NCLEX-PN Exam Questions - Part 21

1. A nurse observes a client sitting alone and talking. When asked, the client reports that he is 'talking to the voices.' The nurse - s next action should be:

A) touching the client to help him return to reality.
B) leaving the client alone until reality returns.
C) asking the client to describe what is happening.
D) telling the client there are no voices.



2. A nurse observes a client sitting alone and talking. When asked, the client reports that he is 'talking to the voices.' The nurse - s next action should be:

A) touching the client to help him return to reality.
B) leaving the client alone until reality returns.
C) asking the client to describe what is happening.
D) telling the client there are no voices.



3. A 12-year-old male is brought to his primary care provider to determine whether sexual abuse has occurred. The mother states, 'Because there is no permanent physical damage, he does not need any more treatment.' The nurse - s response should be based on which of the following pieces of information?

A) Male victims of sexual abuse seldom have long-term psychological problems.
B) Survivors of male sexual abuse might become confused about their sexual identity.
C) Unless treated, all male sex abuse survivors grow up to abuse other children.
D) All children who have been sexually abused have the same needs, regardless of gender.



4. A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:

A) identify all psychosocial problems.
B) eliminate the client - s enticing behaviors.
C) resolve feelings of trauma and fear.
D) verbalize feeling about the event.



5. The intent of the Patient Self Determination Act (PSDA) of 1990 is to:

A) enhance personal control over legal care decisions.
B) encourage medical treatment decision making prior to need.
C) give one federal standard for living wills and durable powers of attorney.
D) emphasize client education.