Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 70

1. The nurse can best communicate to a client that he or she has been listening by:

A) restating the main feeling or thought the client has expressed.
B) making a judgment about the client - s problem.
C) offering a leading question such as, 'And then what happened?'
D) saying, 'I understand what you - re saying.'

2. In the United States, several definitions of death are currently being used. The definition that uses apnea testing and pupillary responses to light is termed:

A) whole brain death.
B) heart-lung death.
C) circulatory death.
D) higher brain death.

3. The nurse is caring for a dying client who has persistently requested that the nurse 'help her to die and be in peace.' According to the Code of Ethics for Nurses, the nurse should:

A) Ask the client whether she has signed the advance directives document.
B) Tell the client that he or she will ask another nurse to care for her.
C) Instruct the client that only a physician can legally assist a suicide.
D) Try to make the client as comfortable as possible, but refuse to assist in death.

4. When caring for a Native-American family, the nurse needs to consider which of the following?

A) The family consists solely of the parents and children.
B) Native Americans tend to be future oriented.
C) Some Native Americans use herbs and psychologic treatment of illnesses.
D) Health care is usually prescribed by a medicine man (shaman).

5. The three universal spiritual needs include all of the following except:

A) meaning and purpose.
B) love and relatedness.
C) forgiveness.
D) God - s permission.

1. Right Answer: A
Explanation: Restating allows the client to validate the nurses understanding of what has been communicated. Its an active listening technique. Regarding Choice 2, judgments should be suspended in a nurse-client relationship. Choice 3 is incorrect because leading questions ask for more information rather than showing understanding. Choice 4 communicates understanding, but the client has no way of measuring the understanding. PsychosocialIntegrity

2. Right Answer: A
Explanation: Most protocols require two separate clinical examinations, including induction of painful stimuli, papillary responses to light, oculovestibular testing, and apnea testing. Choices 2 and 4 have no specific test required. Choice 3 is not a current definition of death in the United States. Psychosocial Integrity

3. Right Answer: D
Explanation: Try to make the client as comfortable as possible but refuse to assist in death. One of the competencies necessary for nurses to have in giving high quality care to clients/families during the end of life care is: apply legal and ethical principles in the analysis of complex issues and end-of-life care, recognizing the influence of personal values, profession codes, and client preferences. Psychosocial Integrity

4. Right Answer: C
Explanation: Symbols of health or traditions might include certain ritualistic items that are used to maintain, protect, or restore physical, mental, or spiritual health. PsychosocialIntegrity

5. Right Answer: D
Explanation: Religious teachings help to present a meaningful philosophy and system of practices within a system of social controls having specific values, norms, and ethics.God is the center of many religions (major), but not all. Psychosocial Integrity

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