NORCET Nursing Officer Exam Mcq 2024
NORCET Nursing Officer Exam Mcq 2024
1. A patient with a paranoid personality disorder mistrust people and doesn’t work together with others as a way to handle the problems. Which one is the most appropriate nursing intervention?
a. confronting the patient
b. patient’s mind into the recreational activities
c. Taking about the patient from his family
d. Clarifying and belief regarding an incident
Ans. (d) Clarifying thoughts and belief regarding an incident
Explanation: The paranoid personality disorder is marked by unrelenting mistrust and suspicion of others, even when there is no reason to be suspicious. Person with paranoid personality disorder searches for hidden meaning and hostile intentions in everything others say. So the most appropriate nursing intervention is to clarify thoughts and belief regarding an incident.
2. A patient demonstrates: persistent social inhibition, agoraphobia, fear of criticism, thoughts of inferiority to others, and feelings of being totally unattractive to others. The nurse interprets these actions as features of which disorder?
a. Schizoid personality disorder
b. Schizotypal personality disorder
c. Avoidant personality disorder
d. Borderline personality disorder
Ans. (c) Avoidant personality disorder
Explanation: Avoidant personality disorder is characterized by social inhibition, feelings of inadequacy, and sensitivity to rejection and criticism that cause problems in work situations and relationships. The disorder is characterized by extreme  sensitivity to criticism from others and is known as a Cluster C personality PROBLEM or one that involves anxious and fearful personality disorders.
3. A newly-admitted patient had an argument with another patient of his room. After the argument the patient requests the nurse to change his room because he believes that all patients in the room are same and have a tendency to argue all the time with one another. The most appropriate interpretation of patient’s believe is:
a. Over–generalization
c. Unrealistic assumption
b. Free association
d. Faulty inference
Ans. (a) Over–generalization
Explanation: Over-generalization mainly affects the clients with anxiety and depression. It is a cognitive distortion in which an individual views a FIRST event as an invariable rule. The way of thinking an individual had one experience the same to all experiences, including those in the future
4. A patient has thrown his meal into the ward. The nurse makes him to clean the dirty area and mop the entire ward. Which behavior therapy technique the nurse has used?
a. Punishment
b. Time out
c. Channing
d. Restitution
Ans. (d) Restitution
Explanation: Restitution is defined as restoring the disturbed situation to a state that is better than before the occurrence of problematic behavior. A procedure that requires an individual return the environment to its state prior to the behavior which changes the environment.
5. While caring for a patient with panic anxiety the nurse maintains calm, non-threatening matter-of-fact approach. What is the rationale behind this intervention?
a. Anxiety is contagious
b. To make the patient relax
c. It may provide feeling of security
d. It will decrease the patient’s anxiety
Ans. (a) Anxiety is contagious
Explanation: A person with anxiety always faces trouble-relaxing so the relaxation technique is essential for the anxiety patients. While maintaining calm and non-threatening environment client can slowly get relief from the anxiety behavior. Cognitive therapy focuses on changing patterns of thinking and beliefs that are associated with trigger and anxiety.
6. A patient with OCD was made to sit relaxedly in a chair. Patient was made to recall the unwanted thoughts and as soon as the thoughts appear the patient was instructed to stop followed by a relaxation. The therapist is using which technique?
a. Exposure and response prevention.
b. Systemic desensitization.
c. Thought stoppage
d. Thought balancing
Ans. (c) Thought stoppage
Explanation: Thought stoppage in OCD is a cognitive intervention technique in which the process of suppressing or pushing away the unwanted repeated thoughts takes place. Whenever the unwanted thoughts reoccur, a command like ‘stop’ or using rubber band on the wrist of the patient is given to punish himself/herself in the intention of stopping the negative behavior.
7. A patient complains that he is experiencing urges to perform unusual acts like beating a child, or giving threats to a child. The nurse NOTED that the patient is experiencing:
a. Obsessional doubts
c. Obsessional rituals
b. Obsessional impulses
d. Obsessional images
Ans. (b) Obsessional impulses
Explanation: Obsessional impulses are the ideas, thoughts and beliefs that force the clients mind to execute the obsessional impulse like behaving violently, shouting in the calm environment, hurting a child. Obsessional images mean repeated images or pictures about abnormal sexual activity. Obsessional doubts mean lack of confidence in one’s own memory, attention and perception. Obsessional rituals mean repeating a certain form of words or
senseless behavior.
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9. A person fears that something bad will happen if he throws anything away. He compulsively accumulates things that he doesn’t need or use. The patient COME which category of OCD?
a. Arrangers
c. Counters
b. Doubters
d. Hoarders
Ans. (d) Hoarders
Explanation: A person with hoarding disorder had excessive acquiring tendency and difficulty in discarding the items. In hoarding disorder, excessive accumulation of items rather than their use or there is no space for keeping the items, always had the feeling of need to save the items. The patients believe that the saved items are unique and will be needed in some point of time.
10. A patient complains of persisting and distressing increase in fatigue after any mental and physical effort. The nurse documents this as:
a. Neurasthenia
c. Pathological fatigue
b. Derealization
d. Patient is lazy
Ans. (a) Neurasthenia
Explanation: It is a medical condition in which the client having the symptoms of dizziness, dyspepsia, muscle aches, irritability and physical fatigue. Fatigue is predominant in the neurasthenia. It is caused by a physical, neurological disease that affected the entire body, causing intense, long-term fatigue.
11. A person has preoccupation with an imagined defect in appearance. If a slight physical ABNORMALITY is present, the person’s concern is markedly excessive. he come under .
a. Somatization
b. Hypochondriasis
c. Body dysmorphic disorder
d. Generalized anxiety disorder
Ans. (c) Body dysmorphic disorder
Explanation: Body dysmorphic disorder means person preoccupied with an physical defect or defect that the other person cannot see. These people see themselves as ugly and avoid public exposure and try to improve their appearance by involving in plastic surgery. It affects both men and women equally and usually begins at the age group of early adulthood.
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