NCLEX Client Needs Physiologic Adaptation

Extract:

Question 1 of 5

A nurse is instructing a patient on the order of sensations with the application of an ice water bath for a swollen right ankle. Which of the following is the correct order of sensations experienced with an ice water bath?

Correct Answer: A

Rationale: CBAN, cold, burn, ache, numbness

Question 2 of 5

A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:

A. review their own cultural beliefs and biases B. respectfully request that the couple utilize only medically approved health care providers C. realize that the clients have to learn their new country's accepted medical practices D. study family dynamics to understand the male and female gender roles in the clients' culture

Correct Answer: A

Rationale: The nurse must first examine their own cultural biases to avoid imposing personal beliefs, ensuring culturally sensitive care. The other options assume or impose external standards without prioritizing self-awareness.

Question 3 of 5

Nursing considerations when caring for African-American clients include that:

A. families are generally distant and unsupportive B. special hair, skin, and nail care might be required C. fad diets are a cultural norm D. clients are generally future-oriented

Correct Answer: B

Rationale: African-American clients may require specific hair, skin, and nail care due to unique characteristics like tightly coiled hair or higher risk of keloid scarring. The other options are stereotypes or incorrect: families are often supportive, fad diets are not a cultural norm, and future orientation is not a defining trait.

Question 4 of 5

The nurse wishes to decrease a client's use of denial and increase the client's expression of feelings. To do this the nurse should:

A. tell the client to stop using the defense mechanism of denial. B. positively reinforce each expression of feelings. C. instruct the client to express feelings. D. challenge the client each time denial is used.

Correct Answer: B

Rationale: The nurse should positively reinforce each expression of feelings.

Question 5 of 5

A 57-year-old woman is recently widowed. She states, 'I will never be able to learn how to manage the finances. My husband did all of that.' Select the nurse's response that could help raise the client's self-esteem.

A. You feel inadequate because you have never learned to balance a checkbook. B. You should have insisted your husband teach you about the finances. C. You are strong and will learn how to manage your finances after awhile. D. Why don't you take a class in basic finance from the local college?

Correct Answer: C

Rationale: The nurse can raise the client's self-esteem by communicating confidence the client can participate in actively finding solutions to the problem. The nurse also conveys the client is a worthwhile person by listening and accepting the client's feelings and praising the client for seeking assistance.

NCLEX Client Needs Physiologic Adaptation | Nurselytic

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NCLEX-PN

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