NCLEX-PN
NCLEX Physiological Adaptation Questions
Extract:
Question 1 of 5
An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is:
Correct Answer: D
Rationale: Exercise reduces anxiety and redirects attention in OCD, serving as a non-confrontational intervention to decrease compulsive behaviors.
Question 2 of 5
Which of the following blood pressure parameters indicates PIH? Elevation over a baseline of:
Correct Answer: A
Rationale: These are the accepted parameters for mild PIH. Mild preclampsia includes an increase in systolic blood pressure higher than 30 mmHg or an increase in diastolic blood pressure higher than 15 mmHg, noted on two readings taken 6 hours apart (or 140/90).
Question 3 of 5
An adolescent female reports being raped at a party where alcohol was served. The client admits to drinking alcohol before being raped by an acquaintance. The nurse should:
Correct Answer: C
Rationale: Supporting the client and affirming that the rape was not her fault is critical, as acquaintance rape is serious and not negated by alcohol consumption.
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
A client tells the nurse that his wife's nagging really gets on his nerves. He asks the nurse to talk with her about her nagging during their family session tomorrow afternoon. Which of the following responses is the most therapeutic for the client?
Correct Answer: C
Rationale: The client needs to learn how to communicate directly with his wife about her behavior. The nurse's assistance enables him to practice a new skill and communicates confidence in his ability to confront this situation.
Choices 1 and 2 inappropriately direct attention away from the client and toward his wife, who isn't present.
Choice 4 implies that there might be a legitimate reason for the nurse to assume responsibility for something that rightfully belongs to the client. Instead of focusing on his problems, he'll waste precious time convincing the nurse that he or she should do his work.