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NCLEX-RN Exam Questions - Part 112
1. A 15-year-old female adolescent is frequently breaking the rules of the unit. She has left the unit and was found smoking in the bathroom and spending a large amount of time in the male ward. Which statement by the nurse would best explain to the teenager why she must follow the rules of the unit?
A) 'It is not easy, but the rules must be followed so that everyone can get a fair chance.'
B) 'If you do not follow the rules, you will be transferred to the closed, locked unit.'
C) 'You are not being fair to the other clients by getting them involved in your deviant behavior.'
D) 'Break the rules, all you want, but don - t get caught again!'
2. A 45-year-old male client experiences a sense of depression because he has not yet achieved his lifes goals. His career has not been satisfying. He is still looking for the right job. His wife spends too much money, and his children seem to ignore him while being very selfish. He is tired of all of their attitudes and is considering buying a red Corvette convertible. While obtaining these data concerning the clients feelings about his life, the nurse is able to determine he is experiencing what psychological crisis according to Eriksons stages?
A) Identity versus role confusion
B) Integrity versus despair
C) Intimacy versus isolation
D) Generativity versus self-absorption
3. A female client is anticipating a visit with her parents over the Thanksgiving holidays. She has recently begun experiencing periods of extreme shortness of breath, which her physician has labeled as panic attacks. Which of the following statements by the nurse would enhance therapeutic communication?
A) 'Why do you feel this way?'
B) 'Tell me about your dislike for your parents.'
C) 'Don - t worry, everything will be all right on your visit with your parents.'
D) 'Perhaps you and I can discover what produces your anxiety.'
4. A male client seeks counseling after his wife of 19 years threatened to divorce him. For most of their marriage, he has physically and verbally abused her. When asked about his behavior in the process of the nursing assessment, the client states, 'I was mean to my wife because she insists on cooking meals and wearing clothes that I do not like.' This defense mechanism is an example of:
A) Repression
B) Regression
C) Reaction formation
D) Rationalization
5. A male client is admitted to the psychiatric unit after experiencing severe depression. He states that he intends to kill himself, but he asks the nurse not to repeat his intentions to other staff members. Which response demonstrates understanding and appropriate action on the part of the nurse?
A) 'I understand you - re depressed, but killing yourself is not a reasonable option.'
B) 'We need to discuss this further, but right now let - s complete these forms.'
C) 'Don - t do that, you have so much to live for. You have a wonderful wife and children. The client in the next room has no one.'
D) 'This is very serious. I do not want any harm to come to you. I will have to report this to the rest of the staff.'
A) 'It is not easy, but the rules must be followed so that everyone can get a fair chance.'
B) 'If you do not follow the rules, you will be transferred to the closed, locked unit.'
C) 'You are not being fair to the other clients by getting them involved in your deviant behavior.'
D) 'Break the rules, all you want, but don - t get caught again!'
2. A 45-year-old male client experiences a sense of depression because he has not yet achieved his lifes goals. His career has not been satisfying. He is still looking for the right job. His wife spends too much money, and his children seem to ignore him while being very selfish. He is tired of all of their attitudes and is considering buying a red Corvette convertible. While obtaining these data concerning the clients feelings about his life, the nurse is able to determine he is experiencing what psychological crisis according to Eriksons stages?
A) Identity versus role confusion
B) Integrity versus despair
C) Intimacy versus isolation
D) Generativity versus self-absorption
3. A female client is anticipating a visit with her parents over the Thanksgiving holidays. She has recently begun experiencing periods of extreme shortness of breath, which her physician has labeled as panic attacks. Which of the following statements by the nurse would enhance therapeutic communication?
A) 'Why do you feel this way?'
B) 'Tell me about your dislike for your parents.'
C) 'Don - t worry, everything will be all right on your visit with your parents.'
D) 'Perhaps you and I can discover what produces your anxiety.'
4. A male client seeks counseling after his wife of 19 years threatened to divorce him. For most of their marriage, he has physically and verbally abused her. When asked about his behavior in the process of the nursing assessment, the client states, 'I was mean to my wife because she insists on cooking meals and wearing clothes that I do not like.' This defense mechanism is an example of:
A) Repression
B) Regression
C) Reaction formation
D) Rationalization
5. A male client is admitted to the psychiatric unit after experiencing severe depression. He states that he intends to kill himself, but he asks the nurse not to repeat his intentions to other staff members. Which response demonstrates understanding and appropriate action on the part of the nurse?
