NCLEX Physiological Adaptation

Extract:

Question 1 of 5

An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?

Correct Answer: B

Rationale: Children who are abused learn to cope with the painful experiences by ignoring painful feelings and avoiding getting close to people. As adults, victims of abuse usually continue to repress feelings, avoid close interpersonal relationships, and frequently use alcohol or drugs to block painful memories. Long-term effects in adults might include criminal/violent behavior (for adult males), substance abuse, and a variety of social and emotional problems (including suicidal thoughts, anxiety, hostility, dissociation, and interpersonal difficulties).

Question 2 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:

A. do nothing; the client has the right to refuse treatment. B. report the incident to the police. C. arrange an appointment with the client's next of kin. D. educate the client about available services.

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 3 of 5

How does the ANA define the psychiatric nursing role?

A. a specialized area of nursing practice that employs theories of human behavior as its science and the powerful use of self as its art. B. assisting the therapist to relieve the symptoms of clients. C. to solve clients' problems and give them the answers. D. having a client committed to long-term therapy with the nurse.

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

An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?

A. knowledge that elder abuse is rare B. personal belief that abuse is deserved C. lack of developmentally appropriate screening tools D. fear of reprisal or further violence if the incident is reported

Correct Answer: D

Rationale: Barriers to reporting elder abuse include victim shame, fear of reprisals, fear of loss of caregiver, and lack of knowledge of agencies that provide services. Many elders fear that reporting abuse results in their placement in long-term care because the current caregiver is the abuser.

Question 5 of 5

When discussing the patterns of use of alcohol and other drugs, the nurse should include which piece of information?

A. Lifetime prevalence and intensity of alcohol use is greater in women than men B. Hispanics and African Americans have higher levels of alcohol use than Caucasians C. Overuse of alcohol and other drugs increases into the mid-20s, then levels off and decreases with age D. Heavy use is more common in higher socioeconomic groups because they can afford to buy the drugs

Correct Answer: C

Rationale: Alcohol and drug use peaks in the mid-20s and decreases with age. Men have higher prevalence, Caucasians report more alcohol use, and heavy use is more common among less educated or unemployed groups.

NCLEX Physiological Adaptation | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN