NCLEX Physiological Adaptation

Extract:

Question 1 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 2 of 5

Which of the following statements should the nurse use to best describe a very low-calorie diet (VLCD) to a client?

A. This diet can be used when there is close medical supervision.' B. This is a long-term treatment measure that assists obese people who can't lose weight.' C. The VLCD consists of solid food items that are pureed to facilitate digestion and absorption.' D. A VLCD contains very little protein.'

Correct Answer: A

Rationale: VLCDs are used in the clinical treatment of obesity under close medical supervision. The diet is low in calories, high in quality protein, and has a minimum of carbohydrates to spare protein and prevent ketosis.

Question 3 of 5

A nurse is reviewing a patient's serum glucose levels. Which of the following scenarios would indicate abnormal serum glucose values for a 30 year-old male.

A. 70 mg/dl B. 55 mg/dl C. 110 mg/dl D. 100 mg/dl

Correct Answer: B

Rationale: 60-115 mg/dl is standard range for serum glucose levels.

Question 4 of 5

Which of the following diseases places a client at risk for developing cirrhosis?

A. type I diabetes B. alcoholism C. leukemia D. glaucoma

Correct Answer: B

Rationale: Alcoholism places a client at risk for developing cirrhosis. None of the other choices are related to cirrhosis.

Question 5 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?

A. I think I was a lonely child because I could not tell anyone about my abuse.' B. I am now aware of how deep-seated my anger is. Before I did not realize I was angry.' C. The program has given me the courage to tell my mother how I felt about her role in my hurt.' D. There are so many people just like me, who are just normal people that had bad things happen to them.'

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).

NCLEX Physiological Adaptation | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN