NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 891:

  Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears.

  This behavior is an example of ___________.

  A. conversion

  B. regression

  C. introjection

  D. rationalization

  Correct Answer: B

  Crying is a regressive behavior. The ego returned to an earlier, comforting, and less-mature way of

  behaving in the face of disappointment.

  Conversion involves the transformation of anxiety into a physical symptom.

  Introjection involves intense unconscious identification with another person.

  Rationalization involves the unconscious process of developing acceptable explanations to justify

  unacceptable ideas, actions, or feelings.

• Question 892:

  Incidences of child abuse apperar to be higher in the African-American community and might be explained by ___________.

  A. the increased number of African Americans viewing violence on television.

  B. more single-parent households in African-American communities.

  C. stricter child-rearing practices in African-American households.

  D. a higher occurrence of rage in African Americans.

  Correct Answer: B

  Child abuse is higher in households with lower socioeconomic status and single parents. The increased incidence might be due to increased stress and fewer support systems.

• Question 893:

  An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs.

  The nurse should ask the child ___________.

  A. if the family practices coining.

  B. who hit him.

  C. if the child has fallen.

  D. how long the abuse has been occurring.

  Correct Answer: A

  The nurse must be aware of cultural practices that resemble child abuse. These practices include coining,

  cupping, and fallen fontanella. Coining and cupping are thought to draw infections from the body.

  Coining involves rubbing a heated coin on the chest and torso and might cause bruising.

  Cupping uses heated glasses that can produce erythematous and ecchymotic rounded lesions or linear

  streaks on the body from the suction. Fallen fontanella involves turning a child upside down to correct a

  depressed fontanelle; it can cause vomiting, diarrhea, and dehydration in infants. Retinal hemorrhages can

  also occur, and sometimes Shaken-Baby Syndrome is erroneously diagnosed.

• Question 894:

  A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning.

  The nurse should consult with the couple and recommend the husband help with therapy by ___________.

  A. telling his wife to stop cleaning whenever he notices her actions.

  B. making a baseline record of the time the wife spends cleaning.

  C. decreasing the stimuli in the home.

  D. helping his wife with the cleaning.

  Correct Answer: C

  His wife is exhibiting obsessive-compulsive behavior. Because this is an anxiety disorder, it is desirable to maintain an environment that is calm and as stress free as possible. Attempting to stop or focusing on the behavior can increase the wife's anxiety and therefore the repetitive behavior.

• Question 895:

  An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is ___________.

  A. discussing the repetitive action

  B. insisting the client not perform the repetitive act

  C. informing the client that the act is not necessary

  D. encouraging daily exercise

  Correct Answer: D

  Obsessive-Compulsive Disorder is an anxiety disorder. Exercise releases emotional energy, limits time for the maladaptive behavior, and directs the client's attention outward. Initially, nurses should not interfere with performance of the repetitive act, try reasoning the client out of the behavior, or ridicule the behavior.

• Question 896:

  Which of the following statements is correct regarding rape?

  A. Most rapes are reported.

  B. Legally, a woman can be raped by her spouse.

  C. Prosecution and conviction for rape is easy.

  D. The most common location of rape is the victim's own home.

  Correct Answer: B

  The definition of rape is sexual intercourse against someone's will.

  It is a degrading, brutal crime of violence and can occur between any two persons regardless of their

  marital status.

• Question 897:

  Which of the following describes the stages of domestic violence in an intimate relationship?

  A. happiness, crisis, angry outburst, intervention

  B. honeymoon period, escalation of stress, outburst, reconciliation

  C. acting out and making up

  D. peace and calm, angry outburst, peace and calm, denial

  Correct Answer: B

  A pattern of behavior known as the cycle of abuse has been described in the literature. It involves a

  honeymoon stage, followed by a buildup of stress, an angry outburst that might involve beating,

  reconciliation, and another honeymoon phase.

  Clients who do not receive help are at increased risk of harm, which might include homicide.

• Question 898:

  Appropriate nursing strategies to assist a client in maintaining a sense of self include __________.

  A. using the client's first name when addressing the client

  B. treating the client with dignity

  C. explaining procedures only if the client is attentive

  D. discouraging the use of personal items

  Correct Answer: B

  All clients must be treated with dignity.

  Rather than a strategy, treating clients with dignity is a basic core value universal to nursing.

• Question 899:

  The most effective nursing strategy to assist a client in recognizing and using personal strength includes __________.

  A. encouraging the client's self-identification of strengths

  B. promoting the client's active external thinking

  C. listening to the client and providing advice as needed

  D. assisting the client in maintaining an external locus of control

  Correct Answer: A

  Encouraging the client to identify his own strengths is the most effective strategy.

• Question 900:

  In performing a psychosocial assessment, the nurse begins by asking questions that encourage the client to describe problematic behaviors and situations.

  The next step is to elicit the client's __________.

  A. feelings about what has been described

  B. thoughts about what has been described

  C. possible solutions to the problem

  D. intent in sharing the description

  Correct Answer: B