NCLEX-PN
Physiological Adaptation NCLEX Questions Questions
Extract:
Question 1 of 5
When caring for a Native-American family, the nurse needs to consider which of the following?
Correct Answer: C
Rationale: Symbols of health or traditions might include certain ritualistic items that are used to maintain, protect, or restore physical, mental, or spiritual health.
Question 2 of 5
When questioning an elder about suspected abuse, the nurse should keep the questions:
Correct Answer: A
Rationale: Questions about suspected abuse should be direct and nonconfrontational. Indirect questions encourage denial.
Question 3 of 5
The nurse can best communicate to a client that he or she has been listening by:
Correct Answer: A
Rationale: Restating allows the client to validate the nurse's understanding of what has been communicated. It's an active listening technique. Judgments should be suspended in a nurse-client relationship. Leading questions ask for more information rather than showing understanding. Saying 'I understand' communicates understanding, but the client has no way of measuring the understanding.
Question 4 of 5
Mrs. Owens is the 81-year-old mother of Jonathan, who is 54 years old. Jonathan has had schizophrenia since he was 16 years old. Which of Mrs. Owens's concerns is likely to predominate?
Correct Answer: C
Rationale: The mother's most prominent concern is likely to be what becomes of her son after she dies.
Choice 1 is important but is not likely to be her most prominent concern.
Choice 2 is also not likely to be her primary concern because the welfare of her son with schizophrenia is more important.
Choice 4 is incorrect because Mrs. Owens has likely confronted and handled concerns about getting the physician to talk to her after 38 years of managing her son's care.
Question 5 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.