Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 78

1. Support systems during the grieving process include all of the following except:

A) a despondent friend.
B) a nurse.
C) a social worker.
D) a family member.

2. Mrs. Owens is the 81-year-old mother of Jonathan, who is 54 years old. Jonathan has had schizophrenia since he was 16 years old. Which of Mrs. Owenss concerns is likely to predominate?

A) 'Will my retirement funds outlast me?'
B) 'Who will handle my funeral arrangements?'
C) 'What will become of Jonathan when I am gone?'
D) 'How can I get Jonathan - s physician to talk to me?'

3. During the work phase of the nurse-client relationship, the client says to her primary nurse, 'You think that I could walk if I wanted to, don - t you?' What is the best response by the nurse?

A) 'Yes, if you really wanted to, you could.'
B) 'Tell me why you - re concerned about what I think.'
C) 'Do you think you could walk if you wanted to?'
D) 'I think you - re unable to walk now, whatever the cause.'

4. A successful resolution of the nursing diagnosis Negative Self-Concept (related to unrealistic selfexpectations) is when the client can:

A) report a positive self-concept.
B) identify negative thoughts.
C) recognize positive thoughts.
D) give one positive cue with each negative cue.

5. A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:

A) Actual Chronic Low Self-Esteem (related to obesity).
B) Potential Chronic Low Self-Esteem (related to obesity).
C) Actual Situational Low Self-Esteem (related to fear of weight regain and pregnancy).
D) Potential Situational Low Self-Esteem (related to fear of weight regain and pregnancy).

1. Right Answer: A
Explanation: A despondent friend, even though this could be a support to the grieving person, is in a state of despondency. Therefore, he or she might not do well with a grieving friend. Psychosocial Integrity

2. Right Answer: C
Explanation: The mothers most prominent concern is likely to be what becomes of her son after she dies. Choice 1 is important but is not likely to be her most prominent concern. Choice 2 is also not likely to be her primary concern because the welfare of her son with schizophrenia is more important. Choice 4 is incorrect becauseMrs. Owens has likely confronted and handled concerns about getting the physician to talk to her after 38 years of managing her sons care. Psychosocial Integrity

3. Right Answer: D
Explanation: This response answers the question honestly and nonjudgmentally and helps to preserve the clients self-esteem.Choice 1 is an open and candid response but diminishes the clients self-esteem. Choice 2 doesnt answer the clients question and is not helpful. Choice 3 increases the clients anxiety because her inability to walk might be directly related to an unconscious psychological conflict that has not been resolved.Psychosocial Integrity

4. Right Answer: A
Explanation: The problem statement is Negative Self Concept. A successful resolution of the problem is when the client can report a positive self-concept. When the nurse determines how the client perceives himself, effort should be directed to reinforce self-worth and promote a positive self-concept,including helping a client to identify areas of strength. Assisting the client to evaluate himself and make behavior changes is a nursing intervention. Psychosocial Integrity

5. Right Answer: D
Explanation: If there are indications of a body image disturbance, the nursing care plan should include body disturbances, related to a functional or physical problem. The disturbance might be an anticipated one that is, weight gain and pregnancy. Stressors can include a change in physical appearance, sexuality concerns, or an unrealistic ideal self. Psychosocial Integrity

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