PN Nclex Questions 2024 - Nurselytic

Correct Answer: C

Rationale: The correct answer is that the client should take three pills per day next week, then two pills for one week, and then one pill for one week. This statement indicates a gradual tapering schedule, which is crucial when discontinuing alprazolam (Xanax) to prevent withdrawal symptoms.
Choice A is incorrect because alcohol should be avoided while tapering off benzodiazepines due to the increased risk of respiratory depression.
Choice B is incorrect because abruptly stopping alprazolam can lead to withdrawal symptoms.
Choice D is incorrect because while drowsiness can be a side effect of alprazolam, it is not the primary concern when discontinuing the medication; preventing withdrawal symptoms is the priority.

Correct Answer: C

Rationale: The correct answer is C: sociocultural indicator. In this situation, the client's reluctance to make new friends after experiencing a traumatic event like losing a child due to poisoning reflects a change in their social behavior, which is influenced by sociocultural factors. This response indicates how stress can impact a person's relationships and social interactions.
Choice A, emotional indicator, is incorrect because the client's statement is more related to social interactions than emotional expression.
Choice B, spiritual indicator, is incorrect as the given scenario does not directly involve spiritual beliefs or practices.
Choice D, intellectual indicator, is also incorrect as the client's statement does not reflect cognitive or intellectual changes but rather social aspects affected by the stressful event.

Correct Answer: D

Rationale: According to the Code of Ethics for Nurses, the nurse should try to make the client as comfortable as possible but refuse to assist in death. It is not within the scope of nursing practice to assist in death, even if requested by the client.
Choice A is incorrect as advance directives do not directly relate to the client's request for assistance in dying.
Choice B is inappropriate as passing the responsibility to another nurse does not address the ethical dilemma at hand.
Choice C is incorrect because instructing the client that only a physician can legally assist in suicide does not address the ethical considerations involved in the request.
Therefore, the most appropriate action for the nurse is to provide comfort measures while upholding ethical standards and not participating in ending the client's life.

Correct Answer: D

Rationale: The use of clichés in therapeutic communication is commonly construed by the client as the nurse's lack of understanding, involvement, and caring, which can lead the client to feel demeaned and discounted.
Choice A is incorrect because clichés do not make the client view the nurse as less understanding but rather as lacking depth in communication.
Choice B is incorrect as clichés do not directly lead the client to accepting themselves as human.
Choice C is incorrect because clichés usually hinder self-disclosure rather than encourage it.

Correct Answer: A

Rationale: The correct answer aligns with the ANA's definition of the psychiatric nursing role. According to the ANA, psychiatric nursing is a specialized area of nursing practice that incorporates theories of human behavior as its foundational science and utilizes the self as its essential art. This definition emphasizes the importance of understanding human behavior and leveraging therapeutic communication and relationships to provide effective care for individuals with mental health concerns.

Choices B, C, and D are incorrect because they do not accurately represent the ANA-defined role of psychiatric nursing. Psychiatric nurses primarily focus on delivering holistic care, promoting mental health, and supporting individuals with mental health challenges using evidence-based practices and therapeutic interventions.