NCLEX Physiological Adaptation | Nurselytic

Questions 29

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NCLEX Physiological Adaptation Questions

Extract:


Question 1 of 5

After the client discusses her relationship with her father, the nurse says, 'Tell me whether I am understanding your relationship with your father. You feel dominated and controlled by him?' This is an example of:

Correct Answer: B

Rationale: Consensual validation is a technique used to check one's understanding of what the client has said. Consensual validation is the process by which people come to agreement about the meaning and significance of specific symbols. Through this experience, individuals develop the ability to relate effectively.

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

The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance. The nurse's next action should be to:

Correct Answer: D

Rationale: Although clients do have the right to refuse treatment, the nurse should remain nonjudgmental and inform the client of available services. Frequently elders are not aware of existing programs.

Question 4 of 5

A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:

Correct Answer: D

Rationale: A realistic short-term goal is for the client to verbalize feelings about the event. A brief treatment program is not designed to identify or resolve problems. The focus is on managing acute symptoms. If in-depth psychological problems are identified, the nurse might make referrals for treatment.

Question 5 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.

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