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.'