NCLEX Review - Physiological Integrity COMPLETE REVISION
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
A male client is diagnosed as a power rapist. The nurse plans interventions for the client, keeping in mind that a power rapist is one who acts in which of the following ways? - Answer: Wants to place a woman in a helpless controlled situation in which she cannot resist or refuse him
A community health nurse is conducting an awareness workshop on adolescent suicide. Which of the following should the nurse discuss as risk factors? (Separate responses with commas)
1: Family violence
2: Poor impulse control
3: Use of alcohol or drugs
4: Strong peer relationships
5: Family history of depression
6: Adequate school performance - Answer: 1, 2, 3, 5
A registered nurse prepares to care for a client with paranoia who experiences disturbed thought processes. Which interventions should the nurse carry out in the care of the client? (Separate responses with commas)
1: Sit with the client and hold the client's hand.
2: Use a warm approach when working with the client.
3: Use simple and clear language when speaking with the client.
4: Diffuse angry and hostile verbal attacks with a nondefensive stand.
5: Use a nonjudgmental attitude when working with the client. - Answer: 3, 4, 5
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Which of the following behaviors would indicate to a nurse that an adolescent has not successfully completed the age-appropriate developmental task according to Erik Erikson theory? - Answer: Is rebellious and regresses to child-play behaviors
A nurse is interviewing the parents of a newborn infant who has spina bifida (myelomeningocele).Which of the following statements by a parent indicated a need to discuss coping issues? - Answer: "Should we tell our friends about the baby?"
After 6 weeks of therapy with an antipsychotic medication, the client returns to the heath care clinic for follow-up. The nurse documents a therapeutic response when which of the following is noted? - Answer: A well-groomed and neat appearance
A nurse has taught a family to communicate more effectively with a hearing-impaired client. Which behavior by the family, if observed, confirms learning? - Answer: Using appropriate hand motions with communication
A client with mania will be placed in seclusion after overturning two tables and throwing a chair against the wall. Before placing the client in seclusion, the nurse would first: - Answer: Inspect the client for injuries resulting from the incident and initiante appropriate treatment
A client was originally prescribed oral sertraline (Zoloft) 25 mg daily for depression. The dose has gradually increased in an effort to control the symptoms. The current dose is 75 mg daily. The medication label reads 25 mg/tablet. To receive the correct dose, the nurse instructs the client to take
how many tablets once daily? - Answer: 3 tablets
A nurse is attempting to deescalate aggressive behavior exhibited by a client with schizophrenia. Which actions should the nurse take? (Separate responses with commas)
1: Be assertive with the client.
2: Negotiate options with the client.
3: Demonstrate control and aggressiveness with the client.
4: Give the client lengthy instructions to distract the client.
5: Persuade the client to move to another area of the nursing unit.
6: Stand close to the client, and tell the client that the behavior is unacceptable. - Answer: 1, 2, 5
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