NCLEX-RN Exam Questions - Part 128

1. A husband and wife and their two children, age 9 and age 5, are requesting family therapy. Which of the following strategies is most therapeutic for the nurse to use during the initial interaction with a family?

A) Always allow the most vocal person to state the problem first.
B) Encourage the mother to speak for the children.
C) Interpret immediately what seems to be going on within the family.
D) Allow family members to assume the seats as they choose.



2. In healthcare settings, nurses must be familiar with primary, secondary, and tertiary levels of care. As a nurse in the community, which of the following interventions might be a primary prevention strategy?

A) Crisis intervention with an intoxicated teenager whose mother just committed suicide
B) Referring a client who has been on a detoxification unit to a rehabilitation center
C) Teaching fifth-grade children the harmful effects of substance abuse
D) Counseling a client with post-traumatic stress disorder



3. While the nurse is taking a male client - s blood pressure, he makes flirtatious remarks to her. The nurse will handle this effectively if she:

A) Politely tells the client, 'Keep your hands off '
B) Ignores the remarks and hopes he will not try it again
C) Confronts the remarks but attempts not to reject the client
D) Leaves the room in order to compose herself



4. A client is a victim of domestic violence. She is now receiving assistance at a shelter for battered women. She tells the nurse about the cycle of violence that she has been experiencing in her relationship with her husband of 5 years. In the 'tension-building phase,' the nurse might expect the client to describe which of the following?

A) Promises of gifts that her husband made to her
B) Acute battering of the client, characterized by his volatile discharge of tension
C) Minor battering incidents, such as the throwing of food or dishes at her
D) A period of tenderness between the couple



5. Which of the following symptoms might the nurse observe in a client with a lithium blood level over 2.0?

A) Fine hand tremor, headache, mental dullness
B) Vomiting, impaired consciousness, decreased blood pressure
C) Polyuria, polydipsia, edema
D) Gastric irritation, nausea, diarrhea