NCLEX-PN
NCLEX Physiological Adaptation Questions
Extract:
Question 1 of 5
A nurse notes that an elderly client suddenly does not keep appointments and is not wearing appropriate clothing. Which statement by the client raises the suspicion of financial abuse?
Correct Answer: B
Rationale: Signs of financial abuse include an inability to pay for necessities like clothes, and the statement about being short on cash since the daughter moved in suggests possible misuse of funds by a caregiver.
Question 2 of 5
A nurse observes a client sitting alone and talking. When asked, the client reports that he is 'talking to the voices.' The nurse's next action should be:
Correct Answer: C
Rationale: Asking the client to describe the hallucinations validates their experience and provides insight into their condition, aiding therapeutic communication.
Touching may be intrusive, leaving them alone is non-therapeutic, and denying the voices dismisses their reality.
Question 3 of 5
How does the ANA define the psychiatric nursing role?
Correct Answer: A
Rationale: The ANA sets standards of practice for psychiatric and mental health nursing roles. Quality of care, performance appraisal, education, ethics, collaboration, and research are covered through the use of the Nursing Process.
Question 4 of 5
The best definition of communication is:
Correct Answer: C
Rationale: Communication is a personal, interactive system—a series of ever-changing, ongoing transactions in the environment.
Question 5 of 5
Which of the following statements should the nurse use to best describe a very low-calorie diet (VLCD) to a client?
Correct Answer: A
Rationale: VLCDs are used in the clinical treatment of obesity under close medical supervision. The diet is low in calories, high in quality protein, and has a minimum of carbohydrates to spare protein and prevent ketosis.