PN Nclex Questions 2024 - Nurselytic

Correct Answer: B

Rationale: The correct answer is 'behavior modification.' The
Token Economy is a form of behavior modification that involves providing positive reinforcement in the form of tokens or rewards for desired behaviors. This approach aims to increase the occurrence of positive behaviors by rewarding them. Play therapy (choice
A) focuses on using play as a medium for therapeutic communication, not specifically behavior modification. Milieu therapy (choice
C) involves shaping the environment to promote desired behaviors but is not the primary focus of the
Token Economy. 'Associative' (choice
D) is not directly related to the
Token Economy or its focus on behavior modification, making it an incorrect choice.

Correct Answer: C

Rationale: The most crucial assessment during the preoperative period for a client scheduled for surgical repair of a sacular abdominal aortic aneurysm is the identification of peripheral pulses. This is essential because during surgery, the aorta will be clamped, potentially affecting blood circulation to the kidneys and lower extremities. Monitoring peripheral pulses helps assess circulation to the lower extremities, ensuring adequate perfusion. While assessing the client's anxiety level (choice
A) is important, it is not as critical as monitoring peripheral pulses in this case. Evaluating exercise tolerance (choice
B) is not typically recommended preoperatively for this specific condition. Assessing bowel sounds and activity (choice
D) is also relevant but takes a lower priority compared to identifying peripheral pulses in this scenario.

Correct Answer: B

Rationale: The correct answer is to ask the client to void immediately before the study. For an intravenous pyelogram, the client may have orders for laxatives or enemas, so ensuring the client voids before the test is important to prevent obscuring visualization of the kidney, ureters, and bladder.
Choice A is incorrect because there is no need to force fluids before the procedure.
Choice C is incorrect as medications affecting the central nervous system should not be held unless specified by the healthcare provider.
Choice D is incorrect as covering the reproductive organs with an x-ray shield is not necessary for an intravenous pyelogram.

Correct Answer: D

Rationale: In this scenario, a realistic short-term goal for the client who was raped and starting a brief treatment program is to verbalize feelings about the event. This goal promotes the expression of emotions, which is crucial in the healing process. Identifying all psychosocial problems is too broad and not typically achievable in a brief treatment program. Eliminating the client's enticing behaviors is not a suitable short-term goal as the focus should be on emotional recovery. While resolving feelings of trauma and fear is important, verbalizing feelings about the event is a more specific and achievable goal in the short term.

Correct Answer: B

Rationale: Correct answer: Special hair, skin, and nail care might be required. African-American clients may have specific hair, skin, and nail care needs due to their unique characteristics such as curly hair and melanin-rich skin. It is important for healthcare providers to be knowledgeable about these needs to provide appropriate care. Option A is incorrect as it does not address the specific care aspect related to the clients themselves. Option C is incorrect as assuming all African-American clients follow cultural diets is a stereotype and may not apply to every individual. Option D is incorrect as being future-oriented is not a characteristic that is universally applicable to African-American clients and does not directly impact nursing care considerations.