Next Generation NCLEX Questions.

Next Generation NCLEX Questions.
Purpose:
There are no points attached to this homework. However, regardless of one’s intrinsic or extrinsic
motivation, participation matters. The purpose of this assignment is intended to familiarize students newer
NCLEX type questions through examples, and to help students begin to “think like a nurse”. This is
facilitated through: (a) the development of critical thinking skills, (b) identification of important cues in a
clinical situation, (d) identification of multiple and complex health issues or multiple health problems in the
older adult, and (e) prioritizing goals.
Directions:
● Provide your responses to each of the questions accompanying each clinical situation.
● Students may work individually, in pairs, or small groups of no more than 4 persons. Students
who work in teams are strongly encouraged to review responses together, and decide, which
response(s) will be the final ones. This activity is different than dividing up tasks, cutting and
pasting responses into one document for homework submission. If there is a different perspective
or opinion about which response(s) are final ones, during the team review justify the choice and
present a rationale to the team.
● If you are working as a pair or on a team of 4, please indicate all of your names on the
assignment, your class section, and delegate one team member to upload a single completed
assignment for the group. Upload to “Turnitin” on Moodle, by Tuesday, March 15th, 4:00pm.
● Cite resources and references used in completing this assignment in APA format 7
th ed. (see
syllabus), including those from library databases such as CINAHL or Up-to-Date
1. Cultural Cues
a. Highlight the statements below that nurses recognize as exacerbating health disparities and
inequities in this client:
Ms. Yazzie is a 78-year-old long-term care resident. She worked most of her life as a bartender.
Her mother belonged to the Mescalero Apache Tribe in New Mexico. Her father was Caucasian.
Her mother gave her up at birth, hoping she would be adopted, but she spent her childhood in
foster care. As a young adult Ms. Yazzie was raped and severely beaten, resulting in PTSD. She
is aggressive with personal care and does not allow men to touch her; only female nurses,
assistive personnel, and staff work with her. She has a history of hypothyroidism, hypertension,
multi-infarct dementia, and osteoarthritis with chronic pain. She has a 66-pack year history of
smoking, and typically drank liquor each night while bartending. She is 5′5″ tall and weighs 110
pounds (BMI 18.30 kg/m2
). She is no longer ambulatory. However, she wheels herself around the
facility and can often be heard crying and repeatedly asking, “do you love me?.” She engages in
conversation, and stops crying, when prompted and talks about her childhood when asked. Ms.
Yazzie never married and has no children.
b. In addition to exacerbating health disparities and inequities in this client, what are other issues that
are of concern based on the information provided? List these.
I am concerned about her psychosocial and neurological status given her history with PTSD,
rape, drinking, aggression towards men, and her behavior in the facility (i.e. the crying and
repeated asking: “do you love me?”)
c. Are there other questions you would ask of Ms. Yazzie as you begin your shift with her? What are
they?
How are you feeling today? What kinds of medications do you take? Could you tell me about
your drinking and smoking habits?
Could you please tell me about your PTSD? What tends to trigger your PTSD?

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