., Approach the murse for interaction at the end of the
B. Verbally interact with the nurse for 5 minutes in a week
C. Problem solve with the nurse in I week.
D. Participate in milieu activities by the end of the week

70. The elient is taking Parnate. The client heeds

further teaching when he says,"It's ok to eat..":
A,Nuts
B. Grain cereals
C. Pizza
D. Fresh grapes

71. You are working in a psychiatric-mental health

facility and assessing the clients' risk for. suicidal
behaviors. Which of the following client's would be at
higher risk?
A., A client who lost a limb and claims "I am hopeless."
B. A client with panic attack who has never had a
suicide attempt.
C. A client with diabetes who has no support system
D. A client with depression who refuses to eat.

Situation: Robert met an accident after his girlfriend

broke up with him. He escaped death after an
indiscriminate shooting that occurred in the workplace.
He underwent leg amputation because of a severe injury.

72. The client is experiencing what type of crisis:

A. Developmental
B. Situational
C. Adventitious
D. Both situational and adventitious

73. All these are characteristics of crisis except:

A, Usual problem solving behaviors fail.
B. Significant others are affected.
C. A higher level of adaptation is possible.
D. Crisis is mental illness.
74. In doing intervention to Robert which of
these statements by the nurse is appropriate initially?
A,"Tell me, what is your understanding of this event in
yoúr life?"
[Link] i you lifwil b abl to assist o while
recuperating?"
C." What are the things that you can do to continue your
usual routines?"
D."What do you think will be the effect of this situation to
your famiy?”

75. Which of the following roles of the nurse will

be most helpful for Robert to engage in problem solving?
A., counselor
B. socializing agent
C. teacher
D. patient advocate

Situation: The nurse is assigned to render care to anxious clients.

76. The nurse evaluates the client's response to

crisis as favorable if the client:
A. Changes coping and behavioral patterns.
B. Develop insight into why crisis occurred.
C. Discusses alternative coping.
D. Returns to previous level of functioning.

77. Anxiety may be triggered by:

A. Physiologic changes
B. Psychosocial impairment
C. A perceived threat
D. An objective upsetting event

78. An anxious client cannot keep still during the

interview. His response is vague and not focused on the
nurses' question. He can follow instructions when
assisted by the nurse. The client's level of anxiety is:
A, mild
B. moderate
C. severe
D. panic

79. When assessing a client with anxiety the

nurse's question should be:
A, Avoided until the anxiety is gone
B. open-ended
C. concise, specific and direct
D. postponed until the client volunteers information

80. A client with Generalized Anxiety Digorder

experiences excessive uncontrollable worry about
events. When interacting with the client the
emost
appropriate statement by the nurse is:
A."Why are you upset?"
B." Are you thinking a lot about your problems?"
C."I can see that you are upset. This must be a
difcult time for you."
D."Perhaps we can talk about your family.

81. The expected outcome when teaching a client

relaxation technique is that the client will:
A, Confront the source of the anxiety directly
B. Report no episodes of anxiety
C. Suppress anxious feelings
D. Experience anxiely without feeling overwhelmed

82. Which of the following manifestations will

most likely be observed in a client with panic
attack?
A.. Slight muscle tension, can concentrate, thoughts are
connected
B. Rapidly breathing, severe headache, high pitched speech
C. Inability to keep still, narrowed perception, diaphoresis
D. Mte, immobile, loss of rational thought

83. Which is the best intervention for a client

having a panic attack:
A. Inyolve the client in a physical activity
B. Remain with the client
C. Teach the client relaxation technique
D. Offer distraction such as music.
84. The client' with anxiety disorder states" I have
learned that the best thing I can do is to forget my
fears and worries." How would the nurse evaluate this
statement?
A, The client is developing insight
B. The client's coping skills have improved.
C. The client needs encouragement to verbalize
feelings.
D. The client's treatment has been successful

Situation:The nurse is assigned to take care of AA with eating disorder.

