NCLEX-PN
Physiological Adaptation NCLEX Questions Questions
Extract:
Question 1 of 5
During the work phase of the nurse-client relationship, the client says to her primary nurse, 'You think that I could walk if I wanted to, don't you?' What is the best response by the nurse?
Correct Answer: D
Rationale: This response answers the question honestly and nonjudgmentally and helps to preserve the client's self-esteem.
Choice 1 is an open and candid response but diminishes the client's self-esteem.
Choice 2 doesn't answer the client's question and is not helpful.
Choice 3 increases the client's anxiety because her inability to walk might be directly related to an unconscious psychological conflict that has not been resolved.
Question 2 of 5
The nurse who was not promoted tells another friend, 'I knew I'd never get the job. The hospital administrator hates me.' If she actually believes this of the administrator, who, in reality, knows little of her, she is demonstrating:
Correct Answer: C
Rationale: Projection results in unconsciously adopting blaming behavior. It attributes unacceptable attributes to other people.
Question 3 of 5
The Token Economy is a type of therapy that focuses on:
Correct Answer: B
Rationale: Behavior modification gives positive feedback and rewards for appropriate behavior.
Question 4 of 5
Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?
Correct Answer: C
Rationale: The intervention priority with a mother who feels incompetent to parent a teenage daughter is to assist the mother to identify what she feels her crisis events are and to help her develop better coping skills and improve her mothering skills. With a teenager, the growth and development parameters have to be concentrated on self as well as acquiring an added event.
Choices 1, 2, and 4 do not directly address the mother's feelings of inadequacy.
Question 5 of 5
A client is 36 hours post-op a TKR surgery, 270 cc's of sero-sanguinous accumulates in the surgical drains. What action should the nurse take?
Correct Answer: A
Rationale: The physician should be notified if excessive drainage is noted from the surgical site.