NCLEX Physiological Adaptation

Extract:

Question 1 of 5

The three major sequential maturational crises for females include:

Correct Answer: A

Rationale: The three major sequential maturational crises affecting females are puberty, pregnancy, and menopause. These are life events that have been studied by many researchers and are considered the major events in a woman's life. Puberty is the onset menarche. Pregnancy is a turning point in one's life from which there is no return. Menopause is the cessation of menses. The nurse has the responsibility to assess, plan, implement appropriate concepts to facilitate effective functioning, and enhance growth and development. Other options are not sequential maturational crises.

Question 2 of 5

A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should:

A. immediately contact child protective services. B. provide the mother with literature about child care. C. consult a therapist to help the mother work out her fears. D. refer the mother to parenting classes.

Correct Answer: D

Rationale: Prevention of child abuse is centered on teaching the parents how to care for their child and cope with the demands of infant care. Parenting classes can help build self-confidence, self-esteem, and coping skills. Parents benefit by understanding the developmental needs of their children, while learning how to manage their home environment more effectively. The classes also increase the parents' social contacts and teach about community resources.

Question 3 of 5

Nurses should understand the chain of infection because it refers to:

A. the linkages between various forms of microorganisms. B. the sequence required for transmission of disease. C. the clustering of bacteria in a specific pattern. D. increasing virulence patterns among species of microorganisms.

Correct Answer: B

Rationale: Infection occurs in a predictable sequence requiring virulence, movement from a reservoir, and entry into a susceptible host.

Question 4 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).

Question 5 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:

A. Inform the client that because she is underage, she is at fault for attending a party where alcohol was served B. Ask the client if anyone witnessed the event because the client was intoxicated and might not remember correctly C. Inform the client that it was not her fault, and support the client through the physical examination D. Question whether the woman had consensual sex and now just feels guilty

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.

NCLEX Physiological Adaptation | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN