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NCLEX-PN Exam Questions - Part 96

Jenny Clarke

Mon, 10 Feb 2025

1. Which of the following services is not part of family consultation?

A) assisting with vocational rehabilitation
B) providing information about the client - s illness
C) teaching effective communication
D) helping families solve problems



2. A family member of a client with a diagnosis of Schizophrenia asks about the prognosis. The nurses response is based on the knowledge that schizophrenia:

A) affects women more often than men.
B) is usually diagnosed between the ages of 15 and 45.
C) is a chronic, deteriorating disease with periods of remission.
D) is diagnosed later in women due to a protective hormone effect.



3. A client receiving preoperative instructions asks questions repeatedly about when to stop eating the night before the procedure. The nurse tries to refocus the client. The nurse notes that the client is frequently startled by noises in the hall. Assessment reveals rapid speech, trembling hands, tachypnea, tachycardia, and elevated blood pressure. The client admits to feeling nervous and having trouble sleeping. Based on the assessment, the nurse documents that the client has:

A) mild anxiety.
B) moderate anxiety.
C) severe anxiety.
D) a panic attack.



4. The highest incident of child abuse occurs in children in which age group?

A) birth - 3 years old
B) 4 - 6 years old
C) 6 - 10 years old
D) more than 10 years old



5. An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?

A) 'I think I was a lonely child because I could not tell anyone about my abuse.'
B) 'I am now aware of how deep-seated my anger is. Before I did not realize I was angry.'
C) 'The program has given me the courage to tell my mother how I felt about her role in my hurt.'
D) 'There are so many people just like me, who are just normal people that had bad things happen to them.'



1. Right Answer: A
Explanation: Family consultation does not involve vocational rehabilitation. It involves helping families deal with their feelings, focus, and find solutions. Choices 2, 3, and 4 are components of family consultation. Psychosocial Integrity

2. Right Answer: C
Explanation: Although all of the choices are true about schizophrenia, only Choice 3 answers the question asked. Psychosocial Integrity

3. Right Answer: C
Explanation: In severe anxiety, a client focuses on small or scattered details. The person is unable to solve problems. With mild anxiety, stimuli are readily perceived and processed, and the ability to learn and solve problems is enhanced. Moderate anxiety narrows the perceptual field, but the client notices things brought to his attention. During a panic attack, the person is disorganized and might be hyperactive or unable to speak or act. Psychosocial Integrity

4. Right Answer: A
Explanation: Children between birth and 3 years of age have the highest rates of victimization (at 16 per 1,000 children). Girls are slightly more likely to be victims than boys.Psychosocial Integrity

5. Right Answer: B
Explanation: Children who are abused learn to cope with the painful experiences by ignoring painful feelings and avoiding getting close to people. As adults, victims of abuse usually continue to repress feelings, avoid close interpersonal relationships, and frequently use alcohol or drugs to block painful memories. Long-term effects in adults might include criminal/violent behavior (for adult males), substance abuse, and a variety of social and emotional problems (including suicidal thoughts, anxiety, hostility, dissociation, and interpersonal difficulties). Psychosocial Integrity

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