A) 'I understand you - re depressed, but killing yourself is not a reasonable option.'
B) 'We need to discuss this further, but right now let - s complete these forms.'
C) 'Don - t do that, you have so much to live for. You have a wonderful wife and children. The client in the next room has no one.'
D) 'This is very serious. I do not want any harm to come to you. I will have to report this to the rest of the staff.'
1. Right Answer: A
Explanation: (A) This statement acknowledges that it is difficult but is not threatening or punitive. (B) This statement is threatening and describes specific punishment for further deviant behavior. (C) This response elicits shame by blaming her for involving others. (D) This response gives her permission to break the rules but indicates that getting caught is wrong.
2. Right Answer: D
Explanation: (A) Identity versus role confusion is experienced by adolescents making the transition from childhood to adulthood as they attempt to develop a sense of identity.(B) Integrity versus despair is experienced by the elderly as they reflect on their life in an attempt to find meaning. (C) Intimacy versus isolation is experienced by young adults as they establish intimate bonds of love and friendship. (D) Generativity versus self-absorption is experienced by middle-aged adults as they fulfill life goals that involve family, career, and society. The client is experiencing this crisis.
3. Right Answer: D
Explanation: (A) Asking the client to provide an explanation for her feelings is often intimidating. (B) This response is probing and may make the client feel used and valued only for the information she can provide. (C) This underrates the clients feelings and belittles her concerns. It may cause the client to stop sharing feelings for fear that they will be ridiculed. (D) The emphasis is on working with the client. It shows that there is hope for change through collaboration.
4. Right Answer: D
Explanation: (A) Repression is blocking a desire from conscious expression. The client is conscious of his desires. (B) Regression is returning to an earlier form of expression, which is not demonstrated here. (C) Reaction formation is acting out the opposite of true feelings. The client felt anger concerning his wifes cooking and acted out his feelings. (D) Rationalization is unconsciously falsifying an experience by giving a 'rational' explanation. The client is attempting to justify his behavior by giving an explanation.
5. Right Answer: D
Explanation: (A) To the client, suicide may be a reasonable action and the only one he can cope with at this time. (B) This response indicates to the client that his intention to commit suicide is not important to the nurse at this time. (C) The client is so depressed that he is not able to see the positive aspects of his life. At no time should the nurse discuss another clients problems in conversation. (D) This statement tells the client that the nurse recognizes his problem is of a serious nature and will take all steps necessary to help him.
Explanation: (A) This statement acknowledges that it is difficult but is not threatening or punitive. (B) This statement is threatening and describes specific punishment for further deviant behavior. (C) This response elicits shame by blaming her for involving others. (D) This response gives her permission to break the rules but indicates that getting caught is wrong.
2. Right Answer: D
Explanation: (A) Identity versus role confusion is experienced by adolescents making the transition from childhood to adulthood as they attempt to develop a sense of identity.(B) Integrity versus despair is experienced by the elderly as they reflect on their life in an attempt to find meaning. (C) Intimacy versus isolation is experienced by young adults as they establish intimate bonds of love and friendship. (D) Generativity versus self-absorption is experienced by middle-aged adults as they fulfill life goals that involve family, career, and society. The client is experiencing this crisis.
3. Right Answer: D
Explanation: (A) Asking the client to provide an explanation for her feelings is often intimidating. (B) This response is probing and may make the client feel used and valued only for the information she can provide. (C) This underrates the clients feelings and belittles her concerns. It may cause the client to stop sharing feelings for fear that they will be ridiculed. (D) The emphasis is on working with the client. It shows that there is hope for change through collaboration.
4. Right Answer: D
Explanation: (A) Repression is blocking a desire from conscious expression. The client is conscious of his desires. (B) Regression is returning to an earlier form of expression, which is not demonstrated here. (C) Reaction formation is acting out the opposite of true feelings. The client felt anger concerning his wifes cooking and acted out his feelings. (D) Rationalization is unconsciously falsifying an experience by giving a 'rational' explanation. The client is attempting to justify his behavior by giving an explanation.
5. Right Answer: D
Explanation: (A) To the client, suicide may be a reasonable action and the only one he can cope with at this time. (B) This response indicates to the client that his intention to commit suicide is not important to the nurse at this time. (C) The client is so depressed that he is not able to see the positive aspects of his life. At no time should the nurse discuss another clients problems in conversation. (D) This statement tells the client that the nurse recognizes his problem is of a serious nature and will take all steps necessary to help him.
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