NCLEX-PN
NCLEX Client Needs Physiologic Adaptation Questions
Extract:
Question 1 of 5
A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?
Correct Answer: B
Rationale: The nurse's role is to help the client deal with the stress caused by the remembered abuse.
Question 2 of 5
A nurse is assessing a patient's breath sounds. The patient has had a pneumonectomy to the right lung performed 48 hours ago. Which of the following conditions most likely exists?
Correct Answer: A
Rationale: Breath sounds would be softer due to the removal of the right lung, reducing the area available for air exchange.
Question 3 of 5
An appropriate question when assessing a client's self-expectations about weight loss is:
Correct Answer: D
Rationale: Nurses should assist clients to evaluate themselves and make behavior changes. Listening to clients, supporting clients' strengths, assisting clients to look at themselves in totality, and encouraging clients to set attainable goals should be part of the nurse-client relationship.
Question 4 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:
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 5 of 5
What is the reason for a contract between nurse and client?
Correct Answer: D
Rationale: A contract emphasizes that the nurse works with the client, rather than doing something for the client. Working with suggests that each party is expected to participate and share responsibility for outcomes. Contracts do not, however, stipulate roles or feeling tone, nor is premature termination expressly forbidden.