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Questions 149

NCLEX-PN

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Question 1 of 5

A 52-year-old man is admitted to the psychiatric unit. He states that he does not sleep well, has not been eating, and has no energy. He tells the admitting nurse, 'I don't think you can make me feel better. There's no use in talking to me. Leave me alone.' What is the most appropriate interpretation of his behavior?

Correct Answer: B

Rationale: His symptoms and request for isolation suggest depression, requiring the nurse's presence to ensure safety and offer support.

Question 2 of 5

Which nursing action would help to reduce stress and to aid an obsessive-compulsive client in using a less maladaptive means of handling stress?

Correct Answer: D

Rationale: Offering activities with achievable success builds confidence, reducing reliance on compulsive rituals to manage stress.

Question 3 of 5

An 88-year-old woman in a long-term care facility is having difficulty remembering where her room is. Which of the following solutions would best help her?

Correct Answer: C

Rationale: A picture and name in large letters provide a clear, recognizable cue for the woman to identify her room, supporting independence despite memory challenges.

Question 4 of 5

The nurse is discharging the 10-year-old who was hospitalized for RF with signs of CHF. What should be the nurse's priority with discharge teaching?

Correct Answer: C

Rationale: Rheumatic fever (RF) with congestive heart failure (CHF) requires activity restrictions to prevent cardiac strain. Ensuring the child understands and adheres to these is critical.

Question 5 of 5

A 75-year-old woman has been widowed for 12 years. She was forced to vacate her apartment several months ago when fire destroyed the building. She has been wandering about the city, begging for money to buy food, and sleeping on park benches or in secluded areas of large buildings. She carries her personal belongings in three bundles. One day she enters the bus terminal and becomes very noisy and quarrelsome. The police are called, and she is brought to a psychiatric unit. To plan care for this woman, which of these actions should be taken first?

Correct Answer: D

Rationale: Assessing physical condition is the priority for a homeless person with potential malnutrition, exposure, or untreated conditions.

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