NCLEX-RN
Saunders NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
Examples of preservation of self-integrity include all of the following except:
Correct Answer: C
Rationale: The correct answer is C: Accepting the challenge of caring for clients with oppositional beliefs or practices. This choice does not align with preservation of self-integrity as it may require compromising personal values or beliefs. Using assistive equipment (
A) promotes safety, participating in wellness programs (
B) supports personal well-being, and using hand hygiene and PPE (
D) ensures infection control. Accepting clients' opposing beliefs may lead to internal conflict, compromising self-integrity.
Question 2 of 5
Which of the following is an example of whistle-blowing?
Correct Answer: A
Rationale: The correct answer is A because whistle-blowing involves reporting unethical or illegal behavior within an organization to higher authorities. In this scenario, the nurse is reporting a colleague's misuse of supplies for personal gain, which is unethical.
Choice B involves a client suing a nurse for malpractice, not whistle-blowing.
Choice C is a standard response to a client falling and does not involve reporting unethical behavior.
Choice D describes a case of neglect, not whistle-blowing.
Question 3 of 5
A nurse is caring for an in-patient client in the hospital who is from another country and who fasts for temporary periods in order to promote his own spiritual growth. The nurse responds by saying, 'You need to eat something while you are here. Food and proper nutrition are extremely important for your health.' What social philosophy is the nurse demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Ethnocentrism. Ethnocentrism is the belief in the inherent superiority of one's own culture or ethnic group. In this scenario, the nurse is imposing their own cultural beliefs about food and nutrition onto the patient, without considering or respecting the patient's cultural or spiritual practices. This demonstrates a lack of cultural sensitivity and understanding, as the nurse is prioritizing their own cultural norms over the patient's beliefs.
Summary of other choices:
B: Relativism - Relativism would involve acknowledging and respecting the patient's cultural practices and beliefs, which the nurse is not doing in this case.
C: Stereotyping - Stereotyping involves making assumptions about individuals based on their cultural background, which is not explicitly demonstrated in this scenario.
D: Xenocentrism - Xenocentrism is the opposite of ethnocentrism, where one believes that other cultures are superior to their own. This is not evident in the nurse's behavior.
Question 4 of 5
A physician has written an order for '2.0 mg MS q 2-4 hr prn pain.' What is the nurse's appropriate response to this order?
Correct Answer: D
Rationale: The correct answer is D: Contact the physician to rewrite the order. The order '2.0 mg MS q 2-4 hr prn pain' is ambiguous as it does not specify the maximum dose within the 2-4 hour range. The nurse should clarify with the physician to ensure patient safety and accuracy in medication administration. Option A is incorrect as it assumes the dose without clarification. Option B is incorrect as it provides an incorrect dose. Option C is not the most appropriate initial action as contacting the physician directly is crucial.
Question 5 of 5
Examples of preservation of self-integrity include all of the following except:
Correct Answer: C
Rationale: The correct answer is C: Accepting the challenge of caring for clients with oppositional beliefs or practices. This choice does not align with preservation of self-integrity as it may require compromising personal values or beliefs. Using assistive equipment (
A) promotes safety, participating in wellness programs (
B) supports personal well-being, and using hand hygiene and PPE (
D) ensures infection control. Accepting clients' opposing beliefs may lead to internal conflict, compromising self-integrity.