BROKENSHIRE COLLEGE SOCSKSARGEN, INC.

National Highway, Lagao, General Santos City

Fides et Servitium

NAME: MAMALUMPONG, JORDAN A. DATE: Feb. 10-11, 2020

PRELIM EXAM-SY 2020-2021

NCM-117
1. Read the questions carefully and select the best answer.
2. Write the letter of your choice before the number.
3. HAND IN YOUR ANSWERS ONLY ON OR BEFORE THE EXACT TIME AS
INSTRUCTED
4. ENJOY AND GOODLUCK!

__B___1. An element of mental health which is characterized by positive evaluation of oneself

and one’s past experience is:
a. Environmental mastery c. autonomy
b. Self-acceptance d. positive relations with others
__C__2. A psychological state of well-being, characterized by continuing personal growth, a
sense of purpose in life, self-acceptance, and positive relations with others.
a. Mental illness c. mental health
b. Mental hospital d. physical health
__A__3. An element of mental health which is the mastery-capacity to manage effectively in the
surrounding world:
a. Environmental mastery c. autonomy
b. Self-acceptance d. positive relations with others
__B___4. One of the following is an example of a factor that can influence mental health in a
social or cultural setting:
a. Intimacy c. effective communication
b. Biological make up d. sense of community
__D___5. Psychiatric Nursing education has been characterized by the “three firsts”. Which of
the ff. is an EXCEPTION?
A. Linda Richards, the first American psychiatric nurse
b. Nursing Mental Disease: the first psychiatric nursing book
C. Hildegard Peplau: the first psychiatric nursing theorist
d. Florence Nightingale: the first nurse-researcher who focused on nursing education
__B___6. Which part of the human personality experiences anxiety and uses defense
mechanisms for protection?
a. Id c. Super ego
b. Ego d. ego ideal
__B___7. The structure of personality that maintains reality orientation and mediates conflict is:
a. Id c. Super ego
b. Ego d. Eros
__C___8. According to psychoanalytical theory, the personality’s first line of defense to keep
unwanted thoughts out of awareness is:
a. Sublimation c. Suppression
b. Anxiety d. Repression
__D___9. According to psychoanalytical theory, problems with excessive orderliness and
neatness arise in which of the following developmental stages?
a. Oral c. Phallic
b. Anal d. Genital
__B___10. Carl Jung termed the public personality, or the aspects of the self that one reveals to
others, the:
a. Anima c. Animus
b. Persona d. Shadow
__B___11. The concept of “good me”, “bad me”, and “not me” was coined by which of the
following theorists?
a. Freud c. Horney
b. Sullivan d. Adler
__D___12. The theorist who defined nursing as a significant, therapeutic, interpersonal process
is:
a. Roy c. Orem
b. Neuman d. Peplau
__C___13. The Psychiatrist from Munich who devised a classification of Mental disorder is:
a. Freud c. Kraeplin
b. Neuman d. Mayer
__C___14. Eugen Bleuler coined the term the 4 A’s of Schizophrenia including the following
EXCEPT:
a. Apathy c. Autism
b. Associative looseness d. Anxiety
__C___15. One of the major concepts of Freud talks about the psychological attachment to
another person or object known as:
a. Libido c. object relations
b. Extroversion d. Interpersonal relationships
__A___16. People who are introverted according to Jung are showing one of the following
characteristics:
a. generally interested in other people & objects of the external world
b. interested in themselves and their internal environment
c. both a and b
d. none of the above
__A___17. The theorist who opposed Freud’s belief that women felt inferior to men because of
their bodies which are less equipped is:
a. Carl Gustav Jung c. Karen Horney
b. Clifford Beers d. Eman Vaillant
__C___18. The following describes the principle and aspects of ego defense mechanism except
one:
a. Can be classified as pathological, mature or immature
b. Keeps unpleasant thoughts out of one’s awareness
c. Leads us to experience guilt sometimes
d. Are our responses towards anxiety
__C___ 19.These defense mechanisms are common in healthy indiv 3-15yo. They may change
w/ improved interpersonal relationships:
a. Pathological mechanisms c. Immature
b. Neurotic d. ideal
__C___20. These are the "psychotic" defences, common in overt psychosis. However, they are
normally found in dreams and throughout childhood as well
a. Immature c. pathological
b. Mature d. Neurotic
__C___ 21. One of the following is a description of Neurotic type of defense mechanisms:
a. have short-term advantages in coping, but can often cause long-term problems in
relationships, work and in enjoying life when used as one's primary style of coping with the
world
b. These defenses help to integrate conflicting emotions and thoughts, whilst still remaining
effective. Those who use these mechanisms are usually considered virtuous
c. Excessive use of such defenses is seen as socially undesirable, in that they are
immature, difficult to deal with and seriously out of touch with reality
d. The users of these mechanisms frequently appear irrational or insane to others
__D__22. Which of the following structures is considered part of the limbic system?
a. Frontal lobe c. Pons
b. Thalamus d. amygdala
__A__23. Which of the following structures associated with the reception of speech is located in
the temporal lobe?
a. Wernicke’s area c. Korsakoff’s area
b. Broca’s area d. Hippocampus
__D__24. 10. Among the following is a neurotransmitter which stimulates the body’s “feel good”
reward pathways which produces pleasant sensation:
a. Serotonin c. Neuropeptides
b. GABA d. Dopamine
__B__25. A major dopaminergic pathway impacts on metabolism, hunger, thirst, sexual
function, circadian rhythm, digestion and temperature control is:
a. Mesocortical c. Substancia nigra
b. Mesolimbic d. Hypothalamic
__D__26. Most central to current hypotheses of psychiatric disorders are:
a. Dopamine, norepinephrine, epinephrine c. dopamine, serotonin and histamine
b. dopamine, serotonin and norepinephrine d. dopamine, serotonin and glutamate

