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Questions 149

NCLEX-PN

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Extract:


Question 1 of 5

A man who is being treated for paranoia walks toward the nurse's desk and observes the nurse making a telephone call. A few minutes later, he accuses the nurse of having called the police. How should the nurse interpret his behavior?

Correct Answer: D

Rationale: Interpreting a neutral action (phone call) as personally threatening indicates ideas of reference, a common feature of paranoia.

Question 2 of 5

A man who is severely depressed following the death of his wife sits in the dayroom for hours at a time, not speaking to anyone and showing no interest in unit activities. He does not answer when spoken to. Which action should the nurse take to help him at this time?

Correct Answer: D

Rationale: Brief, non-demanding interactions show presence and support, respecting his depression without forcing engagement.

Question 3 of 5

An adult male is being treated for depression. He has been in the hospital for three weeks. Which observation by the nurse is indicative of improvement in his condition?

Correct Answer: D

Rationale: Initiating conversation indicates improved social engagement, a sign of recovery from depression.

Question 4 of 5

The nurse is assessing an adolescent male diagnosed with gonorrhea. Which specific signs and symptoms should the nurse associate with the gonorrheal infection? Select all that apply.

Correct Answer: B,C

Rationale: Gonorrhea typically causes purulent urethral discharge and dysuria/frequency in males, not lesions or rashes.

Question 5 of 5

A client with severe anxiety manifested by many somatic complaints starts psychotherapy. She becomes increasingly anxious, and her physical symptoms intensify. The nurse should make which of these interpretations of her observations?

Correct Answer: C

Rationale: Increased anxiety and symptoms are common early in psychotherapy as clients confront underlying issues, an expected response.

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