NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 671:

  While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report.

  The nurse should ___________.

  A. make the charge nurse on the unit aware of the situation so that he or she can take the necessary steps to maintain the confidentiality of the information being reported

  B. disregard the information because it changes quickly on the acute care unit and is outdated within 2-3 hours anyway

  C. return to his or her own unit and not disclose that confidential information has been overheard

  D. ignore the situation

  Correct Answer: A

  To protect the confidentiality of the information being reported, the nurse should make the charge nurse on the unit aware of the situation so that the information can be communicated in an appropriate way in privacy.

• Question 672:

  The power a nurse exerts when he or she works to accomplish goals and effect change in an agency or in policy is considered __________ type of power.

  A. political

  B. personal

  C. positional

  D. professional

  Correct Answer: A

  Political power results from one's ability to work within systems, agencies, or through policy to affect

  change.

  Personal power is based on one's charisma and self-confidence and is often found in informal leadership

  situations.

  Positional power is based on designated authority in a legitimized position within which the power is

  exercised.

  Professional power is based on one's professional skills and abilities resulting from one's recognized

  expertise in an area of practice.

• Question 673:

  The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario.

  Which client right might be breached?

  A. right to refuse treatment

  B. right to continuity of care

  C. right to confidentiality

  D. right to reasonable responses to requests

  Correct Answer: C

  The right to confidentiality of client information might be breached when client care situations are discussed in public areas or without regard to maintaining the information as private and confidential. The other rights listed have not been breached in this instance.

• Question 674:

  The physician's role in case management includes all of the following except ___________.

  A. participating in interdisciplinary planning for clients.

  B. serving as the expert for resource utilization.

  C. consulting with the case management team to facilitate timely orders as needed.

  D. contributing to the documentation of a client's needs for services.

  Correct Answer: B

  The physician is an integral part of the case-management process in terms of assisting with defining the client's needs and the time frames for movement through the health care system; however, the physician is the expert for medical diagnosis and treatment rather than resource utilization.

• Question 675:

  The nurse acts as an advocate for the nursing profession by performing all of the following activities except ___________.

  A. encouraging political involvement by nurses with their legislators.

  B. acting as a first-aid provider for a children's athletic team.

  C. precepting newly licensed nurses in the work situation.

  D. encouraging as many persons to become nurses as possible.

  Correct Answer: D

  The nurse acts as an advocate for the nursing profession by encouraging appropriate persons to become nurses, by being a positive role model and mentor, and by communicating the needs of nurses in the most professional manner possible, to those making the laws.

• Question 676:

  The advanced directive in a client's chart is dated August 12, 1998.The client's daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s).

  The nurse is supposed to ___________.

  A. follow the 1998 version because it's part of the legal chart

  B. follow the 1998 version because the physician's code order is based on it

  C. follow the 2003 version, place it in the chart, and communicate the update appropriately

  D. follow neither until clarified by the unit manager

  Correct Answer: C

  The document dated 2003 supersedes the previous version and should be used as a basis for care direction. Choices "follow the 1998 version because it's part of the legal chart" and "follow the 1998 version because the physician's code order is based on it" are incorrect because the 1998 version is now outdated. Choice "follow neither until clarified by the unit manager" is incorrect because the nurse can be held negligent for not responding to the 2003 document as directed.

• Question 677:

  The death of a beloved spouse places the surviving partner in __________ type of crisis.

  A. maturational

  B. reactive

  C. nonreactive

  D. situational

  Correct Answer: D

  A situational crisis is an unexpected, unplanned event, such as the death of a spouse.

  Reactive is a normal maturational crisis; reactive and nonreactive are not recognized crisis states.

• Question 678:

  A 17-year-old female was raped by a young man in her neighborhood. She is in the Emergency Department for evaluation and tests. After the procedure is completed, a rape crisis counselor (nurse specialist) talks to the client in a conference room regarding the rape.

  Implementing counseling by the nurse specialist for the raped victim represents __________.

  A. assessment

  B. crisis intervention

  C. empathetic concern

  D. unwarranted intrusion

  Correct Answer: B

  Crisis intervention is part of the Crisis Intervention Model.

  Counseling by a nurse specialist at the time of a stressful event (rape) can strengthen the client's coping. A

  nurse specialist in rape crisis intervention is educationally prepared in counseling and crisis intervention

  specific to rape victims.

• Question 679:

  At what point in the nurse-client relationship should termination first be addressed?

  A. in the working phase

  B. in the termination phase

  C. in the orientation phase

  D. when the client initially brings up the topic

  Correct Answer: C

  The client has a right to know the parameters of the nurse-client relationship.

  If the relationship is to be time limited, the client should be informed of the number of sessions.

  If it is open-ended, the termination date is not known at the outset, and the client should know that this is

  an issue that is negotiated at a later date.

• Question 680:

  Common problems for supervisors include all of the following except __________.

  A. the supervisor facilitates development of staff members.

  B. the supervisor micromanages staff members.

  C. the supervisor wants to control the style in which a staff member correctly performs a task.

  D. the supervisor does not delegate.

  Correct Answer: A

  Facilitating the development of staff members is an important goal for a supervisor.

  Micromanagement, intolerance for individual differences in style, and inability to delegate all interfere with

  team building and overall effectiveness.