NCLEX-PN
Physiological Adaptation NCLEX PN Questions Questions
Question 1 of 5
Support systems during the grieving process include all of the following except:
Correct Answer: A
Rationale: A despondent friend, even though this could be a support to the grieving person, is in a state of despondency.
Therefore, he or she might not do well with a grieving friend.
Question 2 of 5
A 60-year-old widower is hospitalized after complaining of difficulty sleeping, extreme apprehension, shortness of breath, and a sense of impending doom. What is the best response by the nurse?
Correct Answer: B
Rationale:
Choice 2 provides support, reassurance, and an opportunity to gain insight into the cause of the anxiety.
Choice 1 dismisses the client's feelings and offers false reassurance.
Choices 3 and 4 do not allow the client to discuss his feelings, which he must do in order to understand and resolve the cause of his anxiety.
Question 3 of 5
A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:
Correct Answer: C
Rationale: Childhood sexual abuse is strongly associated with post-traumatic stress disorder (PTS
D), characterized by nightmares, insomnia, and concentration difficulties.
Question 4 of 5
A nurse is teaching a client newly diagnosed with Emphysema about the disease process. Which of the following statements best explains the problems associated with emphysema and could be adapted for use in the nurse's discussion with the client?
Correct Answer: B
Rationale: Larger-than-normal air spaces and loss of elastic recoil cause air to be trapped in the lung and collapse airways. Emphysema is a breakdown of the elastin and fiber network of the alveoli where the alveoli enlarge or the walls are destroyed. This alveolar destruction leads to the formation of larger-than-normal air spaces. Emphysema is one of a group of pulmonary diseases of a chronic nature characterized by increased resistance to airflow; the entity is part of chronic obstructive pulmonary disease (COP
D).
Question 5 of 5
The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:
Correct Answer: A
Rationale: Displacement involves redirecting emotions (anger about not being promoted) to a less threatening target (slamming doors), a common reaction to frustration.