Test Prep National Council Licensure Examination(NCLEX-PN) NCLEX-PN Dumps in PDF

Free Test Prep NCLEX-PN Real Questions (page: 39)

A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should ______________.

  1. immediately contact child protective services
  2. provide the mother with literature about child care
  3. consult a therapist to help the mother work out her fears
  4. refer the mother to parenting classes

Answer(s): D

Explanation:

Prevention of child abuse is centered on teaching the parents how to care for their child and cope with the demands of infant care.
Parenting classes can help build self-confidence, self-esteem, and coping skills. Parents benefit by understanding the developmental needs of their children, while learning how to manage their home environment more effectively. The classes also increase the parents’ social contacts and teach about community resources.



Ashley and her boyfriend Chris, both 19-years-old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea.
Her pulse is rapid, and she is hyperventilating.

The nurse should assess Ashley’s level of anxiety as ______________.

  1. mild
  2. moderate
  3. severe
  4. panic

Answer(s): C

Explanation:

The person whose anxiety is assessed as severe is unable to solve problems and has a poor grasp of what’s happening in his or her environment. Somatic symptoms such as those described by Ashley are usually present. Vital sign changes are observed.
The individual with mild anxiety might report being mildly uncomfortable and might even find performance enhanced.
The individual with moderate anxiety grasps less information about the situation, has some difficulty problem- solving, and might have mild changes in vital signs.
The individual in panic demonstrates markedly disturbed behavior and might lose touch with reality.



What interpersonal relief behavior is Ashley using?

  1. acting out
  2. somatizing
  3. withdrawal
  4. problem-solving

Answer(s): B

Explanation:

Somatizing means one experiences an emotional conflict as a physical symptom. Ashley manifests several physical symptoms associated with severe anxiety.
Acting out refers to behaviors such as anger, crying, laughter, and physical or verbal abuse.
Withdrawal is a reaction in which psychic energy is withdrawn from the environment and focused on the self in response to anxiety.
Problem-solving takes place when anxiety is identified and the unmet need is met.



A primary belief of psychiatric mental health nursing is ______________.

  1. most people have the potential to change and grow
  2. every person is worthy of dignity and respect
  3. human needs are individual to each person
  4. some behaviors have no meaning and cannot be understood

Answer(s): B

Explanation:

Every person is worthy of dignity and respect. Every person has the potential to change and grow.
All people have basic human needs in common with others.
All behavior has meaning and can be understood from the client’s perspective.



James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog.

This coping mechanism is known as ______________.

  1. denial
  2. suppression
  3. displacement
  4. fantasy

Answer(s): C

Explanation:

Displacement is the transference of anger to another. Anger is displaced on the dog as a convenient object.



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