Saunders NCLEX RN Practice Questions - Nurselytic

Correct Answer: B

Rationale: The correct answer is B: First-generation antipsychotic drugs. These medications primarily block dopamine receptors in the brain, leading to extrapyramidal effects such as dystonia, akathisia, parkinsonism, and tardive dyskinesia. These side effects are less common with atypical antipsychotic drugs (choice
A) due to their different receptor profiles. Third-generation antipsychotic drugs (choice
C) and dopamine system stabilizers (choice
D) are newer classes of medications with reduced extrapyramidal effects compared to first-generation drugs.
Therefore, the most likely culprit for producing extrapyramidal effects among the options provided is the first-generation antipsychotic drugs.

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.

Correct Answer: C

Rationale: The correct answer is C. Assisting with performing incentive spirometry can be delegated to unlicensed assistive personnel (UAP) as it involves a non-invasive procedure that does not require specialized training or licensure. UAP can help patients with using the incentive spirometer to improve lung function under the supervision of a licensed healthcare provider.

Choices A, B, and D involve tasks that require specific skills and knowledge to prevent complications, hence should be performed by licensed healthcare professionals.

Correct Answer: A

Rationale: The correct answer is A: The client is an emancipated minor. Emancipated minors are legally considered adults and have the right to make their own medical decisions without parental involvement. In this case, since the 16-year-old is emancipated, the mother's participation in discharge planning may be prohibited.


Choice B is incorrect because the mother's work schedule does not necessarily prohibit her from participating in discharge planning.
Choice C is irrelevant as the client having a job and a driver's license does not impact the mother's ability to participate.
Choice D, the mother not speaking English, may present a communication barrier but does not inherently prohibit her from participating.

Correct Answer: A

Rationale: The correct answer is A because obtaining informed consent involves providing the client with an explanation of the reasons for the procedure. This ensures that the client understands the purpose, risks, benefits, and alternatives of the procedure before giving consent.
Choice B is incorrect because a signature on a form alone does not guarantee informed consent.
Choice C is incorrect as affirming liability is not a necessary component of obtaining informed consent.
Choice D is incorrect as it combines an essential element (
A) with an incorrect element (
C).