Psychosocial Integrity Nclex PN Questions - Nurselytic

Correct Answer: B

Rationale: Initial care of the client involves preventing further damage and rebleeding. Clients are kept at bed rest if possible, usually with the head of the bed raised. TV watching is permitted but not reading. The use of atropine, ice, and eye shields are controversial, and a nurse should not administer a pharmacologic agent or thermal therapy without a physician's order.

Correct Answer: B

Rationale: The family provides sick care to its members. The other options are incorrect.

Correct Answer: A

Rationale: The correct answer is 'whole brain death.' Most protocols for determining whole brain death require two separate clinical examinations, including the induction of painful stimuli, pupillary responses to light, oculovestibular testing, and apnea testing. This comprehensive approach ensures that all functions of the brain, including the brainstem, are evaluated to confirm the absence of brain function.

Choices B and D are incorrect as they do not reflect the specific tests required for determining whole brain death.
Choice C, 'circulatory death,' does not involve the evaluation of brain function and is not a current definition of death in the United States.

Correct Answer: D

Rationale: A client can receive the MMR vaccine if he or she has a cold. A simple cold without fever does not preclude vaccination. Pregnant women and immunocompromised individuals cannot receive the MMR vaccine due to the live rubella component, which may lead to birth defects or disease.
Choice C is incorrect because individuals with anaphylactic reactions to neomycin should not receive the measles vaccine according to the American Academy of Pediatrics.

Correct Answer: C

Rationale: Shigella is transmitted via the oral-fecal route, often through contaminated water or food, including stagnant water, requiring hand washing and gloves for prevention.