NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 831:

  Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?

  A. Recommend that she discipline her daughter more strictly and consistently.

  B. Make a list of things her husband can do to help her improve.

  C. Assist the mother to identify what she believes is preventing her success and what she can do to improve.

  D. Explore with the mother what the daughter can do to improve her behavior.

  Correct Answer: C

  The intervention priority with a mother who feels incompetent to parent a teenage daughter is to assist the mother to identify what she feels her crisis events are and to help her develop better coping skills and improve her mothering skills. With a teenager, the growth and development parameters have to be concentrated on self as well as acquiring an added event. Choices "Recommend that she discipline her daughter more strictly and consistently.", "Make a list of things her husband can do to help her improve." and "Explore with the mother what the daughter can do to improve her behavior." do not directly address the mother's feelings of inadequacy.

• Question 832:

  What is the primary goal of family education?

  A. symptom reduction

  B. improved quality of life

  C. increased knowledge about mental illness

  D. improved caregiving skills

  Correct Answer: B

  Improving quality of life is the primary goal of family education. Symptom reduction is a goal of

  psychoeducation, not family education.

  Increased knowledge about mental illness might accompany family education, but is not a goal of it.

  Improved quality of life and reduced family burden are the goals.

  Improved care-giving skills might accompany family education but are not a goal of it.

• Question 833:

  Spirituality affects a client's life in all of the following areas except __________.

  A. nutritional intake

  B. ability to handle stress

  C. sexual expression

  D. genetic makeup

  Correct Answer: D

  Spirituality is a belief in or relationship with some higher power, creative force, divine being, or infinite source of energy and does not have any effect on genetic makeup.

• Question 834:

  The difference between spirituality and religion is that spirituality is __________.

  A. a belief about a higher power

  B. an individual's relationship with a higher power

  C. organized worship

  D. a belief in an invisible energy or ideal

  Correct Answer: B

  Religion can be considered a system of beliefs, practices, and ethical values about a divine or superhuman power or powers worshipped as the creator(s) and ruler(s) of the universe. Spirituality is a belief in or relationship with some higher power, creative force, driving being, or infinite source of energy.

• Question 835:

  A mother has just given birth to a baby who died soon after. The mother has been crying and states, "I can't believe this has happened to me. I did everything right during this pregnancy."

  How should the nurse respond to this mother?

  A. Tell her she did nothing wrong; it was God's will.

  B. Tell her she can have another baby.

  C. Tell her that her behavior is not going to solve anything.

  D. Tell her nothing and let her mourn this loss in the manner she chooses.

  Correct Answer: D

  Perinatal loss is a great tragedy for the parents.

  A bereaved mother must resolve the crisis of perinatal loss in addition to the crisis of pregnancy. Such a

  loss is described as losing part of one's self ?loss of self-worth.

  The perinatal grief response must involve attachment and detachment as a part of the mourning process.

• Question 836:

  The nurse supporting a family who has just experienced a sudden and unexpected death needs to know __________.

  A. that survivors have greater emotional turmoil and shock than when death is expected.

  B. that survivors have less emotional turmoil and shock than when death is expected.

  C. that survivors have the same emotional turmoil and shock as when death is expected.

  D. that survivors have little emotional turmoil and shock because they were not there.

  Correct Answer: A

  Sudden death produces greater emotional turmoil and shock in survivors than does a gradual, expected

  death.

  Survivors do not have time to engage in anticipatory grief. The most disturbing and unbalancing feature of

  sudden death is its unexpectedness.

• Question 837:

  The best definition of communication is __________.

  A. the sending and receiving of messages

  B. the effect of sending verbal messages

  C. an ongoing, interactive form of transmitting transactions

  D. the use of message variables to send information

  Correct Answer: C

  Communication is a personal, interactive system ?a series of ever-changing, ongoing transactions in the

  environment. Transmissions are simultaneously received (decoded), sent (encoded), and influenced by

  the total of experiences and perceptions of the receivers and senders.

  Through communication and interaction with others, an individual develops a sense of identity and being.

  Communication is the basis of a person's self-concept and the relationship of this self to another individual,

  to a group of people, and to the world.

• Question 838:

  After the client discusses her relationship with her father, the nurse says, "Tell me whether I am understanding your relationship with your father. You feel dominated and controlled by him?"

  This is an example of __________.

  A. verbalizing the implied

  B. seeking consensual validation

  C. encouraging evaluation

  D. suggesting collaboration

  Correct Answer: B

  Consensual validation is a technique used to check one's understanding of what the client has said. Consensual validation is the process by which people come to agreement about the meaning and significance of specific symbols. Through this experience, individuals develop the ability to relate effectively.

• Question 839:

  A nurse notes that an elderly client suddenly does not keep appointments and is not wearing appropriate clothing.

  Which statement by the client raises the suspicion of financial abuse?

  A. "I am having difficulty paying for this new antibiotic the physician prescribed."

  B. "I am a little short on cash since my daughter moved in to help me."

  C. "I have not felt like shopping since the weather has gotten worse."

  D. "People do not realize how difficult it is to make ends meet on a fixed income."

  Correct Answer: B

  Elderly clients on fixed incomes have difficulty meeting new expenses, such as medicine.

  Signs of financial abuse include unexplained illnesses that are left untreated, an inability to pay rent or

  purchase clothes and food, and inaccurate knowledge about finances.

  Financial abuse is a form of elder abuse and requires investigation.

• Question 840:

  The nurse is assessing an elder who the nurse suspects is being physically abused.

  The most important question for nurse to ask is __________.

  A. "How much money do you keep around the house?"

  B. "Who provides your physical care?"

  C. "How close does your nearest relative live?"

  D. "What form of transportation do you use?"

  Correct Answer: B

  The most common abuser is a caregiver living with the client.

  Research reveals that the spouse is currently the most common abuser, followed by an adult child.