__C__27. A neurotransmitter is considered excitatory if:

a. It slow down nerve impulses
b. It reduces the membrane potential and enhance the transmission of signals between neurons
c. directly and indirectly control the opening or closing of ion channels
d.all of the above
__B__28. Considered as the “ relay- switching center of the brain”:
a. Hypothalamus c. Limbic system
b. Thalamus d. Hippocampus
__B__29.This analyzes the occurrence of a disorder if 1st degree relatives, 2nd degree relatives
or the general population:
a. Community studies c. Adoption studies
b. Family studies d. Twin studies
__C__30.A neurotransmitter that is increased in both manic disorders and schizophrenia while
in depression and parkinsons disease,it is decreased is:
a. Citicholine c. serotonin
b. Dopamine d. GABA
__C__31. The following are functions of neurotransmitter Gamma Amino Butyric acid EXCEPT:
a. slowdown of bodily functions & modulates other neurotransmitters
b. Has inhibitory influence on the activity of the Dopaminergic pathways
c. thought to play in the physical symptoms of Anxiety
d. Has major role of controlling neuronal excitability in the brain

SITUATION: DEFENSE MECHANISMS ARE CONSIDERED PROTECTIVE BARRIER USED

TO MANAGE INSTINCT AND AFFECT IN STRESSFUL SITUATION

__C__32. A 60 year old female client who lives alone tells the nurse at the community health
center “I really don’t need anyone to talk to”. The TV is my best friend.
The nurse recognizes that the client is using the defense mechanism known as?
a. Displacement c. Sublimation
b. Projection d. Denial
__A__33.Joy who has just experienced her second spontaneous abortion expresses anger
towards her physician, the hospital and the “rotten nursing care”. When assessing the situation,
the nurse recognizes that the client may be using the coping mechanism of:
a. Projection c. Denial
b. Displacement d. Reaction formation
__B__34.A client becomes angry and belligerent toward the nurse after speaking on the phone
with his mother. The nurse recognizes this as what defense mechanism?
a. Projection c. Repression
b. Displacement d. Suppression
__D__35.A female client is admitted to the emergency department after being sexually
assaulted. The nurse notes that the client is sitting calmly and quietly in the examination room
and recognizes that this behavior as a protective defense mechanism. What defense
mechanism is the client exhibiting?
a. Suppression c. Denial
b. Regression d. Repression
__C__36. Sublimation is a defense mechanism that helps the individual :
a. Act out in reverse something already done or thought
b. Return to an earlier less mature stage of development
c. Exclude from the conscious things that are psychologically disturbing
d. Channel unacceptable sexual desires into socially approved behavior
__C__37. Which term refers to the primary unconscious defense mechanisms that keeps
intense anxiety out of persons conscious awareness:
a. Suppression c. Denial
b. Repression d. Introjection
__A__38.A man develops blindness after watching his friend get seriously injured in a car
accident:
a. Conversion c. Denial
b. Suppression d. resistance
__C__39. A man gets reprimanded by his boss. Later he yells at his wife when dinner is not
served:
a. Conversion c. reaction fromation
b. Fixation d. displacement
__D__40. A young man chooses to become a professional football player like his father:
a. Introjection c. Compensation
b. Identification d. Substitution
