1 :

Hint : 🧩 Freud’s structural personality theory

Correct Answers:

  • Sigmund Freud


Rationale :

🧠 Sigmund Freud, the father of psychoanalysis, proposed the structural model of personality, which consists of the id, ego, and superego.

🧠 The id operates on the pleasure principle, seeking instant gratification of instincts.

🧠 The ego functions on the reality principle, mediating between the id and external world.

🧠 The superego represents moral conscience and societal rules, influencing judgment and values.

🧠 This model explains human behavior, defense mechanisms, and intrapsychic conflict, forming the foundation of psychodynamic theory.


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2 :

Hint : 💊 Ordered ÷ Available = tablets

Correct Answers:

  • 3


Rationale :

Ordered dose: 30 mg

Available dose: 10 mg/tablet

Tablets to administer = 30 mg ÷ 10 mg/tablet = 3 tablets

Answer: 3 tablets


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3 :

Hint : 🔄 Normal life transition stress

Correct Answers:

  • A temporary state of emotional turmoil and confusion that arises during a predictable event and or significant li transitions


Rationale :

🟢 Maturational crises are predictable, developmental events that occur during normal life transitions, such as adolescence, marriage, parenthood, or aging.

🟢 For a teen like Marcus, this crisis may involve identity confusion, peer pressure, academic stress, or independence struggles as part of normal developmental changes.

🟢 These crises are temporary and self-limiting, often resolving with supportive counseling, coping skills, and guidance.

🟢 Unlike genetic disorders or chronic mental illnesses , maturational crises are not permanent and do not require long-term psychiatric care.


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4 :

Hint : 💊 Ordered ÷ Available = tablets

Correct Answers:

  • 2


Rationale :

Ordered dose: 1400 mg

Available dose: 700 mg/tablet

Tablets to administer = 1400 mg ÷ 700 mg/tablet = 2 tablets


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5 :

Hint : 😐 No expression = flat affect

Correct Answers:

  • Flat affect


Rationale :

🟢 Flat affect refers to a complete or near-complete absence of emotional expression, where the face appears immobile and voice lacks inflection, even in emotionally stimulating situations.

🟢 The client showing no facial expression while playing a game is consistent with this definition.

🟢 Blunt affect shows minimal emotional expression but not complete absence.

🟢 Restricted affect involves a limited range of emotions, and broad affect indicates normal emotional variability.

🟢 Flat affect is often associated with schizophrenia, severe depression, or other psychiatric conditions.


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6 :

Hint : 🤝 Show respect, not judgment

Correct Answers:

  • "How is not working right now affecting you?"


Rationale :

💠 Positive regard in therapeutic communication means showing respect, acceptance, and nonjudgmental interest in the client’s experiences and feelings.

💠 Asking how not working is affecting him focuses on his feelings and current situation, rather than criticizing or imposing the nurse’s values.

💠 This approach encourages open discussion and self-reflection, which may lead the client to consider his family responsibilities without feeling attacked.

💠 The other options are judgmental or dismissive , which can create defensiveness and hinder therapeutic rapport.


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7 :

Hint : 👀 Observe body and tone cues

Correct Answers:

  • Nonverbal communication is the behavior that accompanies verbal content such as body language, eye contact, facial expression, tone of voice. speed and hesitations in speech, grunts and groans and distance from the speakers.


Rationale :

💬 Nonverbal communication provides crucial insight into a client’s true emotions, especially in mental health care, where verbal statements may not fully reflect internal feelings.

💬 Body language, facial expressions, and tone of voice often reveal anxiety, depression, or agitation before the client verbalizes it.

💬 Observing speech hesitations, changes in voice tone, and personal space helps identify emotional distress and build rapport.

💬 Accurate mental health assessment requires integrating both verbal and nonverbal cues to understand the client holistically.


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8 :

Hint : 🛡 Check safety first

Correct Answers:

  • Determining if the client has thoughts of self-harm


Rationale :

🔴 Safety is always the priority in crisis situations. Assessing for suicidal ideation or self-harm thoughts ensures immediate interventions to protect the client from harm.

🔴 Clients in a situational crisis are at increased risk for impulsive self-injurious behaviors due to overwhelming stress.

🔴 Once safety is established, the nurse can proceed with identifying coping skills, available support systems, and the cause of the crisis to plan further interventions.

🔴 This aligns with the nursing principle of Maslow’s hierarchy, where physiological and safety needs come before psychological or social interventions.


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9 :

Hint : 🧠 Behavior always has a cause

Correct Answers:

  • all human behavior is caused and can be explained


Rationale :

💠 Freud’s psychoanalytic theory is based on the principle of psychic determinism, which states that all thoughts, feelings, and behaviors have underlying psychological causes and are not random.

💠 Both conscious and unconscious processes influence behavior, meaning every action is motivated by drives, conflicts, or past experiences.

💠 While free association is a therapeutic technique Freud used, it is not the basic assumption of his theory.

💠 Freud emphasized that understanding these underlying causes, especially unconscious ones, is essential for resolving psychological distress.


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10 :

Hint : 🚨 Safety overrides confidentiality

Correct Answers:

  • The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member


Rationale :

🛡 Duty to warn and protect overrides confidentiality when there is a risk of harm to self or others. Nurses are legally and ethically required to report threats of violence immediately.

🛡 The student nurse should be honest and direct with the client, explaining that safety takes priority and this information must be shared with appropriate staff.

🛡 Keeping such a secret or promising confidentiality and later breaking it damages therapeutic trust.

🛡 Asking the instructor to keep the secret still fails the duty to protect potential victims and violates mandatory reporting laws.


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Total Questions: 10

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