2. The nurse responds to this behavior by:
A. Ignoring his behavior, realizing that he has low self-esteem
B. Informing him that the behavior is unacceptable, limit setting is appropriate
C. Holding a ward meeting where unit appropriate behavior is discussed
D. Ask the Psychiatrist to confront Tom’s behavior

3. In order to get into areas of sex life of a patient, the nurse must first be:
A. Secure about her own sexuality
B. Knowledgeable in what is proper and what is improper sexual behavior
C. Keen about the varieties of sexual expressions
D. Interested, natural and human

4. When the nurse enters the patients room and sees him openly masturbate, what is the best approach to follow?
A. Provide privacy and leave the patient
B. Warn the patient that masturbation can lead to serious illnesses
C. Report the incident to the head nurse and record the observation
D. Tell the patient that masturbation is an unacceptable

5. Baffy, 25y/o was sexually abused by a pedicab driver while on her way home from work one evening as a cashier in a 24 hour convenience store. She was brought to the ER with bruises all over her body. She was crying uncontrollably & appears to be very anxious. Nurse Lena therapeutically communicates with her, saying:
A. You are very upset, calm yourself first Baffy. I can’t understand you.
B. I know something terrible & horrifying happened to you.
C. Would you like to relate to me what happened?
D. Can you identify your abuser?

6. For victims of sexual abuse like Baffy, nurse Lena can help lower her level of anxiety by:
A. Assessing her family history
B. Allowing her to express feelings & concern
C. Identifying coping mechanisms
D. Teaching about human sexuality

7. Emergency care to be given for Rape victims are as follows:
___ 1. If a victim calls the hospital, tell her not to bathe, shower, wash or change clothes, just go the directly to the hospital
___ 2. Provide privacy and be judgemental
___ 3. Stay with the victim, focus on physical safety & emotional security
___ 4. Assist in pelvic examination to collect evidences such as semen, stains
A. 1,2,3
B. 2,3,4
C. 1,2,4
D. 1,3,4

8. In providing nursing care for Baffy during her acute stress reaction to rape trauma, Nurse Lena applies which of the following?
A. Collaboration with community agencies
B. Crisis intervention techniques
C. Physical assessment
D. Teaching & Learning principles

9. To become a patient advocate to rape victims, nurse Lena should note the following responsibilities:
A. Since this is a legal case, call the press
B. Isolate the patient first to provide privacy while attending to other patients
C. Postpone the physical examination, until the patient is calm
D. Perform thorough physical assessment & document objectively all evidences of rape

10. Sheila, 5 years old, was diagnosed as autistic since she was 1 year old. This disorder is characterized by:
A. Anxiety induced involuntary stereotype motor movements
B. Inappropriate behavior, poor attention span with impulsivity
C. Negativistic, hostile and defiant behavior
D. Failure to develop interpersonal skills

11. At her age, Sheila is at what stage of psychosocial development?
A. Industry vs. Inferiority
B. Initiative vs. guilt
C. Trust vs. Mistrust
D. Autonomy vs. Shame and Doubt

12. The best strategy that the nurse can use to provide a trusting relationship with an autistic child like Sheila is to:
A. Reinforce positive behavior through praise and rewards
B. Explain to the child activities and routines
C. Provide a structured environment
D. Convey warmth through touch

13. A distinguishing factor that separates conduct disorder from oppositional defiant disorder in children include the following:
A. Obvious symptoms at birth
B. Violation of rights of others
C. Opposition to authority
D. Angry outburst

14. A normal response to hospitalization for a young child is:
A. being emotionally upset
B. withdrawal from the family
C. regressive behavior
D. free-floating anxiety

15. Prevention of mental retardation begins:
A. As soon as pregnancy is suspected
B. With family planning
C. During the first trimester of pregnancy
D. During the second trimester of pregnancy

16. The real issue in school phobia is not the school itself, but the:
A. separation from the mother
B. teacher
C. school work
D. hostile classmates

17. The priority nursing action for a child with Separation Anxiety disorder is:
A. Assist the child to return to school immediately with family support
B. Arrange for a home-school teacher to visit for 2 weeks
C. Encourage family discussion of various problem areas
D. Use play therapy to help the child express his feelings

18. A child with a depressive disorder is likely to exhibit:
A. Negativism and acting out
B. Sadness and crying
C. Suicidal thoughts
D. Weight gain

19. The parents of a child with Attention Deficit Hyperactivity disorder tells the nurse that they have tried everything to calm their child and nothing has worked. Which action is most appropriate initially?
A. Actively listen to the parents concern before planning interventions
B. Encourage the parents to discuss these issues with the mental health team
C. Provide literature regarding the disorder and its management
D. Tell the parents they are overreacting to the problem

20. The final stage of nurse-client relationship is the termination phase where the:
A. problems are identified
B. problems are resolved
C. problems are examined
D. contract is specified

Score =
Correct answers: