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NCLEX-PN Exam Questions - Part 16
1. A batterer is usually someone who:
A) grew up in a loving, secure home.
B) was an only child.
C) was physically or psychologically abused.
D) admits he has a problem with anger.
2. When helping a client gain insight into anxiety, the nurse should:
A) help relate anxiety to specific behaviors.
B) ask the client to describe events that precede increased anxiety.
C) instruct the client to practice relaxation techniques.
D) confront the client - s resistive behavior.
3. A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurses teaching about discontinuing the medication?
A) 'I can drink alcohol now that I am decreasing my Xanax.'
B) 'I should not take another Xanax pill. Here is what is left of my last prescription.'
C) 'I should take three pills per day next week, then two pills for one week, then one pill for one week.'
D) 'I can expect to be sleepy for several days after stopping the medicine.'
4. A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
A) wearing clothing that is too small for the child.
B) the child being shaken.
C) falling while learning to walk.
D) parents trying to awaken the child.
5. A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should:
A) immediately contact child protective services.
B) provide the mother with literature about child care.
C) consult a therapist to help the mother work out her fears.
D) refer the mother to parenting classes.
A) grew up in a loving, secure home.
B) was an only child.
C) was physically or psychologically abused.
D) admits he has a problem with anger.
2. When helping a client gain insight into anxiety, the nurse should:
A) help relate anxiety to specific behaviors.
B) ask the client to describe events that precede increased anxiety.
C) instruct the client to practice relaxation techniques.
D) confront the client - s resistive behavior.
3. A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurses teaching about discontinuing the medication?
A) 'I can drink alcohol now that I am decreasing my Xanax.'
B) 'I should not take another Xanax pill. Here is what is left of my last prescription.'
C) 'I should take three pills per day next week, then two pills for one week, then one pill for one week.'
D) 'I can expect to be sleepy for several days after stopping the medicine.'
4. A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
A) wearing clothing that is too small for the child.
B) the child being shaken.
C) falling while learning to walk.
D) parents trying to awaken the child.
5. A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should:
A) immediately contact child protective services.
B) provide the mother with literature about child care.
C) consult a therapist to help the mother work out her fears.
D) refer the mother to parenting classes.
1. Right Answer: C
Explanation: Many batterers report having been abused as children. Psychosocial Integrity
2. Right Answer: B
Explanation: To gain insight, the client needs to recognize causal events. The other activities focus on recognition of anxiety. Psychosocial Integrity
3. Right Answer: C
Explanation: Xanax, like other benzodiazepines, can cause withdrawal symptoms that include agitation, insomnia, hypertension, seizures, and abdominal pain. The drug must be slowly decreased to prevent withdrawal symptoms. Psychosocial Integrity
4. Right Answer: B
Explanation: Children who are shaken are frequently grasped by both upper arms. Symptoms of brain injury associated with shaking include decreased level of consciousness.Psychosocial Integrity
5. Right Answer: D
Explanation: Prevention of child abuse is centered on teaching the parents how to care for their child and cope with the demands of infant care. Parenting classes can help build self-confidence, self-esteem, and coping skills. Parents benefit by understanding the developmental needs of their children, while learning how to manage their home environment more effectively. The classes also increase the parents social contacts and teach about community resources. Psychosocial Integrity
Explanation: Many batterers report having been abused as children. Psychosocial Integrity
2. Right Answer: B
Explanation: To gain insight, the client needs to recognize causal events. The other activities focus on recognition of anxiety. Psychosocial Integrity
3. Right Answer: C
Explanation: Xanax, like other benzodiazepines, can cause withdrawal symptoms that include agitation, insomnia, hypertension, seizures, and abdominal pain. The drug must be slowly decreased to prevent withdrawal symptoms. Psychosocial Integrity
4. Right Answer: B
Explanation: Children who are shaken are frequently grasped by both upper arms. Symptoms of brain injury associated with shaking include decreased level of consciousness.Psychosocial Integrity
5. Right Answer: D
Explanation: Prevention of child abuse is centered on teaching the parents how to care for their child and cope with the demands of infant care. Parenting classes can help build self-confidence, self-esteem, and coping skills. Parents benefit by understanding the developmental needs of their children, while learning how to manage their home environment more effectively. The classes also increase the parents social contacts and teach about community resources. Psychosocial Integrity
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