NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
After group therapy, the female victim of intimate partner violence confides to the nurse that she does not feel in any immediate danger. Which of the following statements about victims of domestic violence is true?
Correct Answer: A
Rationale: Victims of domestic violence are often correct at predicting their risk of harm. It is crucial for the nurse to ensure that the client is expressing herself authentically and not downplaying any potential danger. While victims can be insightful about their risk, it's essential to involve proper authorities, such as the police, in situations of intimate partner violence to ensure safety and provide necessary support.
Choice B is incorrect because victims may not necessarily overestimate their safety risk.
Choice C is incorrect as not all victims are in a state of denial; some may recognize the dangers they face.
Choice D is incorrect because victims may not believe that keeping peace with their partner is the best way to prevent future attacks, as each individual's situation and mindset vary.
Question 2 of 5
After experiencing a traumatic event like losing a child due to poisoning, a client tells the nurse, 'I don’t want to make any new friends right now.' This is an example of which of the following indicators of stress?
Correct Answer: C
Rationale: The correct answer is C: sociocultural indicator. In this situation, the client's reluctance to make new friends after experiencing a traumatic event like losing a child due to poisoning reflects a change in their social behavior, which is influenced by sociocultural factors. This response indicates how stress can impact a person's relationships and social interactions.
Choice A, emotional indicator, is incorrect because the client's statement is more related to social interactions than emotional expression.
Choice B, spiritual indicator, is incorrect as the given scenario does not directly involve spiritual beliefs or practices.
Choice D, intellectual indicator, is also incorrect as the client's statement does not reflect cognitive or intellectual changes but rather social aspects affected by the stressful event.
Question 3 of 5
The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?
Correct Answer: A
Rationale: The pregnant nurse should not be assigned to any client with radioactivity present. The client receiving linear accelerator therapy is the correct choice because the radiation stays in the department, and the client is not radioactive.
Choices B, C, and D involve clients who are radioactive or pose a risk due to radioactivity. The client with a radium implant for cervical cancer (choice
B) is radioactive, the client who has just been administered soluble brachytherapy for thyroid cancer (choice
C) is radioactive for approximately 72 hours, and the client who returned from placement of iridium seeds for prostate cancer (choice
D) is also radioactive, especially right after the procedure. These options are not suitable for assignment to the pregnant nurse.
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:
Correct Answer: B
Rationale: In the scenario provided, the nurse aims to reduce the client's use of denial and encourage the expression of feelings. Positive reinforcement for each expression of feelings is an effective approach to achieve this goal. By positively reinforcing the client's expression of feelings, the nurse encourages the desired behavior, making it more likely for the client to continue sharing their emotions. This approach creates a supportive and accepting environment for the client. In contrast, telling the client to stop using denial (
Choice
A) may create resistance and inhibit communication by putting pressure on the client. Instructing the client to express feelings (
Choice
C) is less effective as it lacks the element of reinforcement that is essential for behavior modification. Challenging the client each time denial is used (
Choice
D) may lead to defensiveness and hinder the therapeutic relationship, making it a less favorable option.
Question 5 of 5
A client with schizophrenia says, 'I'm away for the day ... but don't think we should play "? or do we have feet of clay?' Which alteration in the client's speech does the nurse document?
Correct Answer: D
Rationale: The correct answer is 'Associative looseness.' In the provided speech, the client shows associative looseness by making loose connections between phrases without a clear logical link. Clang association involves rhyming words without regard for their meaning. Neologism refers to made-up words with specific meaning to the client, and word salad is a jumble of words that lack coherence either to the listener or the client. Understanding these speech patterns associated with schizophrenia is crucial in identifying the specific alteration in speech displayed by the client in this scenario.