85. These are characteristics of bulimia nervosa EXCEPT:
A. preoccupied with eating
B. feeling of guilt and shame about eating behavior
C. afraid of gaining weight
D. Aware of her eating problem

86. After a fight with her boyfriend AA consumed

2 pizzas, a gallon of ice cream and made herself
vomit after These behaviors are her attempts to:
A, handle a chaotic family
B. deal with feelings of powerlessness
C. deal with anxiety
D. compensate for her low esteem

87. When taking care of a hospitalized bulimic

patient, the least appropriate nursing action of a
nurse is:
A. promote an accepting, non-judgmental atmosphere
B. encourage joining self-help groups like Over-eaters
Anonymous
C. allow greater degree of independence in choosing
food
D. encourage to talk about stressful issues

88. Which behavior of AA indicates a positive

progress in her treatment?
A,AA can identify calorie content for each meal
B. AA identifies healthy ways of coping with anxrety
C. AA spends time resting in her room after meals
D. AA verbalizes her eating patterns are unhealthy.

Situation: A nurse renders care' to children with maladaptive behaviors.

89. T age 2 is described by his parents as being

indifferent and "slow". He is attached to his blanket,
frequently bangs his head and demonstrates no speech.
The nurse suspects that T has:
A. Separation Anxiety Disorder
B. Attention Deficit Disorder
C. Autism Spectrum Disorder
D. Oppositional Defiant Disorder

90. Which approach is best for the nurse to take with T.?
A. Hold and cuddle him to make him feel secure,
B. Ask his mother to temporarily give up care of him
C. Provide a safe, consistent environment for him.
D. Have him maintained in the psychiatric unit

91. Primary treatment goals for T's recbvery

should include all of the following EXCEPT:
A, Developing self-concept
B. Maintaining contact with reality
C. Accepting healthy nurturance
D. Encouraging T to play with a bail

92. Ely is newly diagnosed with Intellectual

Disability. His IQ is between 56-70. What type of
mental disability does Ely have?
A,Mild
B. Moderate
C. Severe
D. Borderline
93. Which of these characteristics isnot applicable for Ely?
A, Can lear to read and write
B. Can learn activities of daily living
C. Can function in society
D. In need of custodial care

94. Pio thinks that he is being followed by agents

who are after secret papers in his bridfcase
indicates which nursing diagnosis?
A. Sensory perceptual alteration
B. Impaired verbal communication
C. Alteration in thought process
D. Social isolation

95. In the morning Pio claims "The doctor and all

of you nurses are conspiring about me. You know what I mean." Which is the nurse's most therapeutic
response?
A. Thát simply isn't true. Just stay calm."
B."I'll see if I can find the doctor for you."
C."I don't know what you mean, but you're secure here."
D."You must feel very frightened. You're safe here.

96. A fter 2 days in the unit, Pio still refuses to eat

most hospital meals. He has been observed
drinking bottled soda and juices in tetra pack.
Which approach is best at this time?
A. Have the staff eat meals with Pio.
B. Allow Pio to request food from home.
C. Serve Pio botled drinks and food in packed
containers.
D. Ignore his refusal to eat and recognize that he will
eat when he is hungry.

97. After taking Haloperidol for 3 days,Pio is

noted to have inability to sit still, restlesy and
fidgety. The nurse anticipates that Pio will be
prescribed:
A! Librium (Chlordiazepoxide)
B. Cogentin (Benztropin mnesylate)
C. Tofranil (Imipramine Hydrochloride)
D. Thorazine (Chlorpromazine)

Situation: Bea is brought to the psychiatric ward

due her tendency to do self- harm. She claims
that she quits her job after only a short time
because the people do not seem to like her
Impression: Personality Disorder

98. Bea's initialdiagnosis is Bordérline personality Disorder. Which symptoms support this?
A.. Insability in relationship, strong dependency needs and
impulsive behavior
B. Apathy, social withdrawal, and solitary lifestyle
C. Suspiciousness, hypervigilance and emotional coldness
D. Insensitivity to others, sexual acting out and violence.

99. Bea has a nursing diagnosis of Violence, risk for: self-directed.

Which behavior would indicate a positive outcome of the intervention?
A.. The client denies feelings of wanting to harm anyone.
B. The client expresses feelings of anger towards others.
C. The client makes her requests at appropriate times.
D. The client seeks the nuirse when she feels like harming herself.

100. Which of the following actions should the

nurse include in the care plan of a client with
borderline personality disorder?
A. Supporting the patient when arguments arise
B. Encouraging the client develop his care plan
C. Channeling all patient's request through a nurse
per shifi.
D. Grant all the client's request to minimize her angry
outburst