NCLEX-PN
Physiological Adaptation NCLEX Questions
Extract:
Question 1 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: Nurses might observe behavioral cues that can indicate the presence of hallucinations. Talking about the hallucinations is reassuring and validating to the client who has them. Focusing on the symptoms and asking about the hallucinations helps the client gain control.
Question 2 of 5
When planning intervention for a client during a crisis, which of the following outcomes is most appropriate?
Correct Answer: D
Rationale: The primary goal of crisis intervention is to relieve the symptoms of anxiety and foster constructive coping. Previous psychological issues might recur during crisis, but the focus is on short-term resolution of the current problem. At the end, the nurse credits a client for positive changes and helps him or her understand what was learned. This allows the client to use the learned coping mechanisms when new problems arise.
Question 3 of 5
The three universal spiritual needs include all of the following except:
Correct Answer: D
Rationale: Religious teachings help to present a meaningful philosophy and system of practices within a system of social controls having specific values, norms, and ethics. God is the center of many religions (major), but not all.
Question 4 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: Nurses might observe behavioral cues that can indicate the presence of hallucinations. Talking about the hallucinations is reassuring and validating to the client who has them. Focusing on the symptoms and asking about the hallucinations helps the client gain control.
Question 5 of 5
A client receives a cervical intracavity radium implant as part of her therapy. A common side effect of a cervical implant is:
Correct Answer: A
Rationale: Creamy, pink-tinged vaginal drainage persists for 1 to 2 months after removal of a cervical implant.