NCLEX-RN
Saunders NCLEX RN Practice Questions Questions
Question 1 of 5
A nurse is caring for an in-patient client in the hospital who is from another country and who fasts for temporary periods in order to promote his own spiritual growth. The nurse responds by saying, 'You need to eat something while you are here. Food and proper nutrition are extremely important for your health.' What social philosophy is the nurse demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Ethnocentrism. Ethnocentrism is the belief in the inherent superiority of one's own culture or ethnic group. In this scenario, the nurse is imposing their own cultural beliefs about food and nutrition onto the patient, without considering or respecting the patient's cultural or spiritual practices. This demonstrates a lack of cultural sensitivity and understanding, as the nurse is prioritizing their own cultural norms over the patient's beliefs.
Summary of other choices:
B: Relativism - Relativism would involve acknowledging and respecting the patient's cultural practices and beliefs, which the nurse is not doing in this case.
C: Stereotyping - Stereotyping involves making assumptions about individuals based on their cultural background, which is not explicitly demonstrated in this scenario.
D: Xenocentrism - Xenocentrism is the opposite of ethnocentrism, where one believes that other cultures are superior to their own. This is not evident in the nurse's behavior.
Question 2 of 5
Examples of preservation of self-integrity include all of the following except:
Correct Answer: C
Rationale: The correct answer is C: Accepting the challenge of caring for clients with oppositional beliefs or practices. This choice does not align with preservation of self-integrity as it may require compromising personal values or beliefs. Using assistive equipment (
A) promotes safety, participating in wellness programs (
B) supports personal well-being, and using hand hygiene and PPE (
D) ensures infection control. Accepting clients' opposing beliefs may lead to internal conflict, compromising self-integrity.
Question 3 of 5
Which method is most appropriate for managing moral distress in the workplace?
Correct Answer: C
Rationale: The correct answer is C. Developing a new policy is the most appropriate method for managing moral distress in the workplace because it addresses the root cause of the problematic situation. By creating a policy, organizations can provide clear guidelines and procedures to handle ethical dilemmas, thus empowering healthcare professionals to navigate moral challenges effectively.
Choice A is incorrect as it encourages acceptance of unfairness and could lead to moral disengagement.
Choice B is also incorrect as declining to act in unjustifiable situations can compromise patient care and violate ethical principles.
Choice D is incorrect as it combines two flawed approaches that do not effectively address moral distress. Developing a new policy is the most proactive and systematic approach to managing moral distress in the workplace.
Question 4 of 5
A patient diagnosed with a mild anxiety disorder has been referred to treatment in a community mental health center. Treatment most likely provided by the center includes
Correct Answer: A
Rationale: The correct answer is A: Medical management of symptoms. In mild anxiety disorders, medication like SSRIs or benzodiazepines are commonly used to alleviate symptoms. Psychotherapy may be helpful but is not daily. Constant staff supervision is not necessary for mild cases. Psychological stabilization is too broad and not specific to treatment.
Question 5 of 5
A client in the emergency room enters the care area to start an IV. He finds a man sitting on the table, hunched over, and attempting to take deep breaths. He states, 'my chest hurts so much!' His wife is sitting on a chair in the corner, crying. Which of the following is the first action of the client?
Correct Answer: B
Rationale: The correct answer is B: Assess his breathing and provide oxygen if necessary. This is the first action the client should take because the patient is presenting with chest pain and difficulty breathing, which could indicate a serious medical condition like a heart attack or pulmonary embolism. By assessing the patient's breathing and providing oxygen if needed, the client can help stabilize the patient's condition and ensure proper oxygenation. Starting an IV or administering medication should come after assessing and stabilizing the patient's respiratory status. Talking with the wife, while important for gathering information, is not the priority in this situation.