NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 721:

  James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog.

  This coping mechanism is known as __________.

  A. denial

  B. suppression

  C. displacement D. fantasy

  Correct Answer: C

  Displacement is the transference of anger to another. Anger is displaced on the dog as a convenient object.

• Question 722:

  A primary belief of psychiatric mental health nursing is __________.

  A. most people have the potential to change and grow

  B. every person is worthy of dignity and respect

  C. human needs are individual to each person

  D. some behaviors have no meaning and cannot be understood

  Correct Answer: B

  Every person is worthy of dignity and respect.

  Every person has the potential to change and grow.

  All people have basic human needs in common with others.

  All behavior has meaning and can be understood from the client's perspective.

• Question 723:

  What interpersonal relief behavior is Ashley using?

  A. acting out

  B. somatizing

  C. withdrawal

  D. problem-solving

  Correct Answer: B

  Somatizing means one experiences an emotional conflict as a physical symptom. Ashley manifests

  several physical symptoms associated with severe anxiety.

  Acting out refers to behaviors such as anger, crying, laughter, and physical or verbal abuse.

  Withdrawal is a reaction in which psychic energy is withdrawn from the environment and focused on the

  self in response to anxiety.

  Problem-solving takes place when anxiety is identified and the unmet need is met.

• Question 724:

  Ashley and her boyfriend Chris, both 19-years-old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating.

  The nurse should assess Ashley's level of anxiety as __________.

  A. mild

  B. moderate

  C. severe D. panic

  Correct Answer: C

  The person whose anxiety is assessed as severe is unable to solve problems and has a poor grasp of

  what's happening in his or her environment. Somatic symptoms such as those described by Ashley are

  usually present. Vital sign changes are observed.

  The individual with mild anxiety might report being mildly uncomfortable and might even find performance

  enhanced.

  The individual with moderate anxiety grasps less information about the situation, has some difficulty

  problem-solving, and might have mild changes in vital signs.

  The individual in panic demonstrates markedly disturbed behavior and might lose touch with reality.

• Question 725:

  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

  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 726:

  A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms.

  These findings are most consistent with __________.

  A. wearing clothing that is too small for the child

  B. the child being shaken

  C. falling while learning to walk

  D. parents trying to awaken the child

  Correct Answer: B

  Children who are shaken are frequently grasped by both upper arms.

  Symptoms of brain injury associated with shaking include decreased level of consciousness.

• Question 727:

  A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day.

  Which statement indicates that the client understands the nurse's teaching about discontinuing the medication?

  A. "I can drink alcohol now that I am decreasing my Xanax."

  B. "I should not take another Xanax pill. Here is what is left of my last prescription."

  C. "I should take three pills per day next week, then two pills for one week, then one pill for one week."

  D. "I can expect to be sleepy for several days after stopping the medicine."

  Correct Answer: C

  Xanax, like other benzodiazepines, can cause withdrawal symptoms that include agitation, insomnia,

  hypertension, seizures, and abdominal pain.

  The drug must be slowly decreased to prevent withdrawal symptoms.

• Question 728:

  A batterer is usually someone who __________.

  A. grew up in a loving, secure home

  B. was an only child

  C. was physically or psychologically abused

  D. admits he has a problem with anger

  Correct Answer: C

  Many batterers report having been abused as children.

• Question 729:

  When helping a client gain insight into anxiety, the nurse should __________.

  A. help relate anxiety to specific behaviors

  B. ask the client to describe events that precede increased anxiety

  C. instruct the client to practice relaxation techniques

  D. confront the client's resistive behavior

  Correct Answer: B

  To gain insight, the client needs to recognize causal events. The other activities focus on recognition of anxiety.

• Question 730:

  The kind of man who beats a woman is __________.

  A. from a minority culture in a low-income group.

  B. from a majority culture in a middle-income group.

  C. one who was never allowed to compete as a child.

  D. from any walk of life, race, income group, or profession.

  Correct Answer: D

  Batterers cannot be predicted by demographic features related to age, ethnicity, race, religious

  denomination, education, socioeconomic status, or class.

  Ninety-five percent of domestic abuse cases involve male perpetrators and female victims.