Pass the NCLEX Certification NCLEX-PN Questions and answers with ExamsMirror

Encouraging the client to identify his own strengths is the most effective strategy.Psychosocial Integrity

Transference phenomena are intensified in relationships with authority, such as physicians and nurses.

Common positive transferences include desire for affection and gratification of dependency needs. Common

negative transferences include hostility and competitiveness. These transferences must be recognized and

resolved before growth and positive change can be undertaken in the working stage.Psychosocial Integrity

After the baby delivers, the nurse should clear the mouth and nose of the infant first. Choice 4 is the next

step. Choices 1 and 2 might be performed depending on the situation.Safety and Infection Control

Tattooing puts a client at risk for blood-borne hepatitis B or C if strict sterile procedures are not followed.

Tuberculosis is an airborne pathogen, while herpes and syphilis are spread directly (such as through sexual

contact).Safety and Infection Control

Inhalation is the most common cause of injury from a house fire.Accident Prevention

Statistical patterns of health care utilization indicate that Emergency Departments and urgent care centers

provide a large portion of health care to those who live in poverty.Coordinated Care

Start a fast weight-loss diet.Health Promotion and Maintenance

Many chemotherapeutic drugs are vesicants (highly active corrosive materials that can produce tissue damage

even in low concentrations). Administration into a large vein is optimal. Choice 1 is incorrect because CVADs

are more expensive than a peripheral IV. Choice 2 is incorrect because dosing depends on the drug. Choice 4 is

incorrect because IV chemotherapeutic agents are not routinely administered at home; they are usually given in

a hospital or in an outpatient or clinic setting.Pharmacological Therapies

The most likely cause of groups of individuals suddenly experiencing similar signs of illness all at once is a

chemical exposure.Safety and Infection Control

Nurses might observe behavioral cues that can indicate the presence of hallucinations. Talking about the

hallucinations is reassuring and validating to the client who has them. Focusing on the symptoms and asking

about the hallucinations helps the client gain control.Psychosocial Integrity

Alkylating agents are highly reactive chemicals that introduce alkyl radicals into biologically active molecules

and thereby prevent their proper functioning, replication, and transcription. Choice 2 is incorrect because alkylating

agents have numerous side effects including alopecia, nausea, vomiting, and myelosuppression. Choice 3 is incorrect because nitrogen mustards have a broad spectrum of activity against chronic lymphocytic leukemia, non-Hodgkin’s lymphoma, and breast and ovarian cancer, but they are effective chemotherapeutic agents because of DNA crosslinkage. Choice 4 is incorrect because alkylating agents are non-cell-cycle-specific agents.PharmacologicalTherapies

Testing that identifies clients without a disease is said to be specific, while testing that identifies clients with a

disease is said to be sensitive. Safety and Infection Control

Only an unbound drug can be distributed to active receptor sites. Therefore, the more of a drug that is bound

to protein, the less it is available for the desired drug effect. Choice 1 is incorrect because less drug is available if

it is bound to protein. Choice 2 is incorrect because distribution to receptor sites is irrelevant if the drug, which is

bound to protein, cannot bind with a receptor site. Choice 4 is incorrect because metabolism is not increased. The

liver first has to remove the drug from the protein molecule before metabolism can occur. The protein is then free

to return to circulation and be used again.Pharmacological Therapies

The Health Belief Model describes readiness factors; the perceived feelings of susceptibility and seriousness

of the health problem (the threat); and positive motivation to maintain, regain, or attain wellness.Health

Promotion and Maintenance

Bleeding problems are not characteristic of diabetes. All the other options are appropriate areas of assessment.

Safety and Infection Control