NCLEX-PN
Physiological Adaptation NCLEX Questions
Extract:
Question 1 of 5
A client is having psychological counseling for problems communicating with his mother. Which model of stress is the most useful in reference to this stressor?
Correct Answer: C
Rationale: The Transaction-Based Model is, according to R.S. Lazarus, a state that Stimulus theory and Response theory do not consider individual differences. He takes into account cognitive processes that intervene between the encounter and the reaction and the factors that affect the nature of this process. He includes mental and psychological components or responses as part of his concept of stress (Person-Environment Transactions).
Question 2 of 5
When discussing possible complications of pregnancy with a client, the nurse should explain that all of the following are symptoms of urinary tract infection (UTI). Which of the following is least indicative of UTI during pregnancy?
Correct Answer: B
Rationale: Urinary frequency is least indicative of UTI during pregnancy because it is a common minor discomfort of pregnancy and is caused by pressure of the growing uterus on the bladder. As the uterus rises in the second trimester, there are no problems. Frequency returns in the third trimester when the uterus drops into the pelvic cavity. A UTI has the symptoms of frequency, back pain, supra pubic discomfort, and malaise and is diagnosed by laboratory findings.
Question 3 of 5
A client is having psychological counseling for problems communicating with his mother. Which model of stress is the most useful in reference to this stressor?
Correct Answer: C
Rationale: The Transaction-Based Model is, according to R.S. Lazarus, a state that Stimulus theory and Response theory do not consider individual differences. He takes into account cognitive processes that intervene between the encounter and the reaction and the factors that affect the nature of this process. He includes mental and psychological components or responses as part of his concept of stress (Person-Environment Transactions).
Question 4 of 5
A nurse is caring for a client with an elevated cortisol level. The nurse can expect the client to exhibit symptoms of:
Correct Answer: C
Rationale: High levels of cortisol can produce sodium and fluid retention and potassium deficit, thus creating urinary deficit.
Question 5 of 5
A female having her first child is experiencing which type of crisis event?
Correct Answer: B
Rationale: Having a first child is a maturational crisis, requiring new coping strategies for the developmental transition to parenthood.