NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 901:

  Using clich閟 in therapeutic communication leads the client toward __________.

  A. viewing the nurse as human

  B. accepting himself as human

  C. self-disclosing

  D. feeling discounted

  Correct Answer: D

  The use of clich閟 in therapeutic communication is commonly construed by the client as the nurse's lack of understanding, involvement, and caring, so the client might feel demeaned and discounted.

• Question 902:

  Support-system enhancement includes all of the following except __________.

  A. determining the barriers to using support systems

  B. discussing ways to help with others who are concerned

  C. exploring life problems of the support-team members

  D. involving spouse, family, and friends in the care and planning

  Correct Answer: C

  The exploration of life problems of support-team members is not necessary to enhance the support system. Choices "determining the barriers to using support systems", "discussing ways to help with others who are concerned" and "involving spouse, family, and friends in the care and planning" are all enhancements for a support system.

• Question 903:

  Social support systems include of the following except __________.

  A. call-in help lines

  B. emotional assistance provided by others C. community support groups

  D. use of coping skills and verbalization for anger management

  Correct Answer: D

  Use of coping skills and verbalization for anger management are personal strategies, not examples of social support systems. Choices "call-in help lines", "emotional assistance provided by others" and "community support groups" are all social support systems.

• Question 904:

  A corporate executive works 60-80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques.

  This is an example of __________ health-promotion interventions.

  A. structure

  B. relaxation technique

  C. time management

  D. regular exercise

  Correct Answer: B

  Biofeedback techniques can be used to quiet the mind, release tension, and counteract responses of

  general adaptation syndrome or stress syndrome.

  Nurses teaching relaxation techniques should encourage use of these techniques in stressful situations.

• Question 905:

  A client recently lost a child due to poisoning. The client tells the nurse, "I don't want to make any new friends right now."

  This is an example of __________ indicator of stress.

  A. emotional behavioral indicator

  B. spiritual indicator

  C. sociocultural indicator

  D. intellectual indicator

  Correct Answer: C

  Stress can alter a person's relationships with others.

• Question 906:

  Nursing considerations when caring for African-American clients include that __________.

  A. families are generally distant and unsupportive

  B. special hair, skin, and nail care might be required

  C. fad diets are a cultural norm

  D. clients are generally future-oriented

  Correct Answer: B

  Special hair, skin, and nail care might be required for African-American clients.

• Question 907:

  A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first __________.

  A. review their own cultural beliefs and biases

  B. respectfully request that the couple utilize only medically approved health care providers

  C. realize that the clients have to learn their new country's accepted medical practices

  D. study family dynamics to understand the male and female gender roles in the clients' culture

  Correct Answer: A

  The nurse needs to recognize her own beliefs and biases and learn about the client's cultural beliefs.

• Question 908:

  The nurse is caring for a client who is dying.

  While assessing the client for signs of impending death, the nurse observes the client for __________.

  A. elevated blood pressure

  B. Cheyne-Stokes respiration

  C. elevated pulse rate

  D. decreased temperature

  Correct Answer: B

  Cheyne-Stokes respirations are rhythmic waxing and waning of respirations from very deep breathing to

  very shallow breathing with periods of temporary apnea, often associated with cardiac failure.

  This can be a sign of impending death.

• Question 909:

  A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, "There must be some mistake in the diagnosis."

  The nurse determines that the client is demonstrating __________.

  A. denial

  B. anger

  C. bargaining

  D. acceptance

  Correct Answer: A

  Denial (K黚ler-Ross's Stages of Grieving) is the refusal to believe that loss is happening.

• Question 910:

  What significant event occurs in the orientation phase of a nurse-client relationship?

  A. establishment of roles B. identification of transference phenomenon

  C. placement of the client within the client's family structure

  D. client agreement that the nurse has the authority in the relationship

  Correct Answer: B

  Transference phenomena are intensified in relationships with authority, such as physicians and nurses. Common positive transferences include desire for affection and gratification of dependency needs. Common negative transferences include hostility and competitiveness. These transferences must be recognized and resolved before growth and positive change can be undertaken in the working stage.