__B__ 41. A man who is extremely polite and courteous to his mother –in law , whom he
intensely dislikes:
a. Reaction formation c. Undoing
b. Projection d. intellectualization
__C__42. A mother who has just punished her child unjustly decides to bake the child’s favorite
cake:
a. Repression c. Undoing
b. Suppression d. Rationalization
__C__43. A man who has strong aggressive drives channels his energy into building successful
business:
a. Undoing c. compensation
b. Sublimation d. projection
__B__44.A man cheats on his wife and tells himself it is okay because his friends cheat on their
wives
a. Compensation c. Undoing
b. Projection d. denial
__A__45. An unattractive girl emphasizes and cultivates her intellectual abilities, landing on an
honor roll:
a. Conversion c. Compensation
b. Fantasy d. Substitution
__D__46. Jane, a school aged boy is attached to feeding bottle.
a. Compensation c. substitution
b. Regression d. fixation
__A__47. Refusing to admit that something unpleasant is happening such as loss of loved ones
is an example of an ego defense mechanism known as:
a. Denial c. projection
b. Rationalization d. bargaining
__B__48. The defense mechanism primarily utilized by patients with paranoid personality is:
a. Introjection c. Rationalization
b. Displacement d. Projection
__C__49. Attributing one’s own unacknowledged feeling to others is an immature type of
defense mechanism called as:
a. Displacement c. Distortion
b. Projection d. intellectualization
__C__50. These defense mechanisms are common in healthy indiv 3-15yo. They may change
w/ improved interpersonal relationships:
a. Pathological mechanisms c. Immature
b. Neurotic d. ideal

MATCH COLUMN A WITH COLUMN AND PROVIDE YOUR ANSWER ON THE SPACE
PROVIDED(LETTER ONLY)

A B

__B__51 Toilet training

.

__A__52 Trust vs mistrust

.

__A_53. Proposed that cognitive growth is like embryonic growth:

an organized structure becomes more and more
differentiated over time

__A__54 Failure to resolve each task, particularly trust, leads to

. maladaptation or mental illness

__C__55 Emphasizes the importance of social forces or what one

A. DEVELOPME
. does in relation to others rather than internal or biological
NTAL
factors
THEORY
__B_56. enables the nurse to form a therapeutic environment that
empowers the client to understand and manage stressful
situation and opportunities to develop adaptive behavioral
changes
B. PSYCHOAN
__C__57 Believed that a person’s social view of self is more
ALYTICAL/P
. important than libidinal urges
SYCHOSEXU
__B__58 Sigmund Freud AL
. THEORIES

__A__59 Preoperational
.

__B_60. The theory proposes that conflicts among unconscious

motivating forces affect behavior C. INTERPERS
ONAL
__A_61. Child learns to think and reasons in abstract terms, THEORY
further develops logical thinking

__A_62. Erik ERIKSON

__B_63. Establishing trust

__A_64. Sufficient mastery to help the client cope effectively w/

present developmental crisis in preparation of later stages

__C_65. Bad me

__C_66. Therapeutic Nurse Patient Relationship

__C_67. Sullivan

__B 68. Oedipal conflict, castration anxiety

__C 69. Believes that mental disorders stem from impaired

interpersonal relationships of childhood

__B_70. nurses must be aware of the clients defense mechanisms

against instinctual demands and anxiety
__A_71. Latency

__C_72. Peplau

__B_73. Asserted that there are psychosocial crises or tasks that

must be mastered or resolved by the ego to advance
through various stages

__B_74. Defense mechanisms

__C_75. PERSONIFICATION

End of exam