Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 14
Questions 1. The nurse explains to a client who underwent gastric resection that which of the following meals is most likely to cause rapid emptying of the stomach?A) a high-protein mealB) a high-fat mealC) a large meal regardless of nutrient contentD) a high-carbohydrate meal2. Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophgeal reflux disease (GERD)?A) lettuceB) eggsC) chocolateD) butterscotch3. Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:A) tolerance.B) constipation.C) sedation.D) addiction.4. The goals of palliative care include all of the following except:A) giving clients with life-threatening illnesses the best quality of life possible.B) taking care of the whole person - body, mind, spirit, heart, and soul.C) no interventions are needed because the client is near death.D) support of needs of the family and client.5. Major competencies for the nurse giving end-oflife care include:A) demonstrating respect and compassion, and applying knowledge and skills in care of the family and the client.B) assessing and intervening to support total management of the family and client.C) setting goals, expectations, and dynamic changes to care for the client.D) keeping all sad news away from the family and client. Right Answer and Explanation: 1. Right Answer: DExplanation: Meals that are high in carbohydrates promote rapid gastric emptying. The other options are associated with decreased emptying time. Basic Care and Comfort2. Right Answer: CExplanation: Ingestion of chocolate can reduce lower esophageal sphincter (LES) pressure leading to reflux and clinical symptoms of GERD. The other foods do not affect LES pressure. Basic Care and Comfort3. Right Answer: DExplanation: Addiction is not of primary concern when treating the pain of terminally ill clients. Clients with cancer who are taking opioid analgesics can develop tolerance, constipation, and sedation. Basic Care and Comfort4. Right Answer: CExplanation: The goals of palliative care include choices 1, 2, and 4. Choice 3 is not part of palliative care. All aspects of medical, emotional, social, and spiritual needs of the dying client should be focused on until the end of life. Basic Care and Comfort5. Right Answer: AExplanation: There are many competencies that the nurse must have to care for families and clients at the end of life.Demonstration of respect and compassion as well as using knowledge and skills in the care of the client and family are major competencies. Basic Care andComfort .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 15
Questions 1. Assessment of the client with an arteriovenous fistula for hemodialysis should include:A) inspection for visible pulsation.B) palpation of thrill.C) percussion for dullness.D) auscultation of blood pressure.2. A client with stress incontinence should be advised:A) to purchase absorbent undergarments.B) that Kegel exercises might help.C) that effective surgical treatments are nonexistent.D) that behavioral therapy is ineffective.3. An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:A) insertion of a Foley catheter.B) in and out catheter specimen for urinalysis.C) a voided urine specimen for urinalysis.D) a urologist consult.4. Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:A) iron, folic acid, and B12.B) an increase of protein in the diet.C) vitamins A and C.D) an increase of calcium in the diet.5. The kind of man who beats a woman is:A) from a minority culture in a low-income group.B) from a majority culture in a middle-income group.C) one who was never allowed to compete as a child.D) from any walk of life, race, income group, or profession. Right Answer and Explanation: 1. Right Answer: BExplanation: Thrill should be present. The client should be taught to check this daily at home. Pulsation is not typically visible. Percussion gives no information about the patency of a fistula. Blood pressure is not auscultated in a limb with an AVF. Auscultation of the AVF, for a bruit, is part of an assessment for patency.Physiological Adaptation2. Right Answer: BExplanation: Kegel exercises, tightening and releasing the pelvic floor muscles, might improve stress incontinence. Choice 1 is not an appropriate treatment for stress incontinence. Several effective surgical treatments exist. Lifestyle and dietary modifications can also be helpful. Physiological Adaptation3. Right Answer: DExplanation: A urologist consult is appropriate for a client with visible blood at the urethral meatus and suspected trauma.Choices 1 and 2 are contraindicated. A urinalysis might be ordered by the physician, but the question does not provide enough information to make Choice 3 the correct answer. Physiological Adaptation4. Right Answer: AExplanation: The kidneys of a client in renal failure produce no erythropoietin, a hormone necessary for RBC production.Erythropoietin can be given as replacement, but the client needs adequate iron, folate, and B12 to increase the effectiveness of EPO. Choice 2 is not necessary for RBC production and can increase uremia. Choices 3 and 4 are not necessary for RBC production. Physiological Adaptation5. Right Answer: DExplanation: Batterers cannot be predicted by demographic features related to age, ethnicity, race, religious denomination, education, socioeconomic status, or class. Ninety- five percent of domestic abuse cases involve male perpetrators and female victims. Psychosocial Integrity .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 16
Questions 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. Right Answer and Explanation: 1. Right Answer: CExplanation: Many batterers report having been abused as children. Psychosocial Integrity2. Right Answer: BExplanation: To gain insight, the client needs to recognize causal events. The other activities focus on recognition of anxiety. Psychosocial Integrity3. Right Answer: CExplanation: 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 Integrity4. Right Answer: BExplanation: Children who are shaken are frequently grasped by both upper arms. Symptoms of brain injury associated with shaking include decreased level of consciousness.Psychosocial Integrity5. Right Answer: DExplanation: 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 .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 17
Questions 1. Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?A) intrauterine device (IUD)B) NorplantC) oral contraceptivesD) vaginal sponge2. Which of the following is the primary force in sex education in a child - s life?A) school nurseB) peersC) parentsD) media3. Which of the following nursing actions is most effective when evaluating a kinetic family drawing?A) telling the child to draw their family doing somethingB) offering specific suggestions of what to include in the drawingC) discouraging the child from talking about the drawingD) noting the omission of any family members4. All of the following factors, when identified in the history of a family, are correlated with poverty except:A) high infant mortality rate.B) frequent use of Emergency Departments.C) consultation with folk healers.D) low incidence of dental problems.5. A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?A) Open the airway.B) Administer oxygen.C) Suction the client.D) Check for breathing. Right Answer and Explanation: 1. Right Answer: DExplanation: The vaginal sponge is a barrier method of contraception that, when used with foam or jelly contraception, reduces the transmission of HIV and other STDs as well as reducing the risk of pregnancy. IUDs, Norplant, and oral contraceptives can prevent pregnancy but not the transmission HIV and STDs. Clients using the contraceptive methods in Choices 1, 2, and 3 should be counseled to use a chemical or barrier contraceptive to decrease transmission of HIV or STDs. HealthPromotion and Maintenance2. Right Answer: CExplanation: Parents are the primary force in sex education in a childs life. The school nurse is involved with formal sex education and counseling. Peers become more important in sex education during adolescence but might lack correct information. The media play a powerful role in what children learn about sex through movies,TV, and video games. Health Promotion and Maintenance3. Right Answer: DExplanation: There are several guidelines for evaluating kinetic family drawings, including Choice 4. Effective nursing actions include asking the child to explain what each family member is doing, encouraging him or her to tell as much as possible about the drawing, noting physical intimacy or distance, noting placement of family members in the drawing, noting facial expressions of family members and noting if they are facing each other or turned away.Choice 1 is initial instruction, not evaluation. Only general encouragement should be given to avoid suggesting themes to the child. Health Promotion andMaintenance4. Right Answer: DExplanation: Dental problems are prevalent because of the lack of preventive care and access to care. High infant mortality is one of the most significant problems correlated with poverty. Pregnant women who do not have access to care might come to the Emergency Department when in labor. Those in poverty are likely to useEmergency Departments because they may not be turned away. Those in poverty might also turn to folk healers or other persons in their community for care who might be easier to access and might not demand payment. Health Promotion and Maintenance5. Right Answer: AExplanation: The nurse needs to open the airway first when the oxygen saturation drops. The other actions might be appropriate, but the airway must be patent. Reduction ofRisk Potential .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 18
Questions 1. Which of the following might be an appropriate nursing diagnosis for an epileptic client?A) DysreflexiaB) Risk for InjuryC) Urinary RetentionD) Unbalanced Nutrition2. A young boy is recently diagnosed with a seizure disorder. Which of the following statements by the boys mother indicates a need for further teaching by the nurse?A) 'I should make sure he gets plenty of rest.'B) 'I should get him a medic alert bracelet.'C) 'I should lay him on his back during a seizure.'D) 'I should loosen his clothing during a seizure.'3. Which of the following nursing diagnoses might be appropriate as Parkinson - s disease progresses and complications develop?A) Impaired Physical MobilityB) DysreflexiaC) HypothermiaD) Impaired Dentition4. Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?A) epilepsyB) Parkinson - sC) muscular sclerosisD) Huntington - s chorea5. Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashleys level of anxiety as:A) mild.B) moderate.C) severe.D) panic. Right Answer and Explanation: 1. Right Answer: BExplanation: The epileptic client is at risk for injury due to the complications of seizure activity, such as possible head trauma associated with a fall. The other choices are not related to the question.Reduction of Risk Potential2. Right Answer: CExplanation: A client having a seizure should be turned to the side to prevent aspiration of secretions. The other statements are correct and indicate adequate understanding of teaching.Reduction of Risk Potential3. Right Answer: AExplanation: The client with Parkinsons disease can develop a shuffling gait and rigidity, causing impaired physical mobility. The other diagnoses do not necessarily relate to a client with Parkinsons disease. Reduction of Risk Potential4. Right Answer: DExplanation: Huntingtons chorea is characterized by writhing, twisting movements of the face and limbs. The remaining options are neurological disorders that do not have such movements as part of their disease process. Reduction of Risk Potential5. Right Answer: CExplanation: The person whose anxiety is assessed as severe is unable to solve problems and has a poor grasp of whats happening in his or her environment. Somatic symptoms such as those described by Ashley are usually present.Vital sign changes are observed. The individual with mild anxiety might report being mildly uncomfortable and might even find performance enhanced. The individual with moderate anxiety grasps less information about the situation, has some difficulty problem-solving, and might have mild changes in vital signs. The individual in panic demonstrates markedly disturbed behavior and might lose touch with reality. Psychosocial Integrity .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 19
Questions 1. What interpersonal relief behavior is Ashley using?A) acting outB) somatizingC) withdrawalD) problem-solving2. A primary belief of psychiatric mental health nursing is:A) most people have the potential to change and grow.B) every person is worthy of dignity and respect.C) human needs are individual to each person.D) some behaviors have no meaning and cannot be understood.3. James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog. This coping mechanism is known as:A) denial.B) suppression.C) displacement.D) fantasy.4. A woman asks, 'How much alcohol can I safely drink while pregnant?' The nurse - s best response is:A) 'The amount of alcohol that is safe during pregnancy is unknown.'B) 'Consuming one or two beers or glasses of wine a day is considered safe for a healthy pregnant woman.'C) 'Drinking three or more drinks on any given occasion is the only harmful type of drinking during pregnancy.'D) 'You can have a drink to help you relax and get to sleep at night.'5. A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted toVicodin. The nurse should base her reply on the knowledge that:A) the client - s body has developed tolerance, requiring more drug to produce the same effect.B) the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.C) addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.D) the client has a dual diagnosis of substance abuse and chronic back pain. Right Answer and Explanation: 1. Right Answer: BExplanation: Somatizing means one experiences an emotional conflict as a physical symptom. Ashley manifests several physical symptoms associated with severe anxiety.Acting out refers to behaviors such as anger, crying, laughter, and physical or verbal abuse. Withdrawal is a reaction in which psychic energy is withdrawn from the environment and focused on the self in response to anxiety. Problem-solving takes place when anxiety is identified and the unmet need is met. PsychosocialIntegrity2. Right Answer: BExplanation: Every person is worthy of dignity and respect. Every person has the potential to change and grow. All people have basic human needs in common with others. All behavior has meaning and can be understood from the clients perspective. Psychosocial Integrity3. Right Answer: CExplanation: Displacement is the transference of anger to another. Anger is displaced on the dog as a convenient object. Psychosocial Integrity4. Right Answer: AExplanation: The amount of alcohol that is safe during pregnancy is unknown. Fetal alcohol syndrome is a combination of mental and physical abnormalities present in infants born to mothers who have consumed alcohol during pregnancy. Psychosocial Integrity5. Right Answer: AExplanation: Drug tolerance is characterized by the ability to ingest a larger dose without adverse effect and decreased sensitivity to the substance. Substance dependence is a severe condition indicating physical problems and disruption of the persons social, family, and work life. The psychological behaviors related to substance use are termed addiction. Dual diagnosis is the coexistence of substance abuse and psychiatric disorders. Psychosocial Integrity .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 20
Questions 1. Which is the proper hand position for performing chest percussion?A) cup the handsB) use the side of the handsC) flatten the handsD) spread the fingers of both hands2. Which is the proper hand position for performing chest vibration?A) cup the handsB) use the side of the handsC) flatten the handsD) spread the fingers of both hands3. Which of the following indicates a hazard for a client on oxygen therapy?A) A No Smoking sign is on the door.B) The client is wearing a synthetic gown.C) Electrical equipment is grounded.D) Matches are removed.4. When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?A) 2 liters/minuteB) 4 liters/minuteC) 6 liters/minuteD) 8 liters/minute5. When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client - s body should she measure?A) corner of the mouth to the tragus of the earB) corner of the eye to the top of the earC) tip of the chin to the sternumD) tip of the nose to the earlobe Right Answer and Explanation: 1. Right Answer: AExplanation: The hands are cupped for performing percussion, producing a vibration that helps loosen respiratory secretions. The other hand positions do not accomplish this task. Reduction of Risk Potential2. Right Answer: CExplanation: The hands are flattened over the area of the body where chest percussion is used to conduct vibration through to the chest and loosen secretions. The other hand positions do not accomplish this task. Reduction of Risk Potential3. Right Answer: BExplanation: A synthetic gown might generate sparks of static electricity, which can be a fire hazard, particularly in the presence of oxygen. The client on oxygen therapy should wear a cotton gown. The remaining options are appropriate safety measures. Reduction of Risk Potential4. Right Answer: CExplanation: The highest flow rate that oxygen can be delivered via nasal cannula is 6 liters/minute. Higher flow rates must be delivered by mask. Reduction of Risk Potential5. Right Answer: AExplanation: An oropharyngeal airway is measured from the corner of the clients mouth, to the tragus of the ear. Reduction of Risk Potential .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 21
Questions 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. Right Answer and Explanation: 1. Right Answer: CExplanation: Nurses might observe behavioral cues that can indicate the presence of hallucinations. Talking about the hallucinations is reassuring and validating to the client who has them. Focusing on the symptoms and asking about the hallucinations helps the client gain control. Psychosocial Integrity2. Right Answer: AExplanation: Nurses need to inform clients that there is a difference in perceptions and pay attention to the content of hallucinations. The other options are not therapeutic.Psychosocial Integrity3. Right Answer: BExplanation: Male children are sexually abused nearly as often as female children. Perpetrators are usually men but can be women. Needs of male children who have been sexually abused might be different from the needs of female survivors. Male survivors might respond in anger, question their sexuality, use alcohol and other drugs, and might try to prove their masculinity by performing daring acts. Psychosocial Integrity4. Right Answer: DExplanation: A realistic short-term goal is for the client to verbalize feelings about the event. A brief treatment program is not designed to identify or resolve problems. The focus is on managing acute symptoms. If in-depth psychological problems are identified, the nurse might make referrals for treatment. Psychosocial Integrity5. Right Answer: BExplanation: The purpose of the PSDA is to promote decision-making prior to need. Choices 1, 3 and 4 are incorrect. The focus of the PSDA is individual health care decision- making. A federal standard for advance directives does not exist. Each state has jurisdiction regarding these policies and protocols. Coordinated Care .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 22
Questions 1. Client self-determination is the primary focus of:A) malpractice insurance.B) nursing - s advocacy for clients.C) confidentiality.D) health care.2. The focus of a nurse case manager is:A) nursing care needs at discharge.B) the comprehensive care needs of the client for continuity of care.C) client education needs upon discharge.D) financial resources for needed care.3. Mr. H. is upset regarding being in the hospital for another day because he states it costs too much. The rights he is likely to demand include all of the following except:A) the right to examine and question the bill.B) the right to reasonable response to requests.C) the right to refuse treatment.D) the right to confidentiality.4. On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of:A) aggressiveness.B) passive aggressiveness.C) passiveness.D) assertiveness.5. Legal protection of confidentiality:A) extends only to written documentation.B) extends to the electronic dissemination of information not identifiable to a specific client.C) is important only within the court system.D) extends to both written and verbal information. Right Answer and Explanation: 1. Right Answer: BExplanation: Advocacy for clients by nurses is the primary focus of the clients right to autonomy and self-determination.Confidentiality involves the maintenance of the privacy of the client and information regarding him or her.Malpractice insurance is a type of insurance for professionals. Coordinated Care2. Right Answer: BExplanation: By definition, case management is a process of providing for the comprehensive care needs of a client for continuity of care throughout the health care experience. Coordinated Care3. Right Answer: DExplanation: Confidentiality is the maintenance of privacy of information. The question does not suggest that confidentiality has been breached. The client is likely to demand the other rights and may exercise them in choosing to leave the hospital early. Coordinated Care4. Right Answer: DExplanation: This nurse manager is demonstrating assertive behavior. Aggressive behavior dominates or embarrasses. Passive behavior is nervous or timid. Passive- aggressive behavior is dominating or manipulative without directness. Coordinated Care5. Right Answer: DExplanation: Legal protection of confidentiality extends to both written and verbal information identifiable as individual private health information. Coordinated Care